CPT® Code 16036

Add-On Code

Escharotomy is a surgical procedure performed to relieve pressure caused by tight eschar, which is the dead tissue that forms over a third-degree burn. This condition occurs when the skin loses its elasticity and becomes rigid, potentially leading to serious complications. In cases where the eschar is tight, it can restrict blood flow in an extremity, risking limb loss, or impede respiratory function when located on the chest, which may result in conditions such as atelectasis or pneumonia. The procedure involves making incisions in the eschar to allow the underlying tissues to expand, thereby restoring circulation and function. The incisions are typically made along the entire length of the eschar and are extended down to the viable subcutaneous tissue, which allows the tissue to gape open and relieve the pressure. After the incisions are made, any bleeding is controlled, and the area is treated with Slivazine cream and appropriate dressings. If the escharotomy involves a limb, it is elevated to minimize swelling at the burn site. This code, CPT® 16036, is specifically used to report each additional incision made during the escharotomy procedure, following the initial incision reported with CPT® 16035.