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CPT 26587: Excision of Extra Digit Involving Soft Tissue and Bone
CPT code 26587 denotes the surgical excision of an extra digit that includes both soft tissue and bone. This code captures a commonly billed hand/orthopedic procedure used to address congenital polydactyly and certain traumatic deformities. Nationally, accurate coding for combined soft tissue and osseous digit excision affects claim processing, appropriate payment determination, and quality measurement for minor orthopedic surgical services.
Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the procedure, the typical sites of service where it is performed, and the billing considerations that influence reimbursement workflows. The publication summarizes common modifiers and payer interactions when present, outlines potential coding pitfalls, and presents benchmark themes relevant to outpatient surgical settings.
This resource is intended for billing professionals, practice managers, and clinicians involved in hand and orthopedic procedural coding who need a national-level reference on the classification and practical implications of CPT code 26587. Data not available in the input for payer-specific rates, utilization metrics, and associated ICD-10 diagnoses is noted where applicable.
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Billing Code Overview
CPT code 26587 describes the surgical removal of an extra digit that contains both soft tissue and bone, commonly performed to correct congenital polydactyly or post-traumatic deformities. The service type is a minor to intermediate surgical procedure involving excision of osseous and soft tissue structures of a digit. The typical site of service is an outpatient ambulatory surgery center or an operating room in an acute care hospital where minor orthopedic or hand surgery procedures are performed.
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