2025 CPT code 26555

Transfer of a finger to a different position without microvascular anastomosis.

Follow CPT guidelines for surgical procedures on the hand and fingers.Ensure accurate documentation of the procedure to support code selection. The absence of microvascular anastomosis must be clearly indicated.

Modifiers may be applicable depending on circumstances, such as modifier 76 (repeat procedure by the same physician), 51 (multiple procedures), or others depending on the individual case.Consult the most current CPT guidelines for accurate modifier application.

Medical necessity is established by the presence of a congenital anomaly (such as polydactyly) or an acquired deformity affecting finger position and function that requires corrective surgery for improved hand function and cosmetic appearance.The procedure must be deemed medically necessary by the treating physician and should be supported by adequate clinical documentation.

The surgeon is responsible for all aspects of the procedure, from pre-operative planning and patient assessment to intra-operative techniques and post-operative care. This includes making the incisions, dissecting the tissues, transferring tendons and muscles as needed, fixing the bone in its new position, ensuring adequate blood supply, closing the wound, and applying dressings.Post-operative follow-up and assessment are also the surgeon's responsibility.

IMPORTANT Related codes may include those for toe-to-hand transfers with or without microvascular anastomosis (26551, 26553, 26554, 26556), depending on the specifics of the procedure and whether vascular connections are created.Code 26587 (Reconstruction of polydactylous digit, soft tissue and bone) may also be applicable in cases of polydactyly.

In simple words: The doctor moves a finger to a better position. This is often done to correct extra fingers or other finger problems.

This procedure involves repositioning a finger without the need for microsurgical reconnection of blood vessels (microvascular anastomosis).It typically addresses conditions like polydactyly (extra fingers) or other congenital or acquired deformities requiring finger repositioning. The procedure may include dissection, tendon and muscle transfer, bone fixation (e.g., with K-wires), and wound closure.

Example 1: A patient is born with an extra digit (polydactyly) on their left hand.The surgeon removes the extra finger and repositions the adjacent finger for optimal function and appearance., A patient sustains a severe injury to their ring finger, resulting in significant deformity.The surgeon performs corrective surgery to reposition the finger and improve functionality.Because no vascular grafts are required, 26555 is the appropriate code., A patient presents with a congenital anomaly causing malposition of their thumb.The surgeon uses 26555 to reflect the repositioning procedure that does not require microvascular anastomosis.

* Preoperative evaluation and planning, including imaging studies (X-rays) and photographs.* Intraoperative details, including the exact method of finger repositioning, type of fixation used (if any), and any complications.* Postoperative instructions and follow-up plan.* Operative report should clearly indicate the absence of microvascular anastomosis.

** This code is for the repositioning of a finger without the need for microvascular anastomosis.The complexity of the procedure may vary depending on the specific condition being treated and the extent of the surgical intervention.

  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Specialties:Plastic Surgery, Hand Surgery, Orthopedic Surgery
  • Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital
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