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The CPT® Code 15934 refers to the surgical procedure for the excision of a sacral pressure ulcer, which is commonly known as a pressure sore, bedsore, or decubitus ulcer. This type of ulcer occurs on the sacrum, the triangular bone located between the fifth lumbar vertebra and the coccyx. The procedure typically involves the patient lying face down to allow the physician access to the affected area. An elliptical incision is made around the pressure ulcer to excise the damaged tissue. Following the excision, a local skin flap is utilized to close the wound. This involves incising the skin adjacent to the ulcer down to the level of subcutaneous fat, allowing the skin to be mobilized effectively. The skin flap is then rotated or advanced over the excised area and sutured in place to promote healing. Additionally, the donor site from which the skin flap was taken is also repaired with sutures to ensure proper closure and recovery. This procedure is critical for managing sacral pressure ulcers, as it not only removes the damaged tissue but also facilitates the healing process through the use of local skin flaps.
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