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CPT 26111: Excision of Subcutaneous Tumor or Vascular Malformation, Hand/Finger
CPT code 26111 represents surgical excision of a subcutaneous tumor or vascular malformation from the soft tissue of the hand or finger when the resection measures 1.5 cm or greater. This code is used to report definitive removal of palpable or imaging-identified soft-tissue lesions in the digits or hand and is relevant for surgeons, hospital billing departments, and payers handling surgical hand care. Nationally, accurate use of this code affects claims adjudication, surgical quality tracking, and procedural resource allocation for hand surgery services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the code applies, typical sites of service, common modifiers listed in the input, and what to expect in payer coverage patterns. The publication provides benchmarks and practical billing considerations, highlights common areas of coding interpretation for lesion size and anatomic site, and summarizes policy updates or payer guidance when available.
The content is intended to support revenue cycle teams, surgical providers, and compliance staff in understanding the clinical scope of 26111, how it differs from related excision codes by location and size, and the operational implications for scheduling and site-of-service selection. Data not provided in the input (such as associated taxonomies, ICD-10 pairings, and payer-specific rules) is noted as unavailable where applicable.
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Billing Code Overview
CPT code 26111 describes excision of a subcutaneous tumor or vascular malformation from the soft tissue of the hand or finger where the resection size is 1.5 cm or more. The procedure involves surgical removal of soft-tissue masses located beneath the skin of the digits or hand, typically performed by a hand surgeon or orthopedic/plastic surgeon with hand specialization.
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Service type: Surgical excision of soft-tissue lesion
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an operating room when clinically indicated
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.