CPT® Code 27080

Coccygectomy, as defined by CPT® Code 27080, is a surgical procedure aimed at the removal of the coccyx, commonly referred to as the tailbone. This procedure is typically indicated for patients suffering from chronic pain and instability in the coccyx area, often resulting from trauma. The coccyx can become a source of significant discomfort, and when conservative treatments fail to provide relief, a coccygectomy may be considered. The surgical approach involves positioning the patient in a jack-knife position, which facilitates access to the coccyx. A precise incision is made along the midline, starting just above the sacrococcygeal joint and extending down to the crease of the buttocks. This careful incision allows the surgeon to dissect through the soft tissues to expose the coccyx adequately. Once exposed, the distal tip of the coccyx is elevated and meticulously dissected from the surrounding tissues, including those near the anus. The procedure employs blunt dissection techniques to ensure that the underlying tissues are separated from the coccyx without causing unnecessary damage. After the coccyx is excised, any rough edges at the tip of the sacrum are smoothed to promote healing. Finally, the overlying tissues are closed in layers to ensure proper recovery and minimize complications.