2025 CPT code 15920
(Active) Effective Date: N/A Surgery - Integumentary System Feed
Excision of a coccygeal pressure ulcer with coccygectomy and primary suture closure.
Modifiers may be applicable to indicate specific circumstances of the procedure, such as increased procedural services (modifier 22).
Medical necessity for this procedure is established by the presence of a coccygeal pressure ulcer with bone involvement or infection that has not responded to conservative treatment.
The physician prepares the patient, administers anesthesia, makes an incision around the ulcer, removes the affected tissue and coccyx, irrigates the wound, closes it with sutures, and applies a dressing.
In simple words: The doctor removes a pressure sore over the tailbone area and removes the tailbone. The wound is then stitched up.
This procedure involves the surgical removal of a pressure ulcer located in the coccygeal region (tailbone area). It also includes the removal of the coccyx bone itself and the closure of the wound using sutures.
Example 1: A patient presents with a stage IV pressure ulcer over the coccyx with bone involvement. The physician performs an excision of the ulcer, removes the coccyx, and closes the wound with sutures., A patient with a chronic coccygeal pressure ulcer that has not responded to conservative treatment undergoes excision of the ulcer and coccygectomy with primary closure., A patient with osteomyelitis of the coccyx secondary to a pressure ulcer requires excision of the ulcer and the infected coccyx bone, followed by primary closure of the wound.
Documentation should include the size and location of the ulcer, the extent of bone involvement, the method of closure, and any complications.
** For pressure ulcers involving the sacrum, codes 15930-15937 should be used.
- Revenue Code: P5A
- Payment Status: Active
- Specialties:General Surgery, Plastic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center