CPT® Code 15935

A sacral pressure ulcer, commonly known as a pressure sore, bedsore, or decubitus ulcer, occurs on the sacrum, which is the triangular bone located between the fifth lumbar vertebra and the coccyx. This type of ulcer typically develops due to prolonged pressure on the skin, often in individuals who are bedridden or have limited mobility. The procedure described by CPT® Code 15935 involves the excision of the sacral pressure ulcer, which is a surgical intervention aimed at removing the ulcer and any underlying affected tissue. During the procedure, the patient is positioned face down to allow access to the sacral area. The physician makes an elliptical incision around the ulcer to excise the damaged tissue. Following the excision, the underlying sacral bone is inspected for any involvement, and if necessary, any bony protuberances or affected bone is removed. The remaining rough surfaces of the bone are smoothed to promote healing. The wound is then closed using a local skin flap technique, which involves mobilizing adjacent skin to cover the excised area, ensuring proper closure and minimizing the risk of complications. This procedure is critical for patients with significant pressure ulcers, as it addresses both the ulcer and any underlying issues that may impede healing.