CPT® Code 15732

Deleted

1. Indications

The procedure associated with CPT® Code 15732 is indicated for various conditions that necessitate the reconstruction of defects in the head and neck area. These indications may include:

• Trauma: Injuries resulting in significant tissue loss or damage in the head and neck region.
• Oncological Excision: Surgical removal of tumors or cancerous lesions that leave a defect requiring reconstruction.
• Congenital Anomalies: Birth defects that affect the structure and appearance of the head and neck, necessitating surgical intervention.
• Infection: Severe infections that lead to tissue necrosis or loss, requiring reconstruction to restore function and appearance.

2. Procedure

The procedure for CPT® Code 15732 involves several critical steps to ensure successful reconstruction of the defect. These steps include:

• Step 1: Flap Preparation The surgeon begins by selecting an appropriate donor site, which may include muscles such as the temporalis, masseter, sternocleidomastoid, or levator scapulae. The area is then marked for incision, ensuring that the flap will be of sufficient size and vascular supply to adequately cover the defect.
• Step 2: Flap Elevation Once the donor site is prepared, the surgeon carefully dissects the flap, preserving the blood supply to the muscle and skin components. This step is crucial to maintain the viability of the flap once it is rotated into position.
• Step 3: Flap Rotation After the flap is elevated, it is rotated into the position over the defect. The surgeon ensures that the flap adequately covers the area, providing both functional and aesthetic restoration.
• Step 4: Flap Suturing The flap is then sutured into place, securing it to the surrounding tissues. This step is essential for proper healing and integration of the flap with the defect site.
• Step 5: Donor Site Closure Finally, the donor site is closed using sutures or, if necessary, a skin graft. If a skin graft is required, this procedure must be reported separately, as it is not included in the CPT® Code 15732.

3. Post-Procedure

Post-procedure care following the flap reconstruction involves monitoring the surgical site for signs of infection, ensuring proper blood flow to the flap, and managing pain. Patients may require follow-up visits to assess the healing process and the viability of the flap. Instructions for care at the donor site and the reconstructed area will be provided, including guidelines on activity restrictions and wound care. The expected recovery time may vary depending on the extent of the procedure and the individual patient's healing response.