CPT® Code 15937

A sacral pressure ulcer, commonly known as a pressure sore, bedsore, or decubitus ulcer, is a localized injury to the skin and/or underlying tissue, typically over a bony prominence, resulting from prolonged pressure. The procedure described by CPT® Code 15937 involves the excision of such an ulcer in preparation for subsequent closure using a muscle or myocutaneous flap or skin graft. This excision may include the removal of bone, referred to as ostectomy, which is critical for ensuring that all necrotic tissue is adequately removed to promote healing and prevent infection. The sacrum, which is the triangular bone located between the fifth lumbar vertebra and the coccyx, is the specific anatomical site targeted during this procedure. The patient is positioned face down to allow the physician to access the ulcer effectively. An incision is made around the ulcer, and all necrotic tissue, including skin, subcutaneous tissue, and muscle, is excised. Additionally, any involved bursa and bony protuberances are removed with care taken to protect surrounding nerves and blood vessels. The procedure also involves smoothing any rough bony surfaces to prepare the wound bed for the subsequent placement of a muscle or myocutaneous flap or skin graft, which is a separate reportable procedure. This meticulous approach is essential for ensuring optimal healing and recovery for the patient.