CPT® Code 26035

The procedure described by CPT® Code 26035 involves the surgical decompression of the fingers and/or hand following an injection injury. An injection injury occurs when a patient inadvertently injects a substance into their body using a high-pressure device, such as a grease gun, spray gun, diesel injector, paint gun, concrete gun, or plastic injector. These injuries are particularly concerning due to the potential for significant tissue damage and necrosis caused by the injected material. The most frequently affected area is the nondominant index finger, although other common sites include the long finger, thumb, and palm. The decompression procedure entails making an incision over the site of the injection to access and inspect the deeper tissues. During this process, the injected material is carefully removed, and any necrotic tissue is debrided to promote healing. Following the removal of harmful substances and damaged tissue, the wound is irrigated with normal saline to cleanse the area and is then packed open to facilitate proper healing and prevent infection.