CPT^® 26116, Under Excision Procedures on the Hand and Fingers

The Current Procedural Terminology (CPT^®) code 26116 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Hand and Fingers.

Additional/Related Information

Tabs

Summary

The provider excises a subfascial tumor or vascular malformation from the soft tissue of the hand or finger. The resection size is under 1.5 cm.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2026 as well as historical information on code creation and revision.

Crosswalks

Tabs

MODIFIERS
ICD-10-CM

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 26116 ? Start a discussion here

26160 vs 26116

If there isn't any documentation of the nodule being excised from the tendon sheath then I would code it as 26116. When I plug this into my 3M coding software it leads me to 26116. Below is the coding... [ Read More ]

26160 vs 26116

Second question of the day... The surgeon removed a rheumatoid nodule (1x1cm) from the skin and flexor tendon. I'm not sure if I should report 26160 or 26116 in this case.... [ Read More ]

Billing

MUE for this code is 2, however, I would add 59 (or XS for Medicare) for the two additional fingers. 26116-F5, 26116-59-F6, 26116-59-F7.... [ Read More ]

Billing

I billed out 26116 F5, 26116F6, 26116 F7 and I am getting a denial stating it exceeds the contracted maximum number of units a day. What am I doing wrong?... [ Read More ]

Need help with Mass Removal CPT

[QUOTE="LIVE2CODE, post: 508064, member: 85416"] 26116 is not correct based off size. 26113 is what I would code based off size, and location. with dx of R2231,D481 and final diagnosis of ulcer. [/QUO... [ Read More ]

Need help with Mass Removal CPT

26116 is not correct based off size. 26113 is what I would code based off size, and location. with dx of R2231,D481 and final diagnosis of ulcer.... [ Read More ]

Need help with Mass Removal CPT

Can someone please look at this Op note and advise what CPT code I should use. The lab report came back with Dx of Infected Ulcer of finger. The physician gave me a CPT code of 26116 which is not corr... [ Read More ]

Excision dupuytren's nodule & trigger finger release

[QUOTE="ahodge90, post: 498716, member: 459465"] I have a very similar case that I am looking for some guidance on. I have a trigger middle finger and a palmar dupy nodule. Would the dupy nodule exisi... [ Read More ]

Cpt code 26116

[QUOTE="tdesher, post: 452290, member: 298133"]I am not sure how to code for this, Dr attempted to remove what he thought was a cyst in a thumb but after he was in there and looking around there was n... [ Read More ]

Cpt code 26116

I am not sure how to code for this, Dr attempted to remove what he thought was a cyst in a thumb but after he was in there and looking around there was no cyst present so he closed up and proceeded on... [ Read More ]

View All