CPT® Code 26554

A toe-to-hand transfer is a surgical procedure that involves relocating a toe, specifically one that is not the great toe, to the hand. This complex operation is performed to restore function or appearance to the hand, particularly in cases where fingers may be missing or severely damaged. The procedure requires meticulous preparation of both the hand and the toe to ensure successful integration of the transferred tissue. The hand is carefully prepared to receive the toe, which includes making incisions to access the underlying structures. Scar tissue may be excised to facilitate a better fit for the transferred toe. The bone stump of the toe is prepared, and the surrounding tissues are dissected to identify essential structures such as tendons, nerves, and blood vessels. These components are crucial for the successful anastomosis, which is the surgical connection of blood vessels and nerves between the toe and the hand. The procedure also involves the careful elevation of a dermal flap from the toe, ensuring that vital blood supply is preserved for the transfer. Once the toe is excised, it is transferred to the hand, where it is secured in place, and connections are made to restore blood flow and nerve function. This procedure is particularly significant for patients requiring reconstructive surgery to enhance hand functionality or aesthetics.