CPT® Code 26230

The procedure described by CPT® Code 26230 involves a partial excision of bone, specifically targeting the metacarpal, to address osteomyelitis, which is an infection of the bone. This surgical intervention is also known by terms such as craterization, saucerization, or diaphysectomy. Craterization and saucerization refer to techniques that create a shallow depression in the bone surface by removing infected and necrotic bone, facilitating drainage from the infected area. Diaphysectomy, on the other hand, involves the removal of the infected segment of the shaft of a long bone. The procedure is performed through an incision in the skin, allowing access to the underlying soft tissues and the infected bone. The surgeon meticulously resects any soft tissue sinus tracts and devitalized soft tissue to expose the area of necrotic and infected bone. The extent of bone removal is determined by the severity of the infection, and the procedure aims to eliminate all infected tissue while preserving as much healthy bone as possible. This careful approach is crucial for promoting healing and preventing further complications associated with osteomyelitis.