CPT® Code 26250

Radical resection of a tumor in the metacarpal bone is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. The procedure begins with the creation of a skin incision directly over the tumor site, or alternatively, a skin flap may be elevated to provide access. During the operation, the surgeon meticulously dissects the overlying tissue to expose the tumor. The radical resection involves the complete removal of all bone and cartilage within the metacarpal that is affected by the tumor. This is done en bloc, meaning the tumor is excised along with a wide margin of healthy surrounding tissue to ensure complete removal of cancerous cells. The procedure also necessitates the excision of all involved soft tissues, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues that are adjacent to the joints. 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, further tissue is excised until all margins are confirmed to be clear of cancerous cells. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.