CPT® Code 24160

The procedure described by CPT® Code 24160 involves the surgical removal of a prosthesis from the elbow joint, specifically targeting both the humeral and ulnar components of a previously implanted joint device. This operation is typically indicated when there is a need to address complications such as infection, mechanical failure, or other issues related to the implant. The procedure begins with a skin incision made over the elbow joint, either on the medial or lateral side of the olecranon process, which is the bony prominence of the elbow. During the surgery, careful dissection of the soft tissues is performed to expose the ulnar nerve, which is identified and protected to prevent nerve damage. The surgical team then proceeds to expose the humeral component of the implant by incising the interval between the anconeus muscle and the flexor carpi ulnaris muscle, allowing for mobilization of the triceps muscle. The anconeus muscle is elevated to access the lateral aspect of the ulnar component. Following this, the radial aspect of the elbow joint is also exposed, and the implant is meticulously removed by freeing each component from the surrounding humeral and ulnar bones. Additionally, any bone cement used during the initial implantation is also removed, and the bony surfaces are smoothed to prepare for potential re-implantation of a new prosthesis in a separately reportable procedure. In cases where infection is present, a drain may be placed, and the surgical wound is closed around the drain to facilitate drainage and healing.