CPT® Code 26580

Cleft hand is a congenital anomaly characterized by the absence of part or all of one or more fingers, resulting in a central V-shaped gap or cleft in the hand. This condition can vary significantly in severity, affecting the functionality of the hand. Surgical intervention is typically indicated when the cleft hand significantly impairs hand function. The surgical approach is tailored to the specific characteristics of the anomaly. The cleft hand repair procedure involves the meticulous rearrangement of skin and soft tissue to effectively close the cleft gap. Additionally, the procedure may include stabilization or transfer of bones, as well as correction of any associated deformities of the fingers or thumb. A commonly utilized technique in this repair is the Snow procedure, which focuses on deepening the space between the thumb and index finger. In this technique, skin from the cleft area is carefully transposed while preserving its blood supply to cover the gap between the thumb and index finger, followed by a layered closure of the cleft.