CPT® Code 15833

1. Indications

Excision of excessive skin and subcutaneous tissue (CPT® Code 15833) is indicated for patients who present with the following conditions:

• Excessive Skin and Fat: Patients with an overabundance of skin and subcutaneous tissue in the leg area, often resulting from significant weight loss.
• Skin Problems: Individuals experiencing dermatological issues such as rashes, infections, or irritation due to the presence of excess skin.
• Mobility Issues: Patients whose movement is hindered by the weight or bulk of excessive skin and fat, impacting their quality of life.

2. Procedure

The procedure for excision of excessive skin and subcutaneous tissue in the leg involves several key steps:

• Incision Planning: The surgeon begins by marking the areas of excess skin and fat on the leg, determining the optimal incision sites to achieve the desired outcome.
• Making the Incisions: An incision is made along the predetermined lines, allowing access to the underlying tissue. This incision typically extends from the upper thigh down to the lower leg, depending on the extent of tissue removal required.
• Removal of Excess Tissue: The surgeon carefully dissects the skin and subcutaneous tissue, excising the excess fat and skin. This may involve the use of a cannula to dislodge and suction out fat deposits that are adhered to the skin.
• Closure of Incisions: Once the excess tissue has been removed, the remaining skin is brought together and sutured closed. The closure technique is crucial for minimizing scarring and ensuring proper healing.
• Drain Placement: A drain may be inserted to facilitate the removal of any excess fluid that may accumulate in the surgical area during the healing process. This drain is typically left in place for a specified period to aid in recovery.

3. Post-Procedure

After the excision of excessive skin and subcutaneous tissue, patients can expect a recovery period that may involve some discomfort and swelling. Post-procedure care typically includes keeping the surgical site clean and dry, monitoring for signs of infection, and following up with the healthcare provider for suture removal and assessment of healing. Patients may also be advised to limit physical activity during the initial recovery phase to promote optimal healing. The drain, if used, will be monitored and removed by the healthcare provider once it is no longer necessary. Overall, the post-procedure phase is critical for ensuring a successful outcome and minimizing complications.