CPT® Code 24130

The procedure described by CPT® Code 24130 refers to the excision of the radial head, which is a surgical intervention aimed at removing the radial head, a part of the radius bone located near the elbow joint. This procedure is typically indicated for patients who experience pain, instability, or other disabilities in the elbow joint due to old trauma affecting the radial head, without the presence of a concurrent fracture. The surgical approach involves making a posterolateral skin incision directly over the radial head, allowing the surgeon to access the underlying structures. During the procedure, careful dissection of the soft tissue is performed to protect critical anatomical structures, such as the posterior interosseous nerve, which is essential for maintaining motor function in the forearm. The lateral collateral ligament is also meticulously dissected from the radial head, ensuring that the distal fibers remain attached to the radius below the radial head to preserve joint stability. Following the excision, a bone saw is utilized to remove the radial head, and the edges of the bone are smoothed to promote healing. Finally, the overlying soft tissue and skin are closed in layers to complete the procedure, ensuring proper recovery and minimizing complications.