CPT® Code 24615

The CPT® Code 24615 refers to the open treatment of acute or chronic elbow dislocation. This procedure is typically indicated when there is a significant concern for neurovascular compromise of the joint structures, which may occur in acute cases, or when previous attempts at closed reduction have been unsuccessful. In the case of chronic elbow dislocation, open treatment becomes necessary due to the presence of soft tissue contractures or degeneration of the joint structures that have developed as a result of the prolonged injury. The procedure involves making an incision over the elbow, with the specific location of the incision varying depending on the type of dislocation—whether it is anterior, posterior, or divergent. During the surgery, both the ulnar and radial nerves are carefully identified and protected to prevent any nerve damage. Additionally, blood vessels in the area are also identified and safeguarded. In instances of chronic dislocation, any adhesions that have formed are lysed, and soft tissues are debrided as necessary to facilitate proper healing and function. Once the elbow joint is successfully reduced, the surgeon evaluates the range of motion and stability of the joint to ensure proper alignment and function. Finally, the operative wound is closed in layers, and the elbow may be immobilized as required to support recovery.