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CPT 26910: Metacarpal and Digit Amputation, Hand Surgery
CPT code 26910 represents surgical amputation of a metacarpal bone performed together with removal of a finger or thumb, with optional interosseous muscle transfer. This procedure is clinically significant because it addresses severe traumatic injury, infection, or irreparable disease of the hand and can affect long-term function, prosthetic needs, and rehabilitation. Nationally, accurate coding of such major hand surgery is important for care coordination, facility planning, and payment consistency.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical context and typical sites of service, plus what to expect in a full analysis: reimbursement benchmarks, commonly reported modifiers, coding nuances, and relevant policy considerations that affect coverage and prior authorization. This summary does not reference state-specific rules and is written for a national audience.
The full publication provides benchmarks and payer policy summaries where available, highlights clinical scenarios that drive use of this code, and lists related codes and documentation elements to support appropriate reporting. Data not included in the input are noted as unavailable in corresponding sections.
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Billing Code Overview
CPT code 26910 describes an amputation procedure of a metacarpal bone performed in conjunction with removal of a finger or thumb. The description indicates the provider amputates the metacarpal bone along with the digit and may include transfer of the interosseous muscle.
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Service type: Surgical procedure — hand amputation involving metacarpal and digit
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Typical site of service: Hospital operating room or ambulatory surgery center for hand surgery