We do a bunch of these.
CPT coding guidance directs us to 11200 if there is NO bone involved. If you still have your 2008 CPT book (yes, i keep my old books, as the coding tidbits seem to disappear year to year) under 26254 CPT directs you:
"For excision of polydactylous digit, soft tissue only, use 11200"
Hope that helps! I can scan you the CPT page if you'd like to see it.
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