CPT® Code 24149

The procedure described by CPT® Code 24149 involves a radical resection of the elbow joint capsule, along with the excision of associated soft tissue and heterotopic bone, specifically aimed at addressing an elbow contracture, commonly known as a stiff elbow. This condition can significantly limit the range of motion in the elbow, leading to functional impairment. The term 'radical resection' indicates a comprehensive surgical approach that not only targets the contracted capsule but also removes any abnormal bone growth that may have developed within the soft tissue, referred to as heterotopic bone. This abnormal bone formation can occur due to various factors, including trauma, neurological injuries, burns, or diseases such as Paget's disease. The surgical technique involves exposing the joint capsule through different approaches—posterior, posterolateral, medial, or anterolateral—depending on the specific characteristics of the contracture. The goal of the procedure is to restore mobility to the elbow joint by meticulously excising the contracted structures and evaluating the range of motion throughout the surgery to ensure optimal outcomes.