CPT® Code 15944

An ischial pressure ulcer, commonly known as a pressure sore, bedsore, or decubitus ulcer, occurs in the lower posterior region of the bony pelvis, specifically over the ischium. 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 15944 involves the surgical excision of the ischial pressure ulcer, which is performed with a skin flap closure technique. 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, excising the damaged tissue. Following the excision, the wound is thoroughly irrigated to remove any debris or contaminants. A local skin flap is then utilized to close the wound, which involves incising the skin adjacent to the ulcer down to the level of subcutaneous fat. This allows the skin to be mobilized effectively. The skin flap is subsequently rotated or advanced over the excised area and sutured in place, ensuring proper closure of the wound. Additionally, the donor site from which the skin flap was taken is also repaired with sutures, completing the procedure and promoting healing in the affected area.