CPT Codes for the ABOS Hand Subspecialty Case List

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1 10060 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 Debridement of extensive eczematous or infected skin; each additional 10% of the body surface 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 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 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 Excision, malignant lesion, trunk, arms, or legs; lesion diameter 1.1 to 2.0 cm

2 11603 Excision, malignant lesion, trunk, arms, or legs; lesion diameter 2.1 to 3.0 cm Excision, malignant lesion, trunk, arms, or legs; lesion diameter 3.1 to 4.0 cm Excision, malignant lesion, trunk, arms, or legs; lesion diameter over 4.0 cm Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 2.1 cm to 3.0 cm Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm Trimming of nondystrophic nails, any number Avulsion of nail plate, partial or complete, simple; single Avulsion of nail plate, partial or complete, simple; each additional nail plate Evacuation of subungual hematoma Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent Biopsy of nail unit eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds separate procedure Repair of nail bed Reconstruction of nail bed with graft 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 (including hands and feet); 2.5 cm or less Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (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 (including hands and feet); 7.6 cm to 12.5 cm Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities Treatment of superficial wound dehiscence; simple closure 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 7.5 cm Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

3 12037 Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm Layer closure of wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm Layer closure of wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm Layer closure of wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm Repair, complex, trunk; 1.1 cm to 2.5 cm Repair, complex, trunk; 2.6 cm to 7.5 cm Repair, complex, trunk; each additional 5 cm Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm Repair, complex, scalp, arms, and/or legs; each additional 5 cm Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm

4 13160 Secondary closure of surgical wound or dehiscence, extensive or complicated Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less 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 Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusual or complicated, any area Filleted finger or toe flap, including preparation of recipient site 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 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 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 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 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 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 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) 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

5 15110 Epidermal autograft, trunk, arms, legs; first sq cm or less, or 1 per cent of body area of infants and children Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent of body 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 digits; each additional 100 sq cm, or each additional 1 per cent of body area of infants and children, or Split graft, face, eyelids, mouth, neck, ears, orbits, genitalia, and/or multiple digits; 100 sq cm or less, or Split graft, face, eyelids, mouth, neck, ears, orbits, genitalia, and/or multiple digits; each additional 100 sq Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1 per cent of body area of infants and Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent of body area Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or multiple Acellular dermal replacement, trunk, arms, legs; first 100 sq cm less, or 1 per cent of body area of infants Acellular dermal replacement, trunk, arms, legs; each additional 100 sq cm, or each additional 1 per cent Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and or Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less 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

6 15430 Acellular xenograft implant; first 100 sq cm less, or 1 per cent of body area of infants and children 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, Delay of flap or sectioning of flap (division and inset); at trunk 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) Graft, composite including skin, including primary closure of donor area Graft, composite including dermis fat fascia, including primary closure of donor area Removal of sutures under anesthesia (other than local), same surgeon Removal of sutures under anesthesia (other than local), other surgeon Dressing change (for other than burns) under anesthesia (other than local) Intravenous injection of agent eg, fluorescein) to test blood flow in flap or graft Initial treatment, first degree burn, when no more than local treatment is required Dressings and/or debridement, initial or subsequent; without anesthesia, office or hospital, small 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

7 17271 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) Removal of foreign body in muscle or tendon sheath; simple 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 Injection, therapeutic; single tendon origin or insertion 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 bursa) Aspiration or injection ganglion cyst Aspiration or injection bone cyst Insertion of wire or pin with application of skeletal traction, including removal separate procedure Removal of implant; superficial, eg, buried wire, pin or rod) separate procedure removal hardware Removal of implant; deep, eg, buried wire, pin, screw, metal band, nail, rod or plate) removal of Application of a uniplane (pins or wires in one plane), unilateral, external fixation system Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system eg, Adjustment or revision of external fixation system requiring anesthesia eg, new pin or wire and/or new Removal, under anesthesia, of external fixation system Replantation, arm (includes surgical neck of humerus through elbow joint); complete amputation Replantation, forearm (includes radius and ulna to radial carpal joint); complete amputation Replantation, hand (includes hand through metacarpophalangeal joints); complete amputation Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion); complete Replantation, thumb (includes carpometacarpal joint to MP joint) ; complete amputation Replantation, thumb (includes distal tip to MP joint); complete amputation Bone graft, any donor area; minor or small eg, dowel or button) Bone graft, any donor area; major or large

8 20910 Cartilage graft; costochondral Fascia lata graft; by stripper Fascia lata graft; by incision and area exposure, complex or sheet Tendon graft, from a distance eg, palmaris, toe extensor, plantaris) Tissue grafts, other eg, paratenon, fat, dermis, etc) Monitoring of interstitial fluid pressure (includes insertion of device eg, wick catheter technique, needle Bone graft with microvascular anastomosis; fibula Bone graft with microvascular anastomosis; metatarsal Bone graft with microvascular anastomosis; metatarsal Bone graft with microvascular anastomosis; other bone graft Free osteocutaneous flap with microvascular anastomosis, other than iliac crest, rib, metatarsal, or great Free osteocutaneous flap with microvascular anastomosis; iliac crest Free osteocutaneous flap with microvascular anastomosis; metatarsal Free osteocutaneous flap with microvascular anastomosis; great toe with web space Incision deep, with opening of bone cortex; elbow or upper arm Incision and drainage elbow bursa Arthrotomy, elbow, for infection, with exploration, drainage or removal of foreign body Arthrotomy of the elbow, with capsular excision for capsular release separate procedure Biopsy, soft tissue of upper arm or elbow area; superficial Biopsy, soft tissue of upper arm or elbow area; deep Excision subcutaneous soft tissue tumor; upper arm or elbow Excision, tumor, upper arm or elbow area; deep, subfascial or intramuscular Excision, tumor, upper arm or elbow area; deep, subfascial or intramuscular Radical resection of tumor; upper arm or elbow Arthrotomy, elbow; with synovial biopsy only 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 Excision or curettage of bone cyst or benign tumor; humerus; with autograft includes graft harvest Excision or curettage of bone cyst or benign tumor; humerus; with allograft Excision or curettage of bone cyst or benign tumor; radial head or neck or olecranon process 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 Radial head excision Radial head excision Sequetrestomy, shaft or distal humerus Sequetrestomy, radial head or neck Sequetrestomy, olecranon process

9 24140 Partial excision, humerus Partial excision, radial head or neck Partial excision, olecranon process Partial excision, olecranon process Radical resection of capsule, soft tissue and heterotopic bone, elbow, with contracture release 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 Resection of elbow joint arthrectomy Implant removal, elbow joint Implant removal, radial head Removal of foreign body; elbow or upper arm, subcutaneous Removal of foreign body; elbow or upper arm, subcutaneous Removal of foreign body; elbow or upper arm, deep Removal of foreign body; elbow or upper arm, deep Removal of foreign body; elbow or upper arm, deep Manipulation; elbow; under anesthesia Muscle or tendon transfer, any type, upper arm or elbow, single Tendon lengthening, upper arm or elbow, single, each Tenotomy, open elbow to shoulder, single, each Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon Brookes Flexor plasty, elbow, eg, Steindler type advancement) Flexor plasty, elbow, eg, Steindler type advancement); with extensor advancement Tenolysis, triceps Tenodesis of biceps tendon at elbow, separate procedure Repair, tendon or muscle, upper arm or elbow, each Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) Repair lateral collateral ligament, elbow, with local tissue Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest Repair medial collateral ligament, elbow, with local tissue Repair medial collateral ligament, elbow, with tendon graft, including graft harvest Percutaneous medial or lateral epicondyle tenotomy Medial or lateral epicondyle debridement Medial or lateral epicondyle debridement with tendon repair or reattachment Arthroplasty, elbow, with membrane or fascia

10 24361 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 Arthroplasty, radial head, with implant 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 Treatment of closed elbow dislocation; without anesthesia Treatment of closed elbow dislocation; requiring anesthesia Open treatment of acute or chronic elbow dislocation 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

11 24800 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) Incision, flexor tendon sheath, wrist Decompression fasciotomy, forearm and/or wrist; flexor or extensor compartment Decompression fasciotomy, forearm and/or wrist; with debridement of nonviable muscle and/or nerve Decompression fasciotomy,forearm and or wrist, flexor and extensor compartments, without Decompression fasciotomy,forearm and or wrist, flexor and extensor compartments, with debridement Incision and drainage, forearm and/or wrist; deep abscess or hematoma Incision and drainage, forearm and/or wrist; infected bursa Incision, deep, with opening of bone cortex eg, for osteomyelitis or bone abscess), forearm and/or wrist Arthrotomy, radiocarpal or mediocarpal joint, with exploration, drainage, or removal of foreign body Biopsy, soft tissue of forearm and/or wrist; superficial Biopsy, soft tissue of forearm and/or wrist; deep Excision, tumor, forearm and/or wrist area; subcutaneous Excision, tumor, forearm and/or wrist area; deep, subfascial or intramuscular Radical resection of tumor eg, malignant neoplasm), soft tissue of forearm and/or wrist area Capsulotomy, wrist eg, for contracture) Arthrotomy, wrist joint, with biopsy Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose Arthrotomy, wrist joint, with synovectomy Arthrotomy, distal radioulnar joint for repair of triangular cartilage complex Excision of tendon, forearm and or wrist, flexor or extensor, each Excision, lesion of tendon sheath, forearm and/or wrist Excision of ganglion, wrist (dorsal or volar); primary 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 other granulomas, rheumatoid arthritis); extensors (with or without transposition of dorsal retinaculum) Synovectomy, extensor tendon sheath, wrist, single compartment Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna 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 olecranon process); with auto graft (includes obtaining graft)

12 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 Excision or curettage of bone cyst or benign tumor of carpal bones 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 Sequestrectomy eg, for osteomyelitis or bone abscess), forearm and/or wrist 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 Carpectomy; one bone Carpectomy; all bones of proximal row Radial styloidectomy separate procedure Excision distal ulna, partial or comlete eg, Darrach type or matched resection) Exploration with removal of deep foreign body, forearm or wrist Removal of wrist prosthesis; separate procedure Removal of wrist prosthesis; complicated, including total wrist Manipulation, wrist, under anesthesia Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Repair, tendon or muscle, extensor, secondary, with tendon graft (includes obtaining graft), forearm Repair, tendon sheath, extensor, forearm and or wrist, with free graft includes graft harvest Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Tenotomy, open flexor or extensor tendon, forearm and/or wrist, single, each tendon Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Tenodesis at wrist; flexors of fingers Tenodesis at wrist; extensors of fingers Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft Flexor origin slide eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist Flexor origin slide for cerebral palsy, forearm and/or wrist; with tendon transfer Capsulorrhaphy or reconstruction, wrist, any method eg, capsulodesis, ligament repair, tendon transfer Arthroplasty, wrist Centralization of wrist on ulna eg, radial club hand) Reconstruction of unstable distal radioulnar joint Osteotomy, radius; distal third Osteotomy, radius; middle or proximal third Osteotomy; ulna Osteotomy; radius and ulna Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna

13 25375 Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Osteoplasty, radius OR ulna; shortening 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) Repair of nonunion or malunion, radius AND ulna; with iliac or other autograft (includes obtaining graft) Repair of defect with autograft; radius OR ulna Repair of defect with autograft; radius AND ulna Insertion vascular pedicle into carpal bone 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 Arthroplasty with prosthetic replacement, scaphoid Arthroplasty with prosthetic replacement, lunate Arthroplasty with prosthetic replacement, trapezium Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) 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 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate; ulna 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 fracture/dislocation) Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation), with or without percutaneous skeletal

14 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 Closed treatment of ulnar shaft fracture; without manipulation Closed treatment of ulnar shaft fracture; with manipulation Open treatment of ulnar shaft fracture, with or without internal or external fixation Closed treatment of radial and ulnar shaft fractures; without manipulation Closed treatment of radial and ulnar shaft fractures; with manipulation Open treatment of radial and ulnar shaft fractures, with internal or external fixation; of radius OR ulna Open treatment of radial and ulnar shaft fractures, with internal or external fixation; of radius AND ulna Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or Percutaneous fixation distal radius fracture or epiphyseal separation Percutaneous fixation distal radius fracture or epiphyseal separation Open treatment of extraarticular distal radial fracture or epiphyseal separation, with or without fracture Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of Closed treatment of carpal scaphoid navicular fracture; without manipulation Closed treatment of carpal scaphoid navicular fracture; with manipulation Open treatment of carpal scaphoid navicular fracture, with or without internal or external fixation Closed treatment of carpal bone fracture (excluding carpal scaphoid navicular); without manipulation, Closed treatment of carpal bone fracture (excluding carpal scaphoid navicular); with manipulation, each Open treatment of carpal bone fracture (excluding carpal scaphoid navicular), each bone Closed treatment of ulnar styloid fracture Percutaneous fixation ulnar styloid fracture Open treatment ulnar styloid fracture Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation Open treatment of radiocarpal or intercarpal dislocation, one or more bones Percutaneous fixation distal radioulnar dislocation Closed treatment of distal radioulnar dislocation with manipulation Open treatment of distal radioulnar dislocation, acute or chronic Closed treatment of trans scaphoperilunar type of fracture dislocation, with manipulation Open treatment of trans scaphoperilunar type of fracture dislocation Closed treatment of lunate dislocation, with manipulation Open treatment of lunate dislocation Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); without bone graft Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); with sliding graft Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); with iliac or other autograft Intercarpal fusion; without bone graft Intercarpal fusion; with autograft (includes obtaining graft) 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

15 25915 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 Tendon sheath incision eg, for trigger finger) Tenotomy, subcutaneous, single, each digit Arthrotomy, for infection, with exploration, drainage or removal of foreign body; carpometacarpal joint 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, each Arthrotomy with synovial biopsy; carpometacarpal joint Arthrotomy for synovial biopsy; metacarpophalangeal joint Arthrotomy for synovial biopsy; interphalangeal joint, each Excision, tumor or vascular malformation, hand or finger; subcutaneous Excision, tumor or vascular malformation, hand or finger; deep, subfascial, intramuscular 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 (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 (includes obtaining graft); partial palmar excision with release of each additional digit, including proximal Synovectomy, carpometacarpal joint

16 Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Synovectomy tendon sheath, radical tenosynovectomy, flexor, palm or finger, single, each digit Excision of lesion of tendon sheath or capsule eg, cyst, mucous cyst, or ganglion), hand or finger Excision of tendon, palm, flexor, single separate procedure, each Excision of tendon, finger, flexor separate procedure Sesamoidectomy, finger or thumb Excision or curettage of bone cyst or benign tumor of metacarpal 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 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 phalanx of finger Radical resection ostectomy for tumor, metacarpal Radical resection ostectomy for tumor, metacarpal; with autograft (includes obtaining graft) 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 Manipulation finger joint under anesthesia, each joint 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

17 26412 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 Capsulectomy or capsulotomy for contracture; interphalangeal joint, single each Arthroplasty, metacarpophalangeal joint; single, each

18 26531 Arthroplasty, metacarpophalangeal joint; with prosthetic implant, single, each 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 Pollicization of a digit Digit reconstruction with wrap around toe and bone graft Digit reconstruction with toe other than great toe Digit reconstructions with toes other than great toe double Positional change of other finger 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 Osteotomy for correction of deformity; metacarpal Osteotomy for correction of deformity; phalanx of finger Osteoplasty for lengthening of metacarpal or phalanx Repair cleft hand Reconstruction of supernumerary digit, soft tissue and bone Repair macrodactylia Repair, intrinsic muscles of hand Release, intrinsic muscles of hand Excision of constricting ring of finger, with multiple Z plasties Closed treatment of metacarpal fracture, single; without manipulation, each bone Closed treatment of metacarpal fracture, single; with manipulation, each bone Closed treatment of metacarpal fracture, single; with manipulation, with internal or external fixation, each bone Percutaneous skeletal fixation of metacarpal fracture, each bone

19 26615 Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone Closed treatment of carpometacarpal dislocation, thumb, with manipulation Closed treatment of carpometacarpal fracture dislocation, thumb Bennett fracture, with manipulation 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 Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixation Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with 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 without internal or external fixation, each Closed treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint; Closed treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint; Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, with or without internal or external fixation, each Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external fixation, each Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia

20 26775 Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation Open treatment of interphalangeal joint dislocation, with or without internal or external fixation, single Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) Arthrodesis, carpometacarpal joint, digits, other than thumb Arthrodesis, carpometacarpal joint, digits, other than thumb; with autograft (includes obtaining graft) Arthrodesis, metacarpophalangeal joint, with or without internal fixation Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Arthrodesis, interphalangeal joint, with or without internal fixation Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint 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) Unlisted procedure, hand or fingers Application of cast; shoulder to hand (long arm) Application of cast; elbow to finger (short arm) Application of cast; hand to lower forearm (gauntlet) Application of finger cast Application of long arm splint (shoulder to hand) Application of short arm splint (forearm to hand); static Application of short arm splint (forearm to hand); dynamic

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