CPT® Code 26551

The procedure described by CPT® Code 26551 involves a complex surgical technique known as a toe-to-hand transfer with microvascular anastomosis, specifically utilizing the great toe. This procedure is designed to reconstruct a digit, typically the thumb, in cases of traumatic or congenital absence. The great toe is partially transferred, incorporating the nail and pulp, and potentially a portion of the distal phalanx, while preserving the bony structure of the toe itself. The remaining bone is covered with skin grafts to ensure proper healing and aesthetic appearance. The surgical process requires meticulous preparation of both the donor site (the great toe) and the recipient site (the hand), including the identification and isolation of tendons, nerves, and blood vessels for successful anastomosis. This intricate procedure not only restores functionality but also aims to enhance the cosmetic outcome of the hand, making it a vital option for patients requiring digit reconstruction.