CPT® Code 26590

Macrodactyly of the fingers refers to a condition characterized by an abnormal overgrowth of bone and soft tissue, which includes nerves, fat, and skin, resulting in one or more digits appearing significantly larger than normal. This enlargement can lead to functional impairments and aesthetic concerns for the individual. The surgical procedure coded as CPT® 26590 involves the repair of macrodactylia, specifically addressing each affected digit. The primary goal of the surgery is to reduce the size of the enlarged digit through a combination of techniques aimed at debulking the excess soft tissue and shortening the digit. This is typically achieved by excising a portion of the phalanges or the metacarpal bone, depending on the extent of the overgrowth. The procedure may be performed in stages, allowing for careful management of the surgical site and optimal healing. During the surgery, thickened layers of skin are excised to facilitate the debulking process, and skin grafts may be harvested from healthier tissue in the proximal area of the digit or hand to cover any defects created during the procedure. The overall aim is to restore both function and appearance to the affected digit, ensuring a cosmetically acceptable outcome for the patient.