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CPT 26862: Interphalangeal Joint Fusion of Finger
CPT code 26862 denotes surgical arthrodesis (fusion) of an interphalangeal joint of the finger using autologous bone graft, with or without internal fixation. Nationally, this code captures definitive surgical management for painful, unstable, or arthritic interphalangeal joints when joint preservation is not feasible. It is relevant for procedural billing, utilization monitoring, and care-pathway design in hand surgery and orthopedic practice.
Key payers in the scope of this publication include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for interphalangeal arthrodesis, operational settings where the service is delivered, and the common billing modifiers associated with this service. The publication highlights benchmarks and coverage considerations typically addressed by major commercial carriers and Medicare, and it summarizes coding nuances that affect claim submission and reimbursement workflows.
This resource is intended to inform billing managers, coding professionals, revenue cycle staff, and clinical leaders about the clinical purpose of CPT code 26862, probable sites of service, and payer coverage landscape at a national level. Data not available in the input is identified explicitly where applicable.
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Billing Code Overview
CPT code 26862 describes a surgical procedure to immobilize an interphalangeal joint of the finger by promoting fusion of the joint. The surgeon may or may not place an internal fixation device and uses an autograft taken from another part of the patient’s body to induce bone formation and achieve arthrodesis.
Service type: Surgical — Hand/Upper Extremity Orthopedic Procedure
Typical site of service: Operating room or ambulatory surgical center, often performed by orthopedic or hand surgery specialists under regional or general anesthesia.