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CPT 26860: Interphalangeal Joint Immobilization (Arthrodesis)
CPT code 26860 represents surgical immobilization (arthrodesis) of an interphalangeal joint, a targeted procedure to relieve pain and restore stability in end-stage osteoarthritis or similar destructive joint disease of the fingers or toes. Nationally, this code matters because it captures a discrete, often elective reconstructive procedure that affects surgical utilization, post-operative care pathways, and device-use reporting in musculoskeletal care.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when interphalangeal joint fusion is performed, the typical settings for service delivery, and the implications for coding and claims submission. The publication summarizes common modifiers and provides national benchmarking context where available.
This report is intended to help coding professionals, revenue cycle staff, and policy analysts understand billing considerations tied to a focused hand/foot surgical procedure, its place in musculoskeletal care, and payer coverage patterns. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 26860 describes a surgical procedure to immobilize an interphalangeal joint, performed with or without fixation devices. The procedure is typically used to relieve pain and stabilize an interphalangeal joint, often for patients with end-stage osteoarthritis or other debilitating joint conditions of the fingers or toes.
Service Type: Surgical arthrodesis / joint immobilization
Typical Site of Service: Hospital outpatient department, ambulatory surgery center, or inpatient operating room, depending on clinical complexity and patient factors.
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