CPT® Code 26567

An osteotomy of the phalanx of a finger involves a surgical procedure where a bone cut is made to correct a deformity or to realign the bone structure. This procedure is specifically focused on the phalanges, which are the bones in the fingers. The type of osteotomy performed can vary based on the specific deformity being addressed and may include techniques such as transverse, wedge, sliding, right or left angle, V-osteotomy, and Z-osteotomy. Prior to the surgery, the physician utilizes radiographic studies to determine the precise location and configuration of the bone cut necessary to achieve optimal alignment and correction. During the procedure, an incision is made over the targeted phalanx, allowing for the dissection of soft tissues to expose the bone. The periosteum, a layer of connective tissue surrounding the bone, is elevated to facilitate access. The bone is then cut using surgical instruments such as a drill, saw, or osteotome, following the predetermined configuration. If necessary, bone grafts may be placed between the cut segments to promote healing and stability. To ensure that the bone edges remain properly aligned, various internal fixation devices, such as pins, screws, or plates, may be applied. In some cases, an external fixation device may also be utilized. It is important to report the procedure using the appropriate CPT® code, specifically 26567 for osteotomy of the phalanx, with separate reporting for each phalanx treated during the surgery.