How To Use CPT Code 26125

CPT 26125 describes a surgical procedure that involves the release of constriction in an additional finger, including the middle joint of that finger. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26125?

CPT 26125 can be used to describe a surgical procedure in which the provider releases constriction in an additional finger, specifically the middle joint of that finger. This procedure may involve the use of a standardized technique, such as Z-plasty, rearrangement of local tissue, or even skin grafting, to address contracture in the finger.

2. Official Description

The official description of CPT code 26125 is: ‘Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)’

3. Procedure

1. During the same session as a partial palmar fasciectomy with release of an initial finger, the provider surgically releases tendons at the middle joint, known as the proximal interphalangeal joint, of an additional finger.
2. The provider may choose to perform Z-plasty, rearrange local tissue, or even perform skin grafting to address any contracture in the finger.
3. An incision is made over the affected region of the additional finger, and the tendons at the middle joint are released to treat the contracture.
4. If necessary, the provider may obtain and attach a skin graft or rearrange the local tissue to promote healing and restore normal function to the finger.
5. In some cases, the provider may close the surgical wound using Z-plasty, a technique that involves creating triangular skin flaps and suturing them in a way that helps lengthen the scar and prevent contracture.

4. Qualifying circumstances

CPT 26125 is typically performed on patients with conditions such as Dupuytren’s contracture, which is characterized by the abnormal formation of collagen fiber tissue beneath the skin of the hand or palmar region. The procedure is performed by a qualified healthcare professional during the same session as a partial palmar fasciectomy with release of an initial finger. It is important to note that CPT 26125 is an add-on code and should not be reported without an appropriate code for the primary fasciectomy procedure (CPT 26123).

5. When to use CPT code 26125

CPT code 26125 should be used when the provider performs a surgical release of constriction in an additional finger, specifically the middle joint of that finger, during the same session as a partial palmar fasciectomy with release of an initial finger. It is important to report CPT 26125 in conjunction with the primary procedure code (CPT 26123) to ensure accurate billing and reimbursement.

6. Documentation requirements

To support a claim for CPT 26125, the provider must document the following information:

• The need for the surgical release of constriction in the additional finger
• The specific technique used, such as Z-plasty, local tissue rearrangement, or skin grafting
• The date and details of the procedure, including the incision site and the release of tendons at the middle joint
• Any additional procedures performed, such as obtaining and attaching a skin graft
• The closure technique used, if applicable
• Any complications or follow-up care required
• The signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 26125, it is important to ensure that the procedure is performed during the same session as a partial palmar fasciectomy with release of an initial finger (CPT 26123). CPT 26125 is an add-on code and should not be reported without an appropriate primary procedure code. It is also important to follow any specific guidelines or requirements set by the payer regarding the use of this code.

8. Historical information

CPT 26125 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A hand surgeon performing a release of constriction in the middle joint of an additional finger during the same session as a partial palmar fasciectomy with release of an initial finger.
2. A plastic surgeon using Z-plasty to address contracture in an additional finger during the same session as a partial palmar fasciectomy with release of an initial finger.
3. An orthopedic surgeon performing skin grafting to promote healing in an additional finger during the same session as a partial palmar fasciectomy with release of an initial finger.
4. A hand therapist assisting the surgeon in rearranging local tissue to restore normal function in an additional finger during the same session as a partial palmar fasciectomy with release of an initial finger.
5. A hand surgeon performing a release of tendons at the middle joint of an additional finger to treat contracture during the same session as a partial palmar fasciectomy with release of an initial finger.
6. A plastic surgeon using a combination of Z-plasty and skin grafting to address contracture in an additional finger during the same session as a partial palmar fasciectomy with release of an initial finger.
7. An orthopedic surgeon performing a release of constriction in the middle joint of an additional finger and rearranging local tissue during the same session as a partial palmar fasciectomy with release of an initial finger.