Soft tissue repair 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.

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

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

Free osteocutaneous flap harvested from the great toe with web space, transferred to a recipient site using microvascular anastomosis to restore both bone and soft tissue.

Free osteocutaneous flap transfer with microvascular anastomosis, harvested from a donor site other than the iliac crest, metatarsal, or great toe, to reconstruct combined bone and soft tissue defects.

Radical resection of a tumor or infection involving the total innominate bone (ilium, ischium, and pubis as a composite structure), with wide excision margins extending into surrounding healthy tissue.

Free osteocutaneous flap harvested from the iliac crest, including bone, overlying skin, and intact vascular pedicle, transferred with microvascular anastomosis to reconstruct a distant defect.

Free osteocutaneous flap transfer from a metatarsal donor site, with microvascular anastomosis, to reconstruct a recipient site requiring both bone and skin coverage.

Surgical reattachment of a completely amputated foot, restoring bony, vascular, tendinous, and neural continuity.

Surgical reattachment of a completely severed arm, spanning from the surgical neck of the humerus through the elbow joint.

Microvascular bone graft harvested from the metatarsal, transferred to a recipient site with microsurgical vascular anastomosis to restore active blood supply.

Bone graft harvested from the iliac crest and transferred to a recipient site using microvascular anastomosis to restore the graft's blood supply.

Harvest and transfer of a vascularized fibula bone graft using microvascular technique, including anastomosis of the accompanying blood supply to the recipient site.

Microvascular bone graft harvested from a donor site other than the fibula, iliac crest, or metatarsal, transplanted with its intact arterial and venous supply to fill a major skeletal defect at the recipient site.

Radical resection of a tumor involving a wing of the ilium, one pubic or ischial ramus, or the symphysis pubis, with removal of a margin of surrounding healthy tissue.

Radical resection of a tumor involving the femur or knee, including bone and surrounding soft tissue as required for oncologic margins.

Radical resection of tumor involving the ischial tuberosity and greater trochanter of the femur, with wide excision margins including surrounding healthy tissue.

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

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

Surgical removal of a tumor originating at or involving the proximal humerus, requiring radical resection of bone and surrounding tissue.

Radical resection of a soft tissue tumor (e.g., sarcoma) of the pelvis and hip area measuring 5 cm or greater, including removal of surrounding tissue margins.

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

Radical resection of a tumor from the scapula (shoulder blade), removing the lesion with wide margins of surrounding normal tissue.

Radical resection of a tumor from the tibia, including removal of wide margins of normal surrounding bone tissue.

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

Excision of a chest wall tumor involving one or more ribs, with plastic reconstruction of the chest wall defect and mediastinal lymphadenectomy.

Surgical implantation of the patient's own cultured chondrocytes into a cartilage defect of the knee joint.

Radical resection of a soft tissue tumor in the thigh or knee area measuring 5 cm or greater, including excision of the tumor with wide margins of surrounding tissue.

Radical resection of a tumor from the fibula, including removal of wide margins of surrounding normal bone and soft tissue.

Radical resection of a clavicle tumor, removing the neoplastic lesion along with a margin of surrounding bone and soft tissue.

Surgical removal of a tumor arising from the soft tissues of the back or flank when the lesion measures 5 cm or greater in its greatest dimension.

Radical resection of a malignant soft tissue tumor in the shoulder region, where the tumor plus required margins measure 5 cm or greater.

Radical resection of a tumor from the radius or ulna, including removal of surrounding tissue as needed to achieve adequate margins.

Excision of a chest wall tumor involving one or more ribs, with plastic reconstruction of the chest wall defect, without mediastinal lymphadenectomy.

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.

Radical resection of a malignant soft tissue tumor (such as a sarcoma) of the neck or anterior thorax measuring 5 cm or greater, including resection of surrounding tissue and any involved anatomic structures.

Radical resection of a soft tissue tumor of the abdominal wall measuring 5 cm or greater, typically performed for malignant neoplasms such as sarcoma.

Radical resection of a soft tissue tumor in the hip or pelvis region measuring less than 5 cm, performed via open surgery with wide excision margins.

Surgical reconstruction of the mandibular body and/or rami using a sagittal split osteotomy technique, with internal fixation applied to stabilize the repositioned jaw segments.

Surgical removal of the entire upper extremity including the scapula and clavicle — the forequarter amputation — typically performed for bone or soft tissue sarcomas that cannot be managed by limb-salvage surgery.

Radical resection of a soft tissue tumor measuring 5 cm or greater, located in the upper arm or elbow region.

Radical resection of a tumor arising in the talus or calcaneus, involving wide-margin excision of the lesion and surrounding bone tissue.

Radical resection of a tumor involving the radial head or neck at the elbow, requiring wide surgical excision of bone and surrounding tissue.

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.

Radical resection of a soft tissue tumor of the leg or ankle, where the tumor and surrounding margin of normal tissue measure 5 cm or larger.

Muscle, myocutaneous, or fasciocutaneous flap procedure performed on the lower extremity, involving transfer of vascularized tissue to cover or reconstruct a defect in the leg region.

Surgical repair of femoral nonunion or malunion (distal to the head and neck) using an autogenous iliac crest or other autograft, with graft harvest included in the code.

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

Single muscle transfer to the shoulder or upper arm, moving a muscle from its origin to restore lost function in the affected region.

Decompression fasciotomy of the forearm and/or wrist involving both the flexor AND extensor compartments, with debridement of nonviable muscle and/or nerve tissue.

Surgical excision of a chest wall tumor requiring removal of one or more ribs as part of the resection.

Radical resection of a soft tissue tumor (such as a sarcoma) of the forearm or wrist measuring 3 cm or greater, requiring wide-margin excision beyond simple tumor removal.

Radical resection of a soft tissue tumor smaller than 5 cm from the shoulder area, including wide excision of surrounding tissue and structures suspected of involvement.

Surgical reconstruction of the sternum to correct congenital chest wall deformities such as pectus excavatum (sunken chest) or pectus carinatum (protruding chest).

Open reconstruction of both the intra-articular and extra-articular ligaments of the knee, with or without graft augmentation.

Krukenberg procedure: surgical separation of the radius and ulna in a forearm amputation stump to create a functional pincer grasp powered by the pronator teres muscle.

Radical resection of a soft tissue tumor of the foot or toe, with the tumor measuring 3 cm or larger in greatest dimension.