CPT® Code 26262

Radical resection of a tumor in the distal phalanx of the finger, as described by CPT® Code 26262, 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 the distal phalanx, which is the last bone segment 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 the tumor is excised along with a wide margin of surrounding healthy tissue to ensure complete removal of any malignant cells. The procedure also includes the excision of all involved soft tissue, which may encompass muscles, tendons, fat, blood vessels, lymph vessels, nerves, and adjacent joint tissues. 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 may require additional reconstructive procedures, depending on the extent of the resection. It is important to note that CPT® Code 26262 is specifically designated for tumors located in the distal phalanx, while CPT® Code 26260 is used for tumors in the proximal or middle phalanx.