CPT® Code 21616

The CPT® Code 21616 refers to the surgical procedure involving the excision of the first rib and/or cervical rib, accompanied by a sympathectomy. This procedure is typically performed under general anesthesia, ensuring that the patient is completely unconscious and free from pain during the operation. The surgeon begins by making an incision over the clavicle, which is the bone that connects the arm to the body. This incision allows access to the rib that is to be excised. Once the incision is made, the physician carefully isolates the rib from surrounding tissues. The use of surgical saws and other specialized instruments is necessary to remove the rib from its articulation, which is the joint where the rib connects to the spine. After the rib has been successfully excised, 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, ensuring proper healing. It is important to note that if the procedure includes the severing of the sympathetic nerve pathway, this is classified as a sympathectomy, which is an additional component of the surgical intervention described by CPT® Code 21616.