CPT code 15935 covers surgical removal of a sacral pressure ulcer and underlying bone with closure using skin flap reconstruction. This procedure is performed to eradicate infected or nonviable tissue, lower the risk of recurrence, and promote durable wound healing in patients with advanced sacral decubitus ulcers. Nationally, procedures for pressure ulcer management are high-cost, complex surgical services frequently provided to medically complex patients and are relevant to hospital utilization, surgical quality metrics, and payer coverage policies.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical context for the procedure, typical sites of service, and an overview of the documentation and clinical indications that drive coding and reimbursement. The publication also presents benchmarks and procedural considerations useful for billing teams and policy analysts, and summarizes common modifiers and coding practice themes where data are available. Data not available in the input are noted explicitly where applicable.

This summary is intended for a national audience of clinicians, coding professionals, and payer policy analysts seeking a concise reference to the clinical intent and administrative implications of CPT code 15935.