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CPT 26843: Carpometacarpal Joint Fusion, Digit Other Than Thumb
CPT code 26843 represents surgical arthrodesis (fusion) of a carpometacarpal joint for a digit other than the thumb. This procedure addresses joint instability, pain, or deformity by surgically immobilizing the joint, sometimes using internal fixation devices. Nationally, the code is relevant to surgical billing and coverage for hand and upper-extremity procedures performed in operating rooms and ambulatory surgery centers.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise account of how CPT code 26843 is defined clinically, the typical procedural setting and provider specialties involved, and the common payer landscape that impacts reimbursement and coverage decisions. The publication outlines benchmarks and payment patterns, highlights policy and coding considerations that affect claim adjudication, and situates the code within the broader clinical context of hand surgery.
This summary equips billing managers, surgical practices, and policy analysts with the core facts about CPT code 26843, what to expect in site-of-service utilization, and the payer mix most likely encountered nationally.
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Billing Code Overview
CPT code 26843 describes surgical immobilization of a carpometacarpal joint of a digit other than the thumb. The procedure involves fusing the joint where a metacarpal bone of the digit meets a carpal bone of the wrist; the provider may perform the fusion with or without internal fixation devices.
Service Type: Surgical procedure — joint arthrodesis of a finger carpometacarpal joint
Typical Site of Service: Operating room or ambulatory surgical center, commonly performed by an orthopedic surgeon or hand surgeon with the patient under regional or general anesthesia.
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