Hand CPT codes

Surgical reattachment of a completely amputated hand, including all structures from the hand through the metacarpophalangeal joints.

Microvascular transfer of two toes (neither the great toe) to reconstruct two absent or amputated digits on the hand.

Free toe joint transfer to the hand using microvascular anastomosis, replacing a finger joint destroyed by trauma or congenital deformity.

Great-toe wrap-around transfer to the hand with microvascular anastomosis and bone graft for thumb reconstruction

Toe-to-hand transfer with microvascular anastomosis, single digit other than the great toe

Complete replantation of a traumatically amputated forearm, reattaching bone, vessels, nerves, and soft tissue.

Surgical reattachment of a completely amputated thumb, spanning the carpometacarpal joint through the MP joint, including repair of bone, vasculature, nerves, and soft tissue.

Replantation of a single digit (excluding the thumb) following complete amputation, covering the metacarpophalangeal joint through the insertion of the flexor sublimis tendon.

Replantation of the thumb from the distal tip through the metacarpophalangeal (MP) joint following complete amputation.

Surgical reattachment of a completely severed finger (excluding the thumb), restoring bone alignment, vascular continuity, nerve integrity, and tendon function through microsurgical technique.

Pollicization of a digit — surgical reconstruction of a thumb by repositioning a finger (typically the index finger), including its bones, tendons, nerves, and vessels, into the thumb position.

Surgical reconstruction of a congenital cleft hand deformity involving absence of one or more central digits, resulting in a V-shaped central deficiency of the hand.

Surgical correction of macrodactyly — abnormal enlargement of one or more fingers — involving reduction and reconstruction of the affected digit(s).

Surgical separation and reconstruction of congenitally fused fingers involving complex repair with bone work, nail bed release, and nail fold reconstruction.

Surgical repositioning of a finger or thumb displaced due to polydactyly, where duplicate digit tissue is removed and the remaining finger is placed in a functionally appropriate anatomic position.

Tendon transfer surgery that restores intrinsic muscle function across all four fingers, correcting claw hand deformity caused by intrinsic muscle paralysis or loss.

Surgical repair of a failed-to-heal fracture in a metacarpal or phalanx bone, including harvesting a bone graft and stabilizing with external or internal fixation when indicated.

Radical resection of a metacarpal bone for tumor — an extensive ostectomy involving removal of substantial bone stock from the hand.

Radical resection of a soft tissue tumor of the hand or finger measuring 3 cm or greater, including sarcoma-type resections requiring wide margins.

Removal of a previously placed synthetic flexor tendon spacer rod and replacement with a harvested autograft tendon in the hand or finger — billed once per rod removed.

Surgical reconstruction of a polydactylous (extra) digit of the hand, involving excision and remodeling of both soft tissue and bone.

Surgical release of a flexor tendon from adhesions spanning both the palm and finger, restoring gliding function across the full tendon excursion.

Surgical separation of congenitally fused fingers at a single web space, using local skin flaps and grafts to reconstruct the released web.

Palmar tendon transfer or transplant using a free tendon graft, including harvest of the graft, reported per tendon.

Secondary repair or advancement of a single flexor tendon in Zone 2 (no man's land) using a free graft, including harvest of the graft.

Surgical lengthening of a metacarpal or phalanx bone, typically performed via osteodistraction — the controlled separation of two bone segments to allow new bone formation in the gap.

Opponensplasty performed via tendon transfer with a free graft to restore thumb opposition; graft harvest is included in the code.

Secondary repair of the profundus (deep flexor) tendon with an intact superficialis tendon, performed using a free graft harvested during the same operative session.

Removal of a previously placed synthetic extensor tendon rod and insertion of an extensor tendon graft in the hand or finger, including harvest of the graft; reported per rod.

Opponensplasty procedure transferring a tendon to restore opposition function of the thumb — the thumb's ability to move across the palm and meet the fingertips.

Tendon transfer to restore intrinsic function of the ring and small fingers by rerouting a donor tendon to replace lost intrinsic muscle function.

Secondary repair or advancement of the flexor digitorum profundus tendon in a finger where the superficialis tendon remains intact, performed without a free graft.

Capsulodesis of the metacarpophalangeal joint addressing three or four digits — joint capsule is incised and reattached under increased tension to stabilize the MCP joint against volar or ulnar drift.

Secondary repair of a flexor tendon in the finger or hand, performed more than seven days after the original injury.

Excision of a flexor tendon with implantation of a synthetic rod to prepare the finger or hand for a delayed tendon graft — Stage 1 of a two-stage Hunter rod reconstruction.

Surgical revision of hand tendons affected by palsy, performed at the wrist or forearm level to restore or improve function compromised by neurological deficit.

Surgical correction of claw finger deformity using a technique not described by a more specific code, such as rerouting a flexor tendon to function as an extensor.

Capsulodesis of the metacarpophalangeal joint(s) in two digits to correct instability by tightening and reattaching the joint capsule to the metacarpal and proximal phalanx.

Arthrodesis of the carpometacarpal joint of a finger (not the thumb), performed with autograft harvested from the patient's own body during the same operative session.

Surgical amputation performed across the metacarpal bones, removing all fingers and the distal portion of the hand at the transmetacarpal level.

Transfer or transplant of a tendon in the carpometacarpal area or dorsum of the hand using a free tendon graft, including harvest of the graft; reported per tendon.

Excision of an extensor tendon from the hand or finger with implantation of a synthetic rod or tube to maintain the tendon gliding channel until a staged tendon graft can be performed.

Opponensplasty using hypothenar muscle transfer to restore thumb opposition in the hand.

Opponensplasty using a superficialis (flexor digitorum superficialis) tendon transfer to restore thumb opposition function — the ability to move the thumb across the palm to meet the fingertips.

Arthrodesis of the thumb carpometacarpal joint using an autogenous bone graft, with or without internal fixation; graft harvest is included in the code.

Surgical decompression of the fingers and/or hand, typically performed for injection injuries such as high-pressure grease gun or paint gun wounds, involving incision and release of involved compartments and tissue planes.

Arthrodesis of the thumb metacarpophalangeal joint in the opposition position using an autogenous graft harvested during the same operative session.

Palmar tendon transfer or transplant performed without a free tendon graft, billed per tendon.

Secondary flexor tendon repair or advancement outside zone 2 (no man's land), performed with a free graft; includes harvesting the graft at the time of repair.

Reconstruction of a single metacarpophalangeal joint collateral ligament using a tendon or fascial graft, with graft harvest included in the procedure.

Arthrodesis of the metacarpophalangeal joint using an autograft harvested during the same operative session, with or without internal fixation.

Surgical excision of a constricting fibrous ring encircling a finger, using multiple Z-plasty incisions to release the band and reconstruct skin without requiring a graft.

Secondary repair of the extensor tendon's central slip at the proximal interphalangeal joint using a free graft, performed to correct boutonniere deformity and restore active finger extension. Graft harvest is included in the code.

Re-amputation of the hand at the transmetacarpal level — a secondary surgical revision following a prior transmetacarpal amputation.

Partial palmar fasciectomy with release of a single digit including the proximal interphalangeal joint — with or without Z-plasty, local tissue rearrangement, or skin grafting (graft harvest included).

Arthrodesis of a carpometacarpal joint of the hand, any digit except the thumb, with or without internal fixation

Surgical reconstruction of a finger joint, restoring articular integrity and function at an interphalangeal or metacarpophalangeal joint.

Primary repair or advancement of the flexor digitorum profundus tendon when the superficialis tendon remains intact, performed per finger.

Primary repair or advancement of a flexor tendon located in zone 2 of the digital flexor tendon sheath (no-man's land), performed without a free graft, reported per tendon.

Surgical fusion of the thumb carpometacarpal (CMC) joint, with or without internal fixation hardware.