2025 CPT code 26587

Reconstruction of polydactylous digit, soft tissue and bone.

If the procedure does not involve bone removal, use code 11200 instead. If significant adjacent soft tissue reconstruction is required, it may be appropriate to report additional codes.

Modifiers may be applicable, for example, if the procedure is performed on the left side (LT) or right side (RT).

Medical necessity must be established by documenting the functional impairment, pain, or other medical reason for removing the polydactylous digit.Simply having an extra digit may not be sufficient to justify the procedure.

The physician is responsible for preparing the patient, administering anesthesia, performing the surgical removal of the extra digit including bone resection, controlling bleeding, and closing the wound.

IMPORTANT For excision of polydactylous digit, soft tissue only, use 11200.

In simple words: The doctor removes an extra finger or toe that has both soft tissue and bone. They make a cut at the base of the extra digit and go through the skin and other tissues down to the bone. They cut the bone to remove the extra finger or toe. If needed, they also remove extra skin.Then they close the area with stitches.

This procedure involves reconstructing a polydactylous digit (extra finger or toe) by removing both soft tissue and bone.The surgeon makes an incision at the base of the extra digit, extending it through the soft tissue and fascia down to the bone. The bone is then cut to remove the extra digit. Excess skin is excised if necessary, and the wound is sutured in layers.

Example 1: A newborn infant is found to have an extra finger on their right hand containing bone. The surgeon performs a polydactyly reconstruction (26587) to remove the extra digit., A child has a partially developed extra toe on their left foot, which includes bone. The surgeon removes the extra toe using procedure code 26587., An adult presents with a painful, nonfunctional extra finger containing bone, impeding their hand function. The surgeon removes the extra finger using code 26587.

Operative report detailing the procedure, including the presence of bone in the excised digit, the size and location of the digit, and the method of closure. Pre- and postoperative diagnoses should also be documented.

  • Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
  • Specialties:Hand Surgery, Orthopedic Surgery, Plastic Surgery
  • Place of Service:Ambulatory Surgical Center, Hospital - Outpatient, Inpatient Hospital
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.