What is CPT Code 26536?: Understanding Finger Joint Replacement Surgery






What is CPT Code 26536?: Understanding Finger Joint Replacement Surgery

CPT code 26536 refers to a surgical procedure in which a damaged joint in a finger is replaced with an artificial implant.

Procedure Explanation:

This procedure involves removing an unhealthy or dysfunctional joint in the finger and replacing it with a manufactured piece that acts like a joint, known as a prosthetic implant. It deals specifically with the small joints in the fingers and is focused on one joint at a time. This means it targets a single problematic joint and no extra steps, like working on tendons or muscles, are involved.

Common Names:

  1. Finger Joint Replacement
  2. Interphalangeal Joint Prosthesis
  3. IP Joint Arthroplasty

Relative Value Units (RVU):

The RVUs associated with this code are 6.56.

How This Procedure Appears:

  • Operating Room Schedule Name: Finger Joint Replacement Surgery
  • Surgical Consent Form Name: Interphalangeal Joint Arthroplasty with Implant

Typical Patients and Diagnoses:

This kind of surgery is common for patients who have long-term arthritis that has worn away their finger joints, causing intense pain and limited movement. It can also be used for people whose finger joints have been severely damaged by a past injury. A typical patient might be someone struggling with everyday activities like gripping or typing because of joint pain or immobility.

Associated ICD-10 Codes:

  • M19.041: This code is used for a condition called primary osteoarthritis (arthritic condition) specifically affecting the interphalangeal joint of one finger.
  • M08.045: This code describes a juvenile rheumatoid arthritis condition in a finger, often prescribed for young patients showing arthritis symptoms in their digits.
  • S62.630A: This code indicates a fracture of one of the bones in the finger, but not related to any other major injury.

Summary

In summary, code 26536 describes the procedure of replacing a finger joint with a plastic or metal implant to restore function and reduce pain. Typical ICD-10 codes associated with 26536 include M19.041 (osteoarthritis of finger joint) and M08.045 (juvenile arthritis of the finger).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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