CPT® Code 11462

The procedure described by CPT® Code 11462 involves the excision of skin and subcutaneous tissue specifically in the inguinal region, which is commonly referred to as the groin area. This surgical intervention is performed to treat hidradenitis, a chronic dermatological condition characterized by the presence of swollen, painful, and inflamed lesions that primarily affect the cutaneous apocrine glands, which are responsible for sweat production. Hidradenitis can lead to significant discomfort and may also involve the surrounding subcutaneous tissue and fascia. In cases where suppurative hidradenitis is present, patients may develop draining sinus tracts, also known as fistulas, in the affected area. Surgical treatment is generally indicated for cases of suppurative hidradenitis, where the excision involves removing the skin and subcutaneous tissue that overlies the apocrine glands, along with any exposed fistulous tracts. The extent of the excision may vary, with severe cases necessitating a more extensive removal of all affected skin and subcutaneous tissue. Following the excision, the wound is typically closed using either a simple single-layer repair or an intermediate repair, which may involve one or more deeper layers of subcutaneous tissue and superficial fascia. It is important to note that if a more complex repair is required, as indicated by CPT® Code 11463, this would involve additional techniques such as extensive undermining or the use of stents or retention sutures. In some instances, a separately reportable skin graft or flap may be necessary to adequately close the surgical wound.