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The procedure described by CPT® Code 26555 involves the transfer of a finger from one location to another on the hand. This transfer is performed without the need for microvascular anastomosis, which means that the surgeon does not need to surgically connect nerves, blood vessels, or other anatomical structures during the procedure. The primary goal of this surgical intervention is to reposition the finger to improve function, aesthetics, or both, depending on the specific needs of the patient. The procedure is typically indicated in cases where the original position of the finger may be causing functional impairment or where a more favorable position can enhance the overall hand function. The transfer is executed with careful consideration of the surrounding tissues to ensure optimal healing and recovery.
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The procedure associated with CPT® Code 26555 is indicated for various conditions where repositioning of a finger is necessary. The following are explicitly provided indications for this procedure:
The procedure for transferring a finger without microvascular anastomosis involves several key steps that ensure the successful repositioning of the finger. Each step is critical to achieving the desired outcome while minimizing complications.
Post-procedure care following the transfer of a finger is essential for optimal recovery. Patients are typically advised to keep the surgical site clean and dry, and to follow any specific wound care instructions provided by the surgeon. Pain management may be necessary, and patients are often prescribed analgesics to manage discomfort. Physical therapy may be recommended to help restore function and mobility to the finger and hand. The expected recovery time can vary based on individual healing rates and the complexity of the procedure, but patients should be monitored for any signs of complications, such as infection or improper healing. Follow-up appointments are crucial to assess the success of the transfer and to make any necessary adjustments to the rehabilitation plan.
| Short Descr | POSITIONAL CHANGE OF FINGER | Medium Descr | TR FNGR AXH POS W/O MVASC ANAST | Long Descr | Transfer, finger to another position without microvascular anastomosis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 2 | CCS Clinical Classification | 161 - Other OR therapeutic procedures on bone |
| 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | F1 | Left hand, second digit | LT | Left side (used to identify procedures performed on the left side of the body) |
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| Pre-1990 | Added | Code added. |
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