Hand and Fingers

This info listed to assist Dr. W. with coding procedures.

Hand and Fingers (26010-26989)

Incision (26010-26080)

26010 Drainage of finger abscess; simple
26011 Drainage of finger abscess; complicated (eg, felon)
26020 Drainage of tendon sheath, digit and/or palm, each
26025 Drainage of palmar bursa; single, bursa
26030 Drainage of palmar bursa; multiple bursa
26034 Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)
26035 Decompression fingers and/or hand, injection injury (eg, grease gun)
26037 Decompressive fasciotomy, hand (excludes 26035)
(For injection injury, see 26035)
26040 Fasciotomy, palmar (eg, Dupuytren’s contracture); percutaneous
26045 Fasciotomy, palmar (eg, Dupuytren’s contracture); open, partial
(For fasciectomy, see 26121 26123 -26125)
26055 Tendon sheath incision (eg, for trigger finger)
26060 Tenotomy, percutaneous, single, each digit
26070 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint
26075 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each
26080 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each

Excision (26100-26262)

26100 Arthrotomy with biopsy; carpometacarpal joint, each
26105 Arthrotomy with biopsy; metacarpophalangeal joint, each
26110 Arthrotomy with biopsy; interphalangeal joint, each
26115 Excision, tumor or vascular malformation, soft tissue of hand or finger; subcutaneous
26116 Excision, tumor or vascular malformation, soft tissue of hand or finger; deep (subfascial or intramuscular)
26117 Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger
26121 Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)
26123 Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);
26125 Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)
(Use 26125 in conjunction with code 26123)
(For fasciotomy, see 26040, 26045)
26130 Synovectomy, carpometacarpal joint
26135 Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit
26140 Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint
26145 Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon
(For tendon sheath synovectomies at wrist, see 25115, 25116)
26160 Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
(For wrist ganglion, see 25111, 25112)
(For trigger digit, see 26055)
26170 Excision of tendon, palm, flexor, single (separate procedure), each
26180 Excision of tendon, finger, flexor (separate procedure), each tendon
26185 Sesamoidectomy, thumb or finger (separate procedure)
26200 Excision or curettage of bone cyst or benign tumor of metacarpal;
26205 Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)
26210 Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger;
26215 Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger; with autograft (includes obtaining graft)
26230 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal
26235 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger
26236 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger
26250 Radical resection, metacarpal (eg, tumor);
26255 Radical resection, metacarpal (eg, tumor); with autograft (includes obtaining graft)
26260 Radical resection, proximal or middle phalanx of finger (eg, tumor);
26261 Radical resection, proximal or middle phalanx of finger (eg, tumor); with autograft (includes obtaining graft)
26262 Radical resection, distal phalanx of finger (eg, tumor)

Introduction or Removal (26320-26320)

26320 Removal of implant from finger or hand
(For removal of foreign body in hand or finger, see 20520, 20525)

Repair, Revision, and/or Reconstruction (26340-26596)

26340 Manipulation, finger joint, under anesthesia, each joint
(For application of external fixation, see 20690 or 20692)
26350 Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man’s land); primary or secondary without free graft, each tendon
26352 Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary with free graft (includes obtaining graft), each tendon
26356 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); primary, without free graft, each tendon
26357 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary, without free graft, each tendon
26358 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary with free graft (includes obtaining graft), each tendon
26370 Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon
26372 Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon
26373 Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon
26390 Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod
26392 Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod
26410 Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
26412 Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon
26415 Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod
26416 Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod
26418 Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon
26420 Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon
26426 Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger
26428 Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger
26432 Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)
26433 Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)
26434 Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft)
(For tenovaginotomy for trigger finger, see 26055)
26437 Realignment of extensor tendon, hand, each tendon
26440 Tenolysis, flexor tendon; palm OR finger, each tendon
26442 Tenolysis, flexor tendon; palm AND finger, each tendon
26445 Tenolysis, extensor tendon, hand OR finger; each tendon
26449 Tenolysis, complex, extensor tendon, finger, including forearm, each tendon
26450 Tenotomy, flexor, palm, open, each tendon
26455 Tenotomy, flexor, finger, open, each tendon
26460 Tenotomy, extensor, hand or finger, open, each tendon
26471 Tenodesis; of proximal interphalangeal joint, each joint
26474 Tenodesis; of distal joint, each joint
26476 Lengthening of tendon, extensor, hand or finger, each tendon
26477 Shortening of tendon, extensor, hand or finger, each tendon
26478 Lengthening of tendon, flexor, hand or finger, each tendon
26479 Shortening of tendon, flexor, hand or finger, each tendon
26480 Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
26483 Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon
26485 Transfer or transplant of tendon, palmar; without free tendon graft, each tendon
26489 Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon
26490 Opponensplasty; superficialis tendon transfer type, each tendon
26492 Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon
26494 Opponensplasty; hypothenar muscle transfer
26496 Opponensplasty; other methods
(For thumb fusion in opposition, see 26820)
26497 Transfer of tendon to restore intrinsic function; ring and small finger
26498 Transfer of tendon to restore intrinsic function; all four fingers
26499 Correction claw finger, other methods
26500 Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)
26502 Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)
26504 Reconstruction of tendon pulley, each tendon; with tendon prosthesis (separate procedure)
26508 Release of thenar muscle(s) (eg, thumb contracture)
26510 Cross intrinsic transfer, each tendon
26516 Capsulodesis, metacarpophalangeal joint; single digit
26517 Capsulodesis, metacarpophalangeal joint; two digits
26518 Capsulodesis, metacarpophalangeal joint; three or four digits
26520 Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint
26525 Capsulectomy or capsulotomy; interphalangeal joint, each joint
26530 Arthroplasty, metacarpophalangeal joint; each joint
26531 Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint
26535 Arthroplasty, interphalangeal joint; each joint
26536 Arthroplasty, interphalangeal joint; with prosthetic implant, each joint
26540 Repair of collateral ligament, metacarpophalangeal or interphalangeal joint
26541 Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)
26542 Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)
26545 Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint
26546 Repair non-union, metacarpal or phalanx, (includes obtaining bone graft with or without external or internal fixation)
26548 Repair and reconstruction, finger, volar plate, interphalangeal joint
26550 Pollicization of a digit
26551 Transfer, toe-to-hand with microvascular anastomosis; great toe “wrap-around” with bone graft
(For great toe with web space, use 20973)
26553 Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single
26554 Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double
(Do not report code 69990 in addition to codes 26551 26553 -26554)
26555 Transfer, finger to another position without microvascular anastomosis
26556 Transfer, free toe joint, with microvascular anastomosis
(Do not report code 69990 in addition to code 26556)
26560 Repair of syndactyly (web finger) each web space; with skin flaps
26561 Repair of syndactyly (web finger) each web space; with skin flaps and grafts
26562 Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails)
26565 Osteotomy; metacarpal, each
26567 Osteotomy; phalanx of finger, each
26568 Osteoplasty, lengthening, metacarpal or phalanx
26580 Repair cleft hand
(26585 has been deleted. To report, use 26587)
26587 Reconstruction of polydactylous digit, soft tissue and bone
(For excision of polydactylous digit, soft tissue only, use 11200)
26590 Repair macrodactylia, each digit
26591 Repair, intrinsic muscles of hand, each muscle
26593 Release, intrinsic muscles of hand, each muscle
26596 Excision of constricting ring of finger, with multiple Z-plasties
(26597 has been deleted. To report, see 11041-11042, 14040-14041, or 15120, 15240)

Fractures and/or Dislocation (26600-26785)

26600 Closed treatment of metacarpal fracture, single; without manipulation, each bone
26605 Closed treatment of metacarpal fracture, single; with manipulation, each bone
26607 Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone
26608 Percutaneous skeletal fixation of metacarpal fracture, each bone
26615 Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone
26641 Closed treatment of carpometacarpal dislocation, thumb, with manipulation
26645 Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation
26650 Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, with or without external fixation
26665 Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external fixation
26670 Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia
26675 Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia
26676 Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint
26685 Open treatment of carpometacarpal dislocation, other than thumb; with or without internal or external fixation, each joint
26686 Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction
26700 Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
26705 Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia
26706 Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation
26715 Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixation
26720 Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each
26725 Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each
26727 Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each
26735 Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with or without internal or external fixation, each
26740 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each
26742 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each
26746 Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, with or without internal or external fixation, each
26750 Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each
26755 Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each
26756 Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
26765 Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external fixation, each
26770 Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia
26775 Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia
26776 Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation
26785 Open treatment of interphalangeal joint dislocation, with or without internal or external fixation, single
Arthrodesis (26820-26863)

26820 Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)
26841 Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;
26842 Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
26843 Arthrodesis, carpometacarpal joint, digit, other than thumb, each;
26844 Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)
26850 Arthrodesis, metacarpophalangeal joint, with or without internal fixation;
26852 Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
26860 Arthrodesis, interphalangeal joint, with or without internal fixation;
26861 Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure)
(Use 26861 in conjunction with code 26860)
26862 Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
26863 Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure)
(Use 26863 in conjunction with code 26862)

Amputation (26910-26952)

(For hand through metacarpal bones, see 25927)
26910 Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer
(For repositioning, see 26550, 26555)

26951 Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
26952 Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)
(For repair of soft tissue defect requiring split or full thickness graft or other pedicle flaps, see 15050 15100 15101 15120 15121 15200 15201 15220 15221 15240 15241 15260 15261 15342 15343 15350 15351 15400 15401 15570 15572 15574 15576 15600 15610 15620 15630 15650 15732 15734 15736 15738 15740 15750 15756 15757 -15758)

Other Procedures (26989-26989)

26989 Unlisted procedure, hands or fingers