CPT Code 26860
CPT code 26860 is a medical billing code used for the fusion of a finger joint, helping healthcare providers accurately document and bill for the procedure.
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What is CPT Code 26860
CPT code 26860 is used to describe the surgical procedure for the fusion of a finger joint. This procedure involves permanently joining two bones in a finger to eliminate movement at that joint, often performed to relieve pain or restore function after injury or arthritis.
Does CPT 26860 Need a Modifier?
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CPT Code 26860 Medicare Reimbursement
The CPT code 26860 is reimbursed by Medicare, but the specifics of reimbursement can vary. To determine if CPT code 26860 is covered and the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered by Medicare. Additionally, it is essential to consult with your local Medicare Administrative Contractor (MAC), as they are responsible for processing Medicare claims and can provide region-specific information regarding coverage and reimbursement for CPT code 26860.
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