Find policies, billing codes, payers, states, and providers
CPT 26951: Digital Amputation of Finger or Thumb with Nerve Removal
CPT code 26951 represents surgical amputation of a finger or thumb at any joint or phalanx with excision of nerve tissue and direct primary wound closure. The code applies to both primary amputations performed immediately after acute injury or infection and secondary amputations performed after a prior failed healing attempt. This procedure is clinically significant because it addresses limb-threatening injury, infection, or nonhealing residual digit tissue and often determines functional and rehabilitative trajectories for patients.
Key payers in typical national coverage considerations include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines how CPT code 26951 is billed across typical surgical settings, expected sites of service, and common clinical indications for amputation versus preservation attempts.
Readers will find a concise clinical and billing overview, guidance on typical sites of service, the set of common modifiers associated with this surgical service (listed separately), and context for how this code fits within hand and microsurgery procedure groupings. The material also highlights what to expect in claims processing and documentation focus areas relevant to payers and providers. Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, and service-line revenue details are noted as unavailable in the input.
Customize your policy alerts
Sign up for cpt 26951 policy alerts
Get alerted when payer policies referencing 26951 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 26951 describes primary or secondary amputation of a finger or thumb at any joint or phalanx level with removal of nerve tissue and direct closure of the wound. Primary amputation refers to removal performed immediately after an acute injury or infection; secondary amputation refers to removal performed after a prior amputation that failed to heal properly.
Service Type: Surgical procedure — digital (finger or thumb) amputation with nerve excision and primary wound closure
Typical Site of Service: Operating room or surgical procedure suite in an acute care hospital or ambulatory surgery center; may also be performed in an urgent care surgical setting depending on clinical circumstances.