CPT® Code 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Pinch grafting is a surgical technique utilized to cover small ulcers, the tips of digits, or other minimal open areas, excluding those on the face. This procedure involves the harvesting of single or multiple pinch grafts, which are small pieces of skin specifically designed to cover a wound or defect. The size of the defect that can be addressed with this technique is limited to a diameter of 2 cm. The pinch grafts consist of both dermis and epidermis in the center, making them full-thickness grafts, while the edges are composed solely of epidermis, classifying them as split-thickness grafts. The selection of the donor site is critical, as it should have skin that closely resembles the texture of the area being treated. The procedure begins with the cleansing of the donor site, followed by the administration of a local anesthetic to ensure patient comfort. A needle is then inserted beneath the skin to elevate it, allowing for the excision of the pinch graft, which is subsequently transferred to the defect area. This process may be repeated multiple times until sufficient tissue is harvested to adequately cover the wound.