Download Hand Surgery CPT Code List

CPT Codes for the ABOS Hand Subspecialty Case List
10120
10121
10140
10160
10180
11000
Incision and drainage of abscess eg, carbuncle, suppurative hidradenitis, and other cutaneous or subcutaneous abscess, cyst, furuncle , or paronychia; simple or single Incision and drainage of abscess eg, carbuncle, suppurative hidradenitis, and other cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple Incision and removal of foreign body, subcutaneous tissues; simple Incision and removal of foreign body, subcutaneous tissues; complicated Incision and drainage of hematoma, seroma or fluid collection Puncture aspiration of abscess, hematoma, bulla, or cyst Incision and drainage, complex, postoperative wound infection Debridement of extensive eczematous or infected skin; up to 10% of body surface 11001
Debridement of extensive eczematous or infected skin; each additional 10% of the body surface 10060
10061
11422
11423
11424
11426
11600
11601
Debridement including removal of foreign material associated with open fractures and or dislocations; skin and subcutaneous tissues Debridement including removal of foreign material associated with open fractures and or dislocations; skin, subcutaneous tissue, muscle fascia, and muscle Debridement including removal of foreign material associated with open fractures and or dislocations; skin, subcutaneous tissue, muscle fascia, muscle, and bone Debridement; skin, partial thickness Debridement; skin, full thickness Debridement; skin, and subcutaneous tissue Debridement; skin, subcutaneous tissue, and muscle Debridement; skin, subcutaneous tissue, muscle, and bone Paring or curettement of benign hyperkeratotic skin lesion; single Paring or curettement of benign hyperkeratotic skin lesions; two to four Paring or curettement of benign hyperkeratotic skin lesions; more than four Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions Removal of skin tags, multiple fibrocutaneous tags, any area; each additional ten lesions Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0.5 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 0.6 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 1.1 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 2.1 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 3.1 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter over Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion Excision, malignant lesion, trunk, arms, or legs; lesion diameter 0.5 cm or less Excision, malignant lesion, trunk, arms, or legs; lesion diameter 0.6 to 1.0 cm 11602
Excision, malignant lesion, trunk, arms, or legs; lesion diameter 1.1 to 2.0 cm 11010
11011
11012
11040
11041
11042
11043
11044
11055
11056
11057
11100
11101
11200
11201
11400
11401
11402
11403
11404
11406
11420
11421
CPT Codes for the ABOS Hand Subspecialty Case List
11603
Excision, malignant lesion, trunk, arms, or legs; lesion diameter 2.1 to 3.0 cm 11604
Excision, malignant lesion, trunk, arms, or legs; lesion diameter 3.1 to 4.0 cm 11606
Excision, malignant lesion, trunk, arms, or legs; lesion diameter over 4.0 cm 11620
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less 11621
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm 11622
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm 11623
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 2.1 cm to 3.0 cm 11624
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm 11626
Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm 11719
Trimming of nondystrophic nails, any number 11730
Avulsion of nail plate, partial or complete, simple; single 11732
Avulsion of nail plate, partial or complete, simple; each additional nail plate 11740
Evacuation of subungual hematoma 11750 Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal 11752
Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent 11755 Biopsy of nail unit eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds separate procedure 11760
Repair of nail bed 11762
Reconstruction of nail bed with graft 11765
Wedge excision of skin of nail fold eg, for ingrown toenail) Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12001
(including hands and feet); 2.5 cm or less Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12002
(including hands and feet); 2.6 cm to 7.5 cm Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12004
(including hands and feet); 7.6 cm to 12.5 cm 12005 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12006 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12007 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities 12020
Treatment of superficial wound dehiscence; simple closure 12021
Treatment of superficial wound dehiscence; with packing Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 12032
7.5 cm 12034 Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12031
12035
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm 12036
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm CPT Codes for the ABOS Hand Subspecialty Case List
12037
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm 12041
Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less 12042
Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm 12044
Layer closure of wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm 12045
Layer closure of wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm 12046
Layer closure of wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm 12047
Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm 13100
Repair, complex, trunk; 1.1 cm to 2.5 cm 13101
Repair, complex, trunk; 2.6 cm to 7.5 cm 13102
Repair, complex, trunk; each additional 5 cm 13120
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm 13121
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm 13122
Repair, complex, scalp, arms, and/or legs; each additional 5 cm 13131
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm 13132
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm 13133
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm CPT Codes for the ABOS Hand Subspecialty Case List
13160
Secondary closure of surgical wound or dehiscence, extensive or complicated 14000
Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less 14020
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less 14021
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm 14040
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less 14041
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm 14300
Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusual or complicated, any area 14350
Filleted finger or toe flap, including preparation of recipient site 15000
Excisional preparation or creation of recipient site by excision of essentially intact skin (including subcutaneous tissues), scar, or other lesion prior to repair with free skin graft (list as separate service) Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar 15002 including subcutaneous tissues, or incisional release of scar contracture, trunk, arms, legs; first 100 sq or 1 per cent of body area of infants and children Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar including subcutaneous tissues, or incisional release of scar contracture, trunk, arms, legs; each additional 15003
100 sq cm or each additional 1 per cent of body area of infants and children List separately in additional to code for primary procedure Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar 15004
including subcutaneous tissues, or incisional release of scar contracture, face, scalp, eyelids, mouth,, Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar 15005
including subcutaneous tissues, or incisional release of scar contracture, face, scalp, eyelids, mouth,, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; each additional 100 sq cm or each 15050
Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size of 2 cm diameter 15100
Split graft, trunk, scalp, arms, legs, hands, and/or feet (except multiple digits); 100 sq cm or less, or each one percent of body area of infants and children (except 15050) 15101
Split graft, trunk, scalp, arms, legs, hands, and/or feet (except multiple digits); each additional 100 sq cm, or each one percent of body area of infants and children, or part thereof CPT Codes for the ABOS Hand Subspecialty Case List
15110
Epidermal autograft, trunk, arms, legs; first sq cm or less, or 1 per cent of body area of infants and children 15111 Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent of body 15115 Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or, multiple Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or, multiple 15116
digits; each additional 100 sq cm, or each additional 1 per cent of body area of infants and children, or 15120 Split graft, face, eyelids, mouth, neck, ears, orbits, genitalia, and/or multiple digits; 100 sq cm or less, or 15121 Split graft, face, eyelids, mouth, neck, ears, orbits, genitalia, and/or multiple digits; each additional 100 sq 15130
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1 per cent of body area of infants and 15131 Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent of body area 15135 Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple 15136 Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple 15170 Acellular dermal replacement, trunk, arms, legs; first 100 sq cm less, or 1 per cent of body area of infants 15171 Acellular dermal replacement, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent 15175 Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or 15176 Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or 15220 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less 15221
15240
15241
15300
15301
15320
15321
15330
15330
15335
15336
15400
15401
15420
15421
Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm less, or 1 per cent of body area of infants and children Allograft skin for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; first 100 sq cm or less, or 1 per cent of body area of infants and Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; each additional 100 sq cm, or each additional 1 per cent of body area Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; first 100 sq cm or less, or 1 per cent of body area of infants and children Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; first 100 sq cm or less, or 1 per cent of body area of infants and children Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; first 100 sq cm or less, or 1 per cent of body area of infants and children Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; each additional 100 sq cm, or each additional 1 per cent of body area of infants and Xenograft, skin dermal for temporary wound closure, trunk, arms, legs; first 100 sq cm less, or 1 per cent of body area of infants and children Xenograft, skin dermal for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent of body area of infants and children, or part thereof List separately in addition Xenograft, skin dermal for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; first 100 sq cm or less, or 1 per cent of body area of infants Xenograft, skin dermal for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple digits; each additional 100 sq cm, or each additional 1 per cent of CPT Codes for the ABOS Hand Subspecialty Case List
15430
Acellular xenograft implant; first 100 sq cm less, or 1 per cent of body area of infants and children 15570
15572
15574
Acellular xenograft implant; each additional 100 sq cm, or each additional 1 per cent of body area of infants and children, or part thereof List separately in addition to code for primary procedure Formation of direct or tubed pedicle, with or without transfer; trunk Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, 15600
Delay of flap or sectioning of flap (division and inset); at trunk 15610
15650
15734
15736
15738
15740
15750
15756
15757
15758
Delay of flap or sectioning of flap (division and inset); at scalp, arms or legs Transfer, intermediate, of any pedicle flap eg, abdomen to wrist, walking tube), any location Muscle, myocutaneous, or fasciocutaneous flap; trunk Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Flap; island pedicle Flap; neurovascular pedicle Muscle or myocutaneous free flap (microvascular transfer) Free skin flap (microvascular transfer) Free fascia flap (microvascular transfer) 15760
Graft, composite including skin, including primary closure of donor area 15770
Graft, composite including dermis‐fat‐fascia, including primary closure of donor area 15850
Removal of sutures under anesthesia (other than local), same surgeon 15851
15852
Removal of sutures under anesthesia (other than local), other surgeon Dressing change (for other than burns) under anesthesia (other than local) 15860
Intravenous injection of agent eg, fluorescein) to test blood flow in flap or graft 16000
Initial treatment, first degree burn, when no more than local treatment is required 16020
Dressings and/or debridement, initial or subsequent; without anesthesia, office or hospital, small 15431
16025
16030
16035
16036
17000
17250
17260
17261
17262
17263
17264
17266
17270
Dressings and/or debridement, initial or subsequent; without anesthesia, medium eg, whole face or whole extremity) Dressings and/or debridement, initial or subsequent; without anesthesia, large eg, more than one Escharotomy Escharotomy, each additional incision List separately in addition to code for primary procedure Destruction premalignint lesion Chemical cauterization of granulation tissue (proud flesh, sinus or fistula) Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage trunk, arms or Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion CPT Codes for the ABOS Hand Subspecialty Case List
17272
17273
17274
17276
20000
20005
20103
20150
20200
20205
20240
20245
20245
20501
Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion diameter 0.6 to 1.0 cm Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion Destruction, malignant lesion e.g. laser surgery, cryosurgery, chemosurgery, curettage hands; lesion Incision of soft tissue abscess eg, secondary to osteomyelitis) ; superficial Incision of soft tissue abscess eg, secondary to osteomyelitis) ; deep or complicated Exploration of penetrating extremity wound separate procedure Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through the same fascial Biopsy, muscle; superficial Biopsy, muscle; deep Bone biopsy; superficial Bone biopsy; deep Bone biopsy; deep Injection of sinus tract; diagnostic (sinogram) 20520
Removal of foreign body in muscle or tendon sheath; simple 20525
20526
20550
Removal of foreign body in muscle or tendon sheath; deep or complicated Injection, therapeutic; carpal tunnel Injection, tendon sheath, ligament, trigger points or ganglion cyst 20551
Injection, therapeutic; single tendon origin or insertion 17271
20600
20605
Arthrocentesis, aspiration and/or injection; small joint, bursa or ganglion cyst eg, fingers, toes) Arthrocentesis, aspiration and/or injection; intermediate joint, bursa or ganglion cyst eg, Arthrocentesis, aspiration and/or injection; major joint or bursa eg, shoulder, hip, knee joint, subacromial 20610
bursa) 20612
Aspiration or injection ganglion cyst 20615
Aspiration or injection bone cyst 20650
Insertion of wire or pin with application of skeletal traction, including removal separate procedure 20670
Removal of implant; superficial, eg, buried wire, pin or rod) separate procedure removal hardware 20680
Removal of implant; deep, eg, buried wire, pin, screw, metal band, nail, rod or plate) removal of 20690
Application of a uniplane (pins or wires in one plane), unilateral, external fixation system 20692 Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system eg, 20693 Adjustment or revision of external fixation system requiring anesthesia eg, new pin or wire and/or new 20694
Removal, under anesthesia, of external fixation system 20802
Replantation, arm (includes surgical neck of humerus through elbow joint); complete amputation 20805
Replantation, forearm (includes radius and ulna to radial carpal joint); complete amputation 20808
Replantation, hand (includes hand through metacarpophalangeal joints); complete amputation 20816 Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis 20822
Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion); complete 20824
Replantation, thumb (includes carpometacarpal joint to MP joint) ; complete amputation 20827
Replantation, thumb (includes distal tip to MP joint); complete amputation 20900
Bone graft, any donor area; minor or small eg, dowel or button) 20902
Bone graft, any donor area; major or large CPT Codes for the ABOS Hand Subspecialty Case List
20910
Cartilage graft; costochondral 20920
Fascia lata graft; by stripper 20922
Fascia lata graft; by incision and area exposure, complex or sheet 20924
Tendon graft, from a distance eg, palmaris, toe extensor, plantaris) 20926
Tissue grafts, other eg, paratenon, fat, dermis, etc) 20950 Monitoring of interstitial fluid pressure (includes insertion of device eg, wick catheter technique, needle 20955
Bone graft with microvascular anastomosis; fibula 20956
Bone graft with microvascular anastomosis; metatarsal 20956
Bone graft with microvascular anastomosis; metatarsal 20962
Bone graft with microvascular anastomosis; other bone graft 20969 Free osteocutaneous flap with microvascular anastomosis, other than iliac crest, rib, metatarsal, or great 20970
Free osteocutaneous flap with microvascular anastomosis; iliac crest 20972
Free osteocutaneous flap with microvascular anastomosis; metatarsal 20973
Free osteocutaneous flap with microvascular anastomosis; great toe with web space 23930
Incision deep, with opening of bone cortex; elbow or upper arm 23931
Incision and drainage elbow bursa 24000
Arthrotomy, elbow, for infection, with exploration, drainage or removal of foreign body 24006
Arthrotomy of the elbow, with capsular excision for capsular release separate procedure 24065
Biopsy, soft tissue of upper arm or elbow area; superficial 24066
Biopsy, soft tissue of upper arm or elbow area; deep 24075
Excision subcutaneous soft tissue tumor; upper arm or elbow 24076
Excision, tumor, upper arm or elbow area; deep, subfascial or intramuscular 24076
Excision, tumor, upper arm or elbow area; deep, subfascial or intramuscular 24077
Radical resection of tumor; upper arm or elbow 24100
Arthrotomy, elbow; with synovial biopsy only 24101
24102
24105
24110
Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or Arthrotomy, elbow, with synovectomy Excision, olecranon bursa Excision or curettage of bone cyst or benign tumor; humerus 24115
Excision or curettage of bone cyst or benign tumor; humerus; with autograft includes graft harvest 24116
Excision or curettage of bone cyst or benign tumor; humerus; with allograft 24120
Excision or curettage of bone cyst or benign tumor; radial head or neck or olecranon process 24125
24126
Excision or curettage of bone cyst or benign tumor; radial head or neck or olecranon process; with autograft includes graft harvest Excision or curettage of bone cyst or benign tumor; radial head or neck or olecranon process; with allograft 24130
Radial head excision 24130
Radial head excision 24134
Sequetrestomy, shaft or distal humerus 24136
24138
Sequetrestomy, radial head or neck Sequetrestomy, olecranon process CPT Codes for the ABOS Hand Subspecialty Case List
24140
Partial excision, humerus 24145
Partial excision, radial head or neck 24147
24147
Partial excision, olecranon process Partial excision, olecranon process 24149
Radical resection of capsule, soft tissue and heterotopic bone, elbow, with contracture release 24150
24151
24152
24153
Radical resection for tumor, shaft or distal humerus Radical resection for tumor, shaft or distal humerus, with autograft, including graft harvest Radical resection for tumor, radial head or neck Radical resection for tumor, radial head or neck, with autograft, including graft harvest 24155
Resection of elbow joint arthrectomy 24160
24164
24200
Implant removal, elbow joint Implant removal, radial head Removal of foreign body; elbow or upper arm, subcutaneous 24200
Removal of foreign body; elbow or upper arm, subcutaneous 24201
Removal of foreign body; elbow or upper arm, deep 24201
Removal of foreign body; elbow or upper arm, deep 24201
Removal of foreign body; elbow or upper arm, deep 24300
Manipulation; elbow; under anesthesia 24301
Muscle or tendon transfer, any type, upper arm or elbow, single 24305
Tendon lengthening, upper arm or elbow, single, each 24310
Tenotomy, open elbow to shoulder, single, each 24320 Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon‐ Brookes 24330
Flexor‐plasty, elbow, eg, Steindler type advancement) 24331
Flexor‐plasty, elbow, eg, Steindler type advancement); with extensor advancement 24332
Tenolysis, triceps 24340
Tenodesis of biceps tendon at elbow, separate procedure 24341
Repair, tendon or muscle, upper arm or elbow, each 24342
Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) 24343
Repair lateral collateral ligament, elbow, with local tissue 24344
24345
Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest Repair medial collateral ligament, elbow, with local tissue 24346
Repair medial collateral ligament, elbow, with tendon graft, including graft harvest 24357
Percutaneous medial or lateral epicondyle tenotomy 24358
24359
24360
Medial or lateral epicondyle debridement Medial or lateral epicondyle debridement with tendon repair or reattachment Arthroplasty, elbow, with membrane or fascia CPT Codes for the ABOS Hand Subspecialty Case List
24361
24362
24363
24365
Arthroplasty, elbow, with distal humeral prosthetic replacement Arthroplasty, elbow, with implant and fascia lata ligament reconstruction Arthroplasty, elbow, with distal humeral and proximal ulnar prosthetic replacement; total elbow Arthroplasty, radial head 24366
Arthroplasty, radial head, with implant 24495
24500
24505
24515
Decompression fasciotomy, forearm, with brachial artery exploration Closed treatment of humeral shaft fracture; without manipulation Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction Open treatment of humeral shaft fracture, with plate/screws, with or without cerclage Treatment of humeral shaft fracture with insertion of intramedullary implant with or without cerclage or locking screws Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation Percutaneous treatment of humeral epicondylar fracture, medial or lateral, with manipulation Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external Closed treatment of humeral condylar fracture, medial or lateral; without manipulation Closed treatment of humeral condylar fracture, medial or lateral; with manipulation Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external Percutaneous treatment of humeral condylar fracture, medial or lateral, with manipulation Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty 24516
24530
24535
24538
24545
24546
24560
24565
24566
24575
24576
24577
24579
24582
24586
24587
24600
Treatment of closed elbow dislocation; without anesthesia 24605
Treatment of closed elbow dislocation; requiring anesthesia 24615
Open treatment of acute or chronic elbow dislocation 24620
Closed treatment of Monteggia type elbow fracture dislocation radial head fracture with proximal ulna Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with or without internal or external fixation Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation Closed treatment of radial head or neck fracture; without manipulation Closed treatment of radial head or neck fracture; with manipulation Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision; with radial head prosthetic replacement Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external 24635
24640
24650
24655
24665
24666
24670
24675
24685
CPT Codes for the ABOS Hand Subspecialty Case List
24800
24802
24900
24920
24925
24930
24931
24935
24940
24999
25000
Arthrodesis, elbow joint; with or without local autograft or allograft Arthrodesis, elbow joint; with autograft (includes obtaining graft other than locally obtained) Amputation, arm through humerus; with primary closure Amputation, arm through humerus; open, circular (guillotine) Amputation, arm through humerus; secondary closure or scar revision Transhumeral re‐amputation Transhumeral amputation with implant Stump elongation, upper extremity Cineplasty, upper extremity, complete procedure Unlisted procedure, upper extremity Tendon sheath incision; at radial styloid eg, for deQuervains disease) 25001
Incision, flexor tendon sheath, wrist 25020
Decompression fasciotomy, forearm and/or wrist; flexor or extensor compartment 25023 Decompression fasciotomy, forearm and/or wrist; with debridement of nonviable muscle and/or nerve 25024
Decompression fasciotomy,forearm and or wrist, flexor and extensor compartments, without 25025 Decompression fasciotomy,forearm and or wrist, flexor and extensor compartments, with debridement 25028
Incision and drainage, forearm and/or wrist; deep abscess or hematoma 25031
Incision and drainage, forearm and/or wrist; infected bursa 25035 Incision, deep, with opening of bone cortex eg, for osteomyelitis or bone abscess), forearm and/or wrist 25040 Arthrotomy, radiocarpal or mediocarpal joint, with exploration, drainage, or removal of foreign body 25065
Biopsy, soft tissue of forearm and/or wrist; superficial 25066
Biopsy, soft tissue of forearm and/or wrist; deep 25075
Excision, tumor, forearm and/or wrist area; subcutaneous 25076
Excision, tumor, forearm and/or wrist area; deep, subfascial or intramuscular 25077
Radical resection of tumor eg, malignant neoplasm), soft tissue of forearm and/or wrist area 25085
Capsulotomy, wrist eg, for contracture) 25100
Arthrotomy, wrist joint, with biopsy 25101 Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose 25105
Arthrotomy, wrist joint, with synovectomy 25107
Arthrotomy, distal radioulnar joint for repair of triangular cartilage complex 25109
Excision of tendon, forearm and or wrist, flexor or extensor, each 25110
Excision, lesion of tendon sheath, forearm and/or wrist 25111
Excision of ganglion, wrist (dorsal or volar); primary 25112
Excision of ganglion, wrist (dorsal or volar); recurrent Radical excision of bursa, synovia of wrist, or forearm tendon sheaths eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors Radical excision of bursa, synovia of wrist, or forearm tendon sheaths eg, tenosynovitis, fungus, Tbc, or 25116
other granulomas, rheumatoid arthritis); extensors (with or without transposition of dorsal retinaculum) 25115
25118
Synovectomy, extensor tendon sheath, wrist, single compartment 25119
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna 25120 Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and 25125
olecranon process); with auto graft (includes obtaining graft) CPT Codes for the ABOS Hand Subspecialty Case List
25126
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft 25130
Excision or curettage of bone cyst or benign tumor of carpal bones 25135
25136
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft 25145
Sequestrectomy eg, for osteomyelitis or bone abscess), forearm and/or wrist 25150
25151
25170
Partial excision (craterization, saucerization or diaphysectomy) of bone eg, for osteomyelitis); ulna Partial excision (craterization, saucerization or diaphysectomy) of bone eg, for osteomyelitis); radius Radical resection for tumor, radius or ulna 25210
Carpectomy; one bone 25215
Carpectomy; all bones of proximal row 25230
Radial styloidectomy separate procedure 25240
Excision distal ulna, partial or comlete eg, Darrach type or matched resection) 25248
Exploration with removal of deep foreign body, forearm or wrist 25250
Removal of wrist prosthesis; separate procedure 25251
Removal of wrist prosthesis; complicated, including total wrist 25259
Manipulation, wrist, under anesthesia 25260
Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle 25263
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle 25265 Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining 25270
Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle 25272
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle 25274
Repair, tendon or muscle, extensor, secondary, with tendon graft (includes obtaining graft), forearm 25275
Repair, tendon sheath, extensor, forearm and or wrist, with free graft includes graft harvest 25280
Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon 25290
Tenotomy, open flexor or extensor tendon, forearm and/or wrist, single, each tendon 25295
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon 25300
Tenodesis at wrist; flexors of fingers 25301
Tenodesis at wrist; extensors of fingers 25310
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon 25312 Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft 25315
Flexor origin slide eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist 25316
Flexor origin slide for cerebral palsy, forearm and/or wrist; with tendon transfer 25320 Capsulorrhaphy or reconstruction, wrist, any method eg, capsulodesis, ligament repair, tendon transfer 25332
Arthroplasty, wrist 25335
Centralization of wrist on ulna eg, radial club hand) 25337
Reconstruction of unstable distal radioulnar joint 25350
25355
25360
25365
Osteotomy, radius; distal third Osteotomy, radius; middle or proximal third Osteotomy; ulna Osteotomy; radius and ulna 25370
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna CPT Codes for the ABOS Hand Subspecialty Case List
25375 Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna 25390
Osteoplasty, radius OR ulna; shortening 25391
25392
25393
25393
25400
25405
25415
Osteoplasty, radius OR ulna; lengthening with autograft Osteoplasty, radius AND ulna; shortening (excluding 64876) Osteoplasty, carpal bone, shortening Osteoplasty, carpal bone, shortening Repair of nonunion or malunion, radius OR ulna; without graft eg, compression technique) Repair of nonunion or malunion, radius OR ulna; with iliac or other autograft (includes obtaining graft) Repair of nonunion or malunion, radius AND ulna; without graft eg, compression technique, etc) 25420 Repair of nonunion or malunion, radius AND ulna; with iliac or other autograft (includes obtaining graft) 25425
Repair of defect with autograft; radius OR ulna 25426
Repair of defect with autograft; radius AND ulna 25430
Insertion vascular pedicle into carpal bone 25431
25440
25441
25442
Repair of carpal bone nonunion other than scaphoid, each, including graft and fixation Repair of nonunion, scaphoid navicular bone, with or without radial styloidectomy (includes obtaining Arthroplasty with prosthetic replacement, distal radius Arthroplasty with prosthetic replacement, distal ulna 25443
Arthroplasty with prosthetic replacement, scaphoid 25444
Arthroplasty with prosthetic replacement, lunate 25445
Arthroplasty with prosthetic replacement, trapezium 25446
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) 25447
25449
25450
25455
25490
Interposition arthroplasty, intercarpal or carpometacarpal joints Revision of arthroplasty, including removal of implant, wrist joint Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate; radius 25491
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate; ulna 25492
25500
25505
25515
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate; radius Closed treatment of radial shaft fracture; without manipulation Closed treatment of radial shaft fracture; with manipulation Open treatment of radial shaft fracture, with or without internal or external fixation Closed treatment of radial shaft fracture, with dislocation of distal radioulnar joint (Galeazzi 25520
fracture/dislocation) Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of 25525
dislocation of distal radioulnar joint (Galeazzi fracture/dislocation), with or without percutaneous skeletal CPT Codes for the ABOS Hand Subspecialty Case List
25526
Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without internal or external fixation of distal radioulnar joint (Galeazzi fracture/dislocation), includes 25530
Closed treatment of ulnar shaft fracture; without manipulation 25535
Closed treatment of ulnar shaft fracture; with manipulation 25545
Open treatment of ulnar shaft fracture, with or without internal or external fixation 25560
Closed treatment of radial and ulnar shaft fractures; without manipulation 25565
Closed treatment of radial and ulnar shaft fractures; with manipulation 25574 Open treatment of radial and ulnar shaft fractures, with internal or external fixation; of radius OR ulna 25575 Open treatment of radial and ulnar shaft fractures, with internal or external fixation; of radius AND ulna 25600
Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or 25605
Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or 25606
Percutaneous fixation distal radius fracture or epiphyseal separation 25606
Percutaneous fixation distal radius fracture or epiphyseal separation 25607 Open treatment of extraarticular distal radial fracture or epiphyseal separation, with or without fracture 25608 Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of 25609 Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of 25622
Closed treatment of carpal scaphoid navicular fracture; without manipulation 25624
Closed treatment of carpal scaphoid navicular fracture; with manipulation 25628
Open treatment of carpal scaphoid navicular fracture, with or without internal or external fixation 25630 Closed treatment of carpal bone fracture (excluding carpal scaphoid navicular); without manipulation, 25635 Closed treatment of carpal bone fracture (excluding carpal scaphoid navicular); with manipulation, each 25645
Open treatment of carpal bone fracture (excluding carpal scaphoid navicular), each bone 25650
Closed treatment of ulnar styloid fracture 25651
Percutaneous fixation ulnar styloid fracture 25652
Open treatment ulnar styloid fracture 25660
Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation 25670
Open treatment of radiocarpal or intercarpal dislocation, one or more bones 25671
Percutaneous fixation distal radioulnar dislocation 25675
Closed treatment of distal radioulnar dislocation with manipulation 25676
Open treatment of distal radioulnar dislocation, acute or chronic 25680
Closed treatment of trans‐scaphoperilunar type of fracture dislocation, with manipulation 25685
Open treatment of trans‐scaphoperilunar type of fracture dislocation 25690
Closed treatment of lunate dislocation, with manipulation 25695
Open treatment of lunate dislocation 25800
Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); without bone graft 25805
Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); with sliding graft 25810
Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); with iliac or other autograft 25820
Intercarpal fusion; without bone graft 25825
Intercarpal fusion; with autograft (includes obtaining graft) 25830
25900
25905
25907
25909
Arthrodesis and resection of radioulnar joint Amputation, forearm, through radius and ulna Amputation, forearm, through radius and ulna; open, circular (guillotine) Amputation, forearm, through radius and ulna; secondary closure or scar revision Amputation, forearm, through radius and ulna; reamputation CPT Codes for the ABOS Hand Subspecialty Case List
25915
25920
25922
25924
25927
25929
25931
25999
26010
26011
26020
26025
26030
26034
26035
26037
26040
26045
Krukenberg procedure Disarticulation through wrist Disarticulation through wrist; secondary closure or scar revision Disarticulation through wrist; reamputation Transmetacarpal amputation Transmetacarpal amputation; secondary closure or scar revision Transmetacarpal amputation; reamputation Unlisted procedure, forearm or wrist Drainage of finger abscess; simple Drainage of finger abscess; complicated eg, felon, etc) Drainage of tendon sheath, one digit and/or palm Drainage of palmar bursa; single, ulnar or radial Drainage of palmar bursa; multiple or complicated Incision, deep, with opening of bone cortex eg, for osteomyelitis or bone abscess), hand or finger Decompression fingers and/or hand, injection injury eg, grease gun, etc) Decompressive fasciotomy, hand (excludes 26035) Fasciotomy, palmar, for Dupuytrens contracture; closed (subcutaneous) Fasciotomy, palmar, for Dupuytrens contracture; open, partial 26055
Tendon sheath incision eg, for trigger finger) 26060
Tenotomy, subcutaneous, single, each digit 26070 Arthrotomy, for infection, with exploration, drainage or removal of foreign body; carpometacarpal joint 26075 Arthrotomy, for infection, with exploration, drainage or removal of foreign body; metacarpophalangeal Arthrotomy, for infection, with exploration, drainage or removal of foreign body; interphalangeal joint, 26080
each 26100
Arthrotomy with synovial biopsy; carpometacarpal joint 26105
Arthrotomy for synovial biopsy; metacarpophalangeal joint 26110
Arthrotomy for synovial biopsy; interphalangeal joint, each 26115
Excision, tumor or vascular malformation, hand or finger; subcutaneous 26116
Excision, tumor or vascular malformation, hand or finger; deep, subfascial, intramuscular 26117
Radical resection of tumor eg, malignant neoplasm), soft tissue of hand or finger Fasciectomy, palmar only, with or without z‐plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); Fasciectomy, palmar only, with or without z‐plasty, other local tissue rearrangement, or skin grafting 26123
(includes obtaining graft); partial palmar excision with release of single digit including proximal Fasciectomy, palmar only, with or without z‐plasty, other local tissue rearrangement, or skin grafting 26125
(includes obtaining graft); partial palmar excision with release of each additional digit, including proximal 26121
26130
Synovectomy, carpometacarpal joint CPT Codes for the ABOS Hand Subspecialty Case List
26135
26140
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint 26145
Synovectomy tendon sheath, radical tenosynovectomy, flexor, palm or finger, single, each digit 26160
Excision of lesion of tendon sheath or capsule eg, cyst, mucous cyst, or ganglion), hand or finger 26170
Excision of tendon, palm, flexor, single separate procedure, each 26180
Excision of tendon, finger, flexor separate procedure 26185
Sesamoidectomy, finger or thumb 26200
Excision or curettage of bone cyst or benign tumor of metacarpal 26205
26210
26215
Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger; with 26230 Partial excision craterization, saucerization, or diaphysectomy of bone eg, for osteomyelitis); metacarpal Partial excision craterization, saucerization, or diaphysectomy of bone eg, for osteomyelitis); proximal or middle phalanx of finger Partial excision craterization, saucerization, or diaphysectomy of bone eg, for osteomyelitis); distal 26236
phalanx of finger 26235
26250
Radical resection ostectomy for tumor, metacarpal 26255
Radical resection ostectomy for tumor, metacarpal; with autograft (includes obtaining graft) 26260
26261
26262
26320
Radical resection ostectomy for tumor, proximal or middle phalanx of finger Radical resection ostectomy for tumor, proximal or middle phalanx of finger; with autograft (includes Radical resection ostectomy for tumor, distal phalanx of finger Removal of implant from finger or hand 26340
Manipulation finger joint under anesthesia, each joint 26350
26352
26356
26357
26358
26370
26372
26373
26390
26392
26410
Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes Flexor tendon repair or advancement, single, in no mans land; primary, each tendon Flexor tendon repair or advancement, single, in no mans land; secondary, each tendon Flexor tendon repair or advancement, single, in no mans land secondary with free graft (includes Profundus tendon repair or advancement, with intact sublimis; primary Profundus tendon repair or advancement, with intact sublimis; secondary with free graft (includes Profundus tendon repair or advancement, with intact sublimis; secondary without free graft Flexor tendon excision, implantation of plastic tube or rod for delayed tendon graft, hand or finger Removal of tube or rod and insertion of flexor tendon graft (includes obtaining graft), hand or finger Extensor tendon repair, dorsum of hand, single, primary or secondary; without free graft, each tendon CPT Codes for the ABOS Hand Subspecialty Case List
26412
26415
26416
26418
26420
26426
26428
26432
26433
26434
26437
26440
26442
26445
26449
26450
26455
26460
26471
26474
26476
26477
26478
26479
26480
26483
26485
26489
26490
26492
26494
26496
26497
26498
26499
26500
26502
26508
26510
26516
26517
26518
26520
Extensor tendon repair, dorsum of hand, single, primary or secondary; with free graft, (includes obtaining Extensor tendon excision, implantation of plastic tube or rod for delayed extensor tendon graft, hand or Removal of tube or rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger Extensor tendon repair, dorsum of finger, single, primary or secondary, without free graft, each tendon Extensor tendon repair, dorsum of finger, single, primary or secondary, with free graft, (includes Extensor tendon repair, central slip repair, secondary (boutonniere deformity); using local tissues Extensor tendon repair, central slip repair, secondary (boutonniere deformity); with free graft (includes Extensor tendon repair, distal insertion (mallet finger), closed, splinting with or without percutaneous Extensor tendon repair, distal insertion (mallet finger), open, primary or secondary repair; without graft Extensor tendon repair, distal insertion (mallet finger), open, primary or secondary repair; with graft Extensor tendon realignment, hand Tenolysis, simple, flexor tendon; palm OR finger, single, each tendon Tenolysis, simple, flexor tendon; palm AND finger, each tendon Tenolysis, extensor tendon, dorsum of hand or finger, each tendon Tenolysis, complex, extensor tendon, dorsum of hand or finger, including hand and forearm Tenotomy, flexor, single, palm, open, each Tenotomy, flexor, single, finger, open, each Tenotomy, extensor hand or finger, single, open, each Tenodesis; for proximal interphalangeal joint stabilization Tenodesis; for distal joint stabilization Tendon lengthening, extensor, hand or finger, single, each Tendon shortening, extensor, hand or finger, single, each Tendon lengthening, flexor, hand or finger, single, each Tendon shortening, flexor, hand or finger, single, each Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single; without free graft, each Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single; with free tendon graft Tendon transfer or transplant, palmar, single, each tendon; without free tendon graft Tendon transfer or transplant, palmar, single, each tendon; with free tendon graft (includes obtaining Opponens plasty; sublimis tendon transfer type Opponens plasty; tendon transfer with graft (includes obtaining graft) Opponens plasty; hypothenar muscle transfer Opponens plasty; other methods Tendon transfer to restore intrinsic function; ring and small finger Tendon transfer to restore intrinsic function; all four fingers Correction claw finger, other methods Tendon pulley reconstruction, with local tissues separate procedure Tendon pulley reconstruction; with tendon or fascial graft (includes obtaining graft) separate procedure Thenar muscle release for thumb contracture Cross intrinsic transfer Capsulodesis for M‐P joint stabilization; single digit Capsulodesis for M‐P joint stabilization; two digits Capsulodesis for M‐P joint stabilization; three or four digits Capsulectomy or capsulotomy for contracture; metacarpophalangeal joint, single, each 26525
Capsulectomy or capsulotomy for contracture; interphalangeal joint, single each 26530
Arthroplasty, metacarpophalangeal joint; single, each CPT Codes for the ABOS Hand Subspecialty Case List
26531
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, single, each 26535
26536
26540
26541
26542
26545
26546
26548
Arthroplasty, interphalangeal joint; single, each Arthroplasty, interphalangeal joint; with prosthetic implant, single, each Primary repair of collateral ligament, metacarpophalangeal joint Primary repair of collateral ligament, metacarpophalangeal joint; with tendon or fascial graft (includes Primary repair of collateral ligament, metacarpophalangeal joint; with local tissue eg, adductor Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Repair nonunion, metacarpal or phalanx, including bone graft harvest Repair and reconstruction, finger volar plate, interphalangeal joint 26550
Pollicization of a digit 26551
Digit reconstruction with wrap‐around toe and bone graft 26553
Digit reconstruction with toe other than great toe 26554
Digit reconstructions with toes other than great toe ‐ double 26555
Positional change of other finger 26556
26560
26561
26562
Transfer, free toe joint with microvascular anastomosis Repair of syndactyly web finger each web space; with skin flaps Repair of syndactyly web finger each web space; with skin flaps and grafts Repair of syndactyly web finger each web space; complex, involving bone, nails, etc 26565
Osteotomy for correction of deformity; metacarpal 26567
Osteotomy for correction of deformity; phalanx of finger 26568
Osteoplasty for lengthening of metacarpal or phalanx 26580
Repair cleft hand 26587
26590
26591
Reconstruction of supernumerary digit, soft tissue and bone Repair macrodactylia Repair, intrinsic muscles of hand 26593
Release, intrinsic muscles of hand 26596
Excision of constricting ring of finger, with multiple Z‐plasties 26600
Closed treatment of metacarpal fracture, single; without manipulation, each bone 26605
Closed treatment of metacarpal fracture, single; with manipulation, each bone 26607
Closed treatment of metacarpal fracture, single; with manipulation, with internal or external fixation, each bone 26608
Percutaneous skeletal fixation of metacarpal fracture, each bone CPT Codes for the ABOS Hand Subspecialty Case List
26615
Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone 26641
Closed treatment of carpometacarpal dislocation, thumb, with manipulation 26645
Closed treatment of carpometacarpal fracture dislocation, thumb Bennett fracture, with manipulation 26650
26665
26670
26675
26676
26685
26686
Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb Bennett fracture, with manipulation, with or without external fixation Open treatment of carpometacarpal fracture dislocation, thumb Bennett fracture, with or without internal or external fixation Closed treatment of carpometacarpal dislocation, other than thumb Bennett fracture, single, with Closed treatment of carpometacarpal dislocation, other than thumb Bennett fracture, single, with Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb Bennett fracture, single, Open treatment of carpometacarpal dislocation, other than thumb Bennett fracture; single, with or without internal or external fixation Open treatment of carpometacarpal dislocation, other than thumb Bennett fracture; complex, multiple or delayed reduction 26700
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia 26705
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia 26706
Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation 26715 Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixation 26720
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without 26725
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with 26727 Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with or 26735
without internal or external fixation, each 26740 Closed treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint; 26742 Closed treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint; Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, 26746
with or without internal or external fixation, each 26750
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each 26755
Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each 26756
Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each 26765
Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external fixation, each 26770
Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia CPT Codes for the ABOS Hand Subspecialty Case List
26775
Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia 26776
Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation 26785 Open treatment of interphalangeal joint dislocation, with or without internal or external fixation, single 26820
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) 26841
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) 26842
26843
Arthrodesis, carpometacarpal joint, digits, other than thumb 26844
Arthrodesis, carpometacarpal joint, digits, other than thumb; with autograft (includes obtaining graft) 26850
Arthrodesis, metacarpophalangeal joint, with or without internal fixation 26852
26860
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Arthrodesis, interphalangeal joint, with or without internal fixation 26861 Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint 26862
26863
26910
26951
26952
Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer Amputation, finger or thumb, primary or secondary, any joint or phalanx, finger, including neurectomies; with direct closure Amputation, finger or thumb, primary or secondary, any joint or phalanx, finger, including neurectomies; with local advancement flaps (V‐Y, hood) 26989
Unlisted procedure, hand or fingers 29065
Application of cast; shoulder to hand (long arm) 29075
Application of cast; elbow to finger (short arm) 29085
Application of cast; hand to lower forearm (gauntlet) 29086
Application of finger cast 29105
Application of long arm splint (shoulder to hand) 29125
Application of short arm splint (forearm to hand); static 29126
Application of short arm splint (forearm to hand); dynamic CPT Codes for the ABOS Hand Subspecialty Case List
29130
Application of finger splint; static 29131
Application of finger splint; dynamic 29240
Strapping; shoulder 29260
Strapping; elbow or wrist 29280
Strapping; hand or finger 29840
Arthroscopy, wrist, diagnostic; with or without synovial biopsy 29843
Arthroscopy, wrist, surgical; for infection, lavage and drainage 29844
29845
29846
29847
Arthroscopy, wrist, surgical; synovectomy, partial Arthroscopy, wrist, surgical; synovectomy, complete Arthroscopy, wrist, surgical; excision of triangular fibrocartilage and/or joint debridement Arthroscopy, wrist, surgical; internal fixation for fracture or instability 29848
Endoscopic carpal tunnel release 35045
Direct repair of aneurysm or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, false aneurism and associated occlusive disease, radial or ulnar artery 35206
Repair blood vessel, direct; upper extremity 35207
Repair blood vessel, direct; hand, finger 35236
Repair blood vessel with vein graft; upper extremity 35266
Repair blood vessel with graft other than vein; upper extremity 37618
Ligation, major artery eg, post‐traumatic, rupture); extremity 37799
Unlisted vascular procedure 38220
Bone marrow; aspiration only 38241
Bone marrow transplantation; autologous 64450
Injection, anesthetic agent; other peripheral nerve or branch 64702
Neuroplasty; digital, one or both, same digit 64704
Neuroplasty; nerve of hand or foot 64708
Neuroplasty, major peripheral nerve, arm or leg; other than specified CPT Codes for the ABOS Hand Subspecialty Case List
64712
64713
Neuroplasty, major peripheral nerve, arm or leg; sciatic nerve Neuroplasty, major peripheral nerve, arm or leg; brachial plexus 64718
Neuroplasty and/or transposition; ulnar nerve at elbow 64719
Neuroplasty and/or transposition; ulnar nerve at wrist 64721
Neuroplasty and/or transposition; median nerve at carpal tunnel 64722
Decompression; unspecified nerve 64774
Excision of neuroma; cutaneous nerve, surgically identifiable 64776
Excision of neuroma; digital nerve, one or both, same digit 64778
Excision of neuroma; digital nerve, each additional digit (list separately by this number) 64782
Excision of neuroma; hand or foot, except digital nerve 64783
Excision of neuroma; hand or foot, each additional nerve, except same digit (list separately by this number) 64784
Excision of neuroma; major peripheral nerve, except sciatic 64787
64788
64790
Implantation of nerve end into bone or muscle (list separately in addition to neuroma excision) Excision of neurofibroma or neurolemmoma; cutaneous nerve Excision of neurofibroma or neurolemmoma; major peripheral nerve 64792
Excision of neurofibroma or neurolemmoma; extensive (including malignant type) 64795
Biopsy of nerve 64820
Sympathectomy, digital arteries, with magnification, each digit 64821
Periarterial sympathectomy, radial artery 64822
64823
64831
64832
Periarterial sympathectomy, ulnar artery Periarterial sympathectomy, superficial palmar arch Suture of digital nerve, hand or foot; one nerve Suture of digital nerve, hand or foot; each additional 64834
Suture of one nerve, hand or foot; common sensory nerve 64835
Suture of one nerve, hand or foot; median motor thenar 64836
64837
Suture of one nerve, hand or foot; ulnar motor Suture of each additional nerve, hand or foot 64856
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition 64857
Suture of major peripheral nerve, arm or leg, except sciatic; without transposition CPT Codes for the ABOS Hand Subspecialty Case List
64859
64861
64872
64872
Suture of each additional major peripheral nerve Suture of; brachial plexus Suture of nerve; requiring secondary or delayed suture list separately in addition to code for primary Suture of nerve; requiring secondary or delayed suture list separately in addition to code for primary neurorrhaphy 64874 Suture of nerve; requiring extensive mobilization, or transposition of nerve (in addition to nerve suture) 64876 Suture of nerve; requiring shortening of bone list separately in addition to code for primary neurorrhaphy 64890
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm in length 64891
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm in length 64892
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm in length 64893
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm in length 64895
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length 64896
Nerve graft (includes obtaining graft), multiple strands (cable) , hand or foot; more than 4 cm length 64897
Nerve graft including harvest, multiple strands, arm, up to 4 cm in length 64898
Nerve graft including harvest, multiple strands, arm, greather than 4 cm in length 64901
Nerve graft, each additional nerve; single strand 64902
Nerve graft, each additional nerve; multiple strands (cable) 64905
Nerve pedicle transfer; first stage 64907
Nerve pedicle transfer; second stage 64910
Nerve repair with synthetic conduit, each 64911
Nerve repair with autogenous vein conduit, each, including graft harvest 64999
Nerve procedure, unlisted