Polydactyly Excision

Question:

We have a new surgeon in our practice who does hand surgery. I usually don’t code for hand surgery and have never coded a case before for polydactyly excision; how does one code this procedure? The documentation does not reflect any bony work.

Answer:

Within the hand section of the CPT book, you will find CPT code 26587. This code is for the reconstruction of polydactylous digit, soft tissue, and bone. Below this, there is a parenthetical note that states that for excision of polydactylous digit, soft tissue, only use CPT 11200. The documentation within the note will lead you to the appropriate code to report. Based on your scenario presented, CPT 11200 is applicable.

*This response is based on the best information available as of 9/11/24.