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CPT 26034: Incision of Bone Cortex for Hand or Finger Infection
CPT code 26034 identifies a focused surgical intervention: incision of the bone cortex to treat infection in a bone of the hand or finger. The code is clinically significant because hand and finger osteomyelitis can threaten function and may require timely operative management to prevent chronic infection, deformity, or systemic spread. Accurate coding supports appropriate care coordination, procedural documentation, and payment for complex hand surgery.
Key payers included in this national overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical and billing-focused summary of the procedure, an explanation of typical sites of service, and the common payment and coding considerations encountered across major payers. The publication outlines benchmarks and policy-relevant updates where available, and highlights typical clinical context for use of the code, such as indications related to localized osteomyelitis of the phalanges.
This summary serves clinicians, coders, and policy analysts seeking a concise reference on CPT code 26034, its clinical intent, and the payer landscape impacting reimbursement and coverage decisions. Data not available in the input are noted where applicable.
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Billing Code Overview
CPT code 26034 describes a surgical procedure in which the provider incises the bone cortex (the superficial layer of bone) to treat an infection in a bone of the hand or finger. This procedure is performed to access and drain or debride infected bone tissue and reduce the risk of persistent osteomyelitis.
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Service type: Surgical incision of bone cortex for treatment of bone infection in the hand or finger
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Typical site of service: Operating room, ambulatory surgery center, or procedure suite when performed under sterile surgical conditions