CPT® Code 15931

The procedure described by CPT® Code 15931 involves the excision of a sacral pressure ulcer, which is commonly referred to as a bedsore. A pressure ulcer is an area of localized damage to the skin and underlying tissue, typically caused by prolonged pressure, often occurring in individuals with limited mobility. The sacral region, where this procedure is performed, is located at the base of the spine, between the lumbar vertebrae and the coccyx, making it a common site for pressure ulcers due to its anatomical position and the pressure exerted when a patient is in a supine or seated position. During the procedure, the patient is positioned face down to provide optimal access to the affected area. The physician makes an elliptical incision around the ulcer, carefully excising the damaged skin and any necrotic tissue. Following the excision, the wound is thoroughly irrigated to remove any debris and reduce the risk of infection. The surrounding tissue is then separated from the sacrum to ensure a clean surgical field. Finally, the wound is closed using primary sutures, which are intended to bring the edges of the skin together for optimal healing. It is important to note that if the underlying bone is also involved and requires removal, CPT® Code 15933 should be used instead.