CPT® Code 15933

The procedure described by CPT® Code 15933 involves the excision of a sacral pressure ulcer, which is commonly referred to as a bedsore. This type of ulcer typically occurs in patients who are immobile for extended periods, leading to skin breakdown and tissue damage in the sacral area. The sacrum itself is a triangular-shaped bone located at the base of the spine, situated between the fifth lumbar vertebra and the coccyx. 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 pressure ulcer, carefully excising the damaged skin and any necrotic tissue surrounding the ulcer. Following the excision, the wound is thoroughly irrigated to remove any debris and reduce the risk of infection. Importantly, if the underlying bone is involved, an ostectomy is performed, which entails the removal of the bone beneath the ulcer before the wound is closed. The final step involves suturing the site closed with primary sutures, ensuring proper healing and minimizing the risk of complications. This procedure is critical for patients suffering from severe pressure ulcers, as it aims to promote healing and restore skin integrity in the sacral region.