CPT® Code 21615

The CPT® Code 21615 refers to the surgical procedure known as the excision of the first and/or cervical rib. This procedure is typically performed under general anesthesia, ensuring that the patient is completely unconscious and free of pain during the operation. The process begins with the physician making a precise incision over the clavicle, which is the bone that connects the arm to the body. This incision allows the surgeon to access the rib that is to be excised. Once the rib is located, the surgeon carefully isolates it from surrounding tissues. The excision involves the use of specialized surgical instruments, including saws, to remove the rib from its articulation, which is the joint where the rib connects to the spine. After the rib has been successfully removed, the surgical site is thoroughly irrigated to clean the area and reduce the risk of infection. Finally, the incisions made during the procedure are closed, typically with sutures or staples, to promote healing. It is important to note that if the procedure also involves severing the sympathetic nerve pathway, a different code, CPT® Code 21616, should be used to accurately reflect the additional surgical intervention.