CPT® Code 26235

Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger

The procedure described by CPT® Code 26235 involves a partial excision of bone, specifically targeting the proximal or middle phalanx of the finger to address osteomyelitis, which is an infection of the bone. This surgical intervention may also be referred to as craterization, saucerization, or diaphysectomy. Craterization and saucerization are techniques that focus on removing infected and necrotic bone to create a shallow depression on the bone surface, facilitating drainage from the infected area. On the other hand, diaphysectomy pertains to the removal of the infected segment of the shaft of a long bone. The procedure begins with an incision through the skin and soft tissue over the osteomyelitis site, allowing access to the infected area. The surgeon will then resect any soft tissue sinus tracts and devitalized soft tissue to expose the 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 meticulous approach is crucial for promoting healing and preventing further complications associated with osteomyelitis.