CPT® Code 21725

The procedure described by CPT® Code 21725 involves the open division of the sternocleidomastoid muscle, which is a key muscle in the neck that plays a significant role in head movement. This surgical intervention is primarily indicated for the treatment of torticollis, a condition characterized by an abnormal, asymmetrical head or neck position. Torticollis can be congenital, meaning it is present at birth, or acquired, developing later in life due to various factors. The open operation aims to relieve the tension in the sternocleidomastoid muscle, thereby allowing for improved head positioning and function. The procedure may involve either a unipolar or bipolar release, depending on the severity of the condition. The surgical approach includes making an incision above the medial aspect of the clavicle to access the tendons of the sternocleidomastoid muscle. This allows the surgeon to carefully incise the tendon sheaths and partially resect the inferior ends of the tendons, facilitating the release of any contracted muscle bands. Post-surgery, the patient may require a cervical collar or a cast to ensure proper alignment of the head and neck during the recovery process.