CPT® Code 26111

The CPT® Code 26111 refers to the excision of a tumor or vascular malformation located in the soft tissue of the hand or finger, specifically when the size of the mass is 1.5 cm or greater. Soft tissues encompass a variety of structures, including subcutaneous fat, connective tissue, fascia, muscles, tendons, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors found in these soft tissues can be either benign or malignant. Typically, benign tumors are treated through excision, while small malignant or indeterminate tumors may also be excised if they have well-defined margins. The procedure involves careful consideration of the tumor's location; the skin over the tumor may be incised directly, or a skin flap may be created and elevated to access the underlying mass. Once the overlying tissue is dissected, the soft tissue mass is exposed, allowing for the excision of the tumor or vascular malformation along with a margin of healthy tissue to ensure complete removal. In some cases, a separately reportable frozen section may be performed during the procedure to confirm that all margins are free of tumor cells. After the excision, drains may be placed as necessary, and the surgical wound is typically closed in layers to promote proper healing. For excisions of tumors or vascular malformations that are less than 1.5 cm, the appropriate code is 26115, while for those located below the fascia, codes 26116 and 26113 are used based on size. It is important to accurately code these procedures to reflect the complexity and extent of the surgical intervention performed.