CPT® Code 15572

The CPT® Code 15572 refers to the formation of a direct or tubed pedicle flap, specifically for use on the scalp, arms, or legs. This procedure is a critical component in reconstructive surgery, particularly in the management of non-adjacent defects that require coverage. A pedicle flap is a type of tissue transfer that maintains its blood supply from the donor site, allowing for better healing and integration at the recipient site. In this context, a direct pedicle flap is created and immediately transferred to the recipient site during the same surgical session, with the donor site being approximated to the recipient site to facilitate healing. Conversely, a tubed pedicle flap involves sewing the lateral edges of the flap together to form a tube, which can then be transferred to the recipient site. The procedure involves careful planning of the flap's size and shape, followed by an incision at the donor site to raise a full-thickness flap. This flap is then sutured to the recipient site in multiple layers to ensure stability and proper healing. The donor site is subsequently closed with sutures, although in some cases, a separate skin graft or local flap may be necessary to adequately close the donor site. This code is specifically utilized for flaps transferred to the scalp, arms, or legs, distinguishing it from other codes that apply to different anatomical sites.