CPT® Code 16035

Escharotomy is a surgical procedure performed by a physician to treat third-degree burns, which are characterized by the destruction of the skin's layers, resulting in a hardened and inelastic eschar. This rigid eschar can significantly impede circulation in the affected extremities, potentially leading to severe complications such as limb loss if not addressed promptly. Additionally, when the eschar forms on the chest, it can restrict respiratory function, increasing the risk of conditions like atelectasis or pneumonia. The procedure involves making one or more incisions through the eschar, extending along its entire length and down to the underlying viable subcutaneous tissue. This incision allows the underlying tissues to expand, alleviating pressure and restoring circulation. Following the incision, bleeding is managed, and the area is treated with Slivazine cream and appropriate dressings. If the escharotomy involves a limb, it is typically elevated to minimize swelling at the burn site. The CPT® code 16035 is designated for the initial escharotomy incision, while code 16036 is used for any subsequent incisions performed during the same surgical session.