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The procedure described by CPT® Code 21750 involves the surgical closure of a median sternotomy separation, which is a common approach used in various thoracic surgeries. A median sternotomy is an incision made along the midline of the chest, allowing access to the heart and other thoracic structures. Over time, the sternum may separate due to various factors, necessitating surgical intervention to restore its integrity. This procedure can be performed with or without debridement, which refers to the removal of dead or infected tissue to promote healing. The surgery is typically conducted under general anesthesia to ensure the patient is completely unconscious and pain-free during the operation. The surgeon makes an incision over the area of separation, carefully visualizing the sternum to assess the extent of the separation. If necessary, the surgeon may debride any affected bone or soft tissue to prepare the site for closure. Internal fixation devices, such as plates or screws, may be utilized to stabilize the sternum and ensure proper alignment during the healing process. Once the sternum is secured, the incision is meticulously closed to promote optimal recovery.
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