CPT® Code 27360

Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)

The procedure described by CPT® Code 27360 involves a partial excision of bone, specifically targeting the femur, proximal tibia, and/or fibula. This surgical intervention is commonly referred to as craterization, saucerization, or diaphysectomy, and is primarily performed to address conditions such as osteomyelitis or bone abscess. Osteomyelitis is an infection of the bone that can lead to the destruction of bone tissue, while a bone abscess is a localized collection of pus within the bone. The goal of this procedure is to remove infected and necrotic bone tissue, thereby facilitating drainage from the infected area and promoting healing. Craterization and saucerization techniques involve creating a shallow depression in the bone surface, which aids in the drainage of infection. In contrast, diaphysectomy specifically refers to the removal of the infected segment of the shaft of a long bone. The surgical approach begins with an incision through the skin and soft tissue over the affected area, allowing access to the necrotic and infected bone. The procedure is meticulous, requiring the resection of any associated soft tissue sinus tracts and devitalized soft tissue to ensure complete removal of the infection. The surgeon employs various tools, including drill bits and osteotomes, to excavate the infected bone, with the extent of bone removal determined by the severity of the infection. Ultimately, the procedure aims to restore the integrity of the bone and eliminate the source of infection, thereby improving the patient's condition.