Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
Macrodactyly of the fingers refers to a condition characterized by an abnormal overgrowth of bone and soft tissue, which includes nerves, fat, and skin, resulting in one or more digits appearing significantly larger than normal. This enlargement can lead to functional impairments and aesthetic concerns for the individual. The surgical procedure coded as CPT® 26590 involves the repair of macrodactylia, specifically addressing each affected digit. The primary goal of the surgery is to reduce the size of the enlarged digit through a combination of techniques aimed at debulking the excess soft tissue and shortening the digit. This is typically achieved by excising a portion of the phalanges or the metacarpal bone, depending on the extent of the overgrowth. The procedure may be performed in stages, allowing for careful management of the surgical site and optimal healing. During the surgery, thickened layers of skin are excised to facilitate the debulking process, and skin grafts may be harvested from healthier tissue in the proximal area of the digit or hand to cover any defects created during the procedure. The overall aim is to restore both function and appearance to the affected digit, ensuring a cosmetically acceptable outcome for the patient.
© Copyright 2026 Coding Ahead. All rights reserved.
The procedure for repairing macrodactylia is indicated for patients presenting with the following conditions:
The surgical procedure for the repair of macrodactylia involves several key steps, each aimed at effectively reducing the size of the affected digit.
Post-procedure care is essential for optimal recovery following the repair of macrodactylia. Patients are typically monitored for any signs of complications, such as infection or poor healing of the skin grafts. Pain management strategies are implemented to ensure patient comfort during the recovery phase. Patients may be advised to limit movement of the affected digit to promote healing and prevent stress on the surgical site. Follow-up appointments are crucial to assess the healing process and to determine if any additional interventions are necessary. The expected recovery time may vary based on the extent of the surgery and the individual patient's healing response.
| Short Descr | REPAIR FINGER DEFORMITY | Medium Descr | REPAIR MACRODACTYLIA EACH DIGIT | Long Descr | Repair macrodactylia, each digit | 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) | P3D - Major procedure, orthopedic - other | MUE | 2 | CCS Clinical Classification | 164 - Other OR therapeutic procedures on musculoskeletal system |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.