CPT® Code 26236

The procedure described by CPT® Code 26236 involves a partial excision of bone, specifically targeting the distal 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 tissue to create a shallow depression, or crater, in the bone surface. This depression facilitates drainage from the infected area, promoting healing and reducing the risk of further complications. Diaphysectomy, on the other hand, entails 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 affected area. The surgeon meticulously resects any soft tissue sinus tracts and devitalized tissue, exposing the necrotic and infected bone. The extent of bone removal is determined by the severity of the infection, and the procedure may involve creating drill holes in the bone and excavating the tissue between these holes to form an oval window. The ultimate goal of this procedure is to eliminate all devitalized and infected tissue, which is crucial for effective treatment and recovery.