CPT® Code 26260

Radical resection of a tumor in the proximal or middle phalanx of the finger, as described by CPT® Code 26260, is a surgical procedure primarily indicated for the removal of malignant neoplasms. However, it may also be necessary for benign tumors or tumors of indeterminate nature. The procedure involves making a skin incision directly over the bone tumor located in either the proximal or middle phalanx of the finger. In some cases, a skin flap may be created and elevated to provide better access to the tumor. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage are resected. This radical approach entails the removal of the tumor en bloc, which means that the tumor is excised along with a wide margin of surrounding healthy tissue to ensure complete removal of cancerous cells. The procedure also includes the excision of all involved soft tissue, which may encompass muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. To confirm that all margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins indicate the presence of malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed as required.