CPT® Code 26117

Radical resection of a tumor in the soft tissue of the hand or finger, as described by CPT® Code 26117, involves the surgical removal of a tumor that is less than 3 cm in size. Soft tissues encompass various structures, including muscles, tendons, fat, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors in these areas can be either benign or malignant, with radical resection primarily indicated for malignant neoplasms, such as sarcomas. However, benign tumors or those of indeterminate nature may also necessitate this extensive surgical approach. The procedure typically begins with a skin incision made directly over the tumor or the creation of a skin flap that is elevated to access the underlying tissue. The surgeon meticulously dissects the overlying tissue to expose the tumor, which is then excised en bloc, meaning it is removed in one piece along with a wide margin of healthy surrounding tissue. This comprehensive excision is crucial to ensure that all involved soft tissue, including muscles, nerves, and blood vessels, is adequately addressed. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers or may require additional reconstructive procedures, which are reported separately. For tumors measuring 3 cm or greater, CPT® Code 26118 should be utilized instead.