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CPT 26110: Interphalangeal Joint Soft-Tissue Biopsy, Finger
CPT code 26110 denotes a surgical biopsy procedure of the soft tissues within a finger interphalangeal joint. The code captures an incision and direct sampling of intra-articular or periarticular soft tissue for diagnostic pathology. As a targeted minor surgical procedure on a digit, it is relevant across hand surgery, orthopedics, plastic surgery, and outpatient surgical practices.
Key national payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis addresses coverage and coding implications that affect facility and professional billing, common modifier use, and appropriate site-of-service considerations.
Readers will find a concise clinical context for when CPT code 26110 applies, typical service settings where the procedure is performed, and what to expect in payer review and claim adjudication. The publication outlines benchmarks and common billing themes, highlights policy and documentation points that commonly influence coverage decisions, and provides a practical summary for revenue cycle, coding, and clinical teams seeking clarity on use of the code. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 26110 describes a surgical procedure in which a provider makes an incision to open an interphalangeal joint of a finger and obtains a biopsy of the soft tissue. This is a minor surgical biopsy of a finger joint involving direct access to the interphalangeal joint space.
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Service type: Surgical soft-tissue biopsy
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Typical site of service: Ambulatory surgery center or hospital outpatient department; may also be performed in an office procedure setting depending on clinical circumstances and facility capabilities.