CPT® Code 15951

The CPT® Code 15951 refers to the surgical procedure for the excision of a trochanteric pressure ulcer, which is also known as a pressure sore, bedsore, or decubitus ulcer. These ulcers typically develop over the greater trochanter, a prominent bony projection located at the proximal end of the femur, which serves as an attachment point for various muscles in the thigh and buttock. The procedure involves creating an elliptical incision around the ulcer to remove all necrotic tissue, including the skin, subcutaneous tissue, and muscle. Unlike the simpler excision described in CPT® Code 15950, this procedure requires a more extensive approach where the trochanter is exposed, allowing for a thorough inspection of the trochanteric bursa and the underlying bone. During the excision, the bursa is resected, and any involved bone or bony protuberances are carefully excised while ensuring the protection of surrounding nerves and blood vessels. After the excision, any rough bony surfaces are smoothed using a file, and the wound is subsequently closed in layers with primary suture repair. This detailed approach is essential for effective treatment of the ulcer and to promote proper healing.