CPT® Code 15953

A trochanteric pressure ulcer, commonly known as a pressure sore, bedsore, or decubitus ulcer, is a type of wound that develops over the greater trochanter, which is a prominent bony projection located at the proximal end of the femur. This area serves as an attachment point for various muscles in the thigh and buttock. The development of a trochanteric pressure ulcer is often associated with prolonged pressure on the skin, typically occurring in individuals who are immobile or have limited mobility. The procedure described by CPT® Code 15953 involves the excision of the trochanteric pressure ulcer along with a skin flap closure and ostectomy. During this surgical intervention, the physician makes an elliptical incision around the ulcer, excising all necrotic tissue, which includes skin, subcutaneous tissue, and muscle. The procedure also entails inspecting the trochanteric bursa and bone, resecting the bursa, and excising any involved bone or bony protuberances while ensuring the protection of surrounding nerves and blood vessels. The remaining rough bony surfaces are smoothed, and the wound is subsequently closed using a local skin flap, which involves mobilizing adjacent skin and suturing it over the wound to promote healing and restore the integrity of the skin in the affected area.