CPT® Code 14350

The procedure described by CPT® Code 14350 involves the creation of a filleted finger or toe flap, which is a surgical technique used to close large wounds on the hand or foot. This procedure is particularly relevant when there is significant tissue loss or damage that cannot be adequately repaired through primary closure. The term "filleted" refers to the method of dissecting the tissue from the underlying bone while preserving its blood supply, which is crucial for healing. The surgeon makes a precise incision along the middle of the affected finger or toe, allowing for careful dissection of the skin and subcutaneous tissue. This technique ensures that the vascular integrity of the flap is maintained, which is essential for successful grafting and healing. After preparing the recipient site, the flap is rotated into the correct position to cover the wound effectively. The final step involves suturing the wound in layers to promote optimal healing and minimize complications. This procedure is vital in reconstructive surgery, particularly in cases where traditional closure methods are insufficient.