Question:
Hello, Can you provide any guidance regarding the neurectomy and the code descriptions of 26951 and 26952. Are these required to be documented in traumatic cases where the nerves were already transected or where there is a revision being done encompassing all the other elements of the amputation, except vessel, ligation or neurectomy?
Answer:
Thank you for contacting KZA with your question regarding neurectomy and amputation codes 26951 and 26952. 26951 Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure and 26952 with local advancement flaps (V-Y hood) describe completed amputation procedures. The reference to neurectomies in code 26951 reflects a component of the work typically associated with performing the amputation.
In the setting of a traumatic amputation a neurectomy may not be necessary if the digital nerve has already been completely transected by the injury. In that situation, it would not be appropriate to document that a neurectomy had been performed if it was not actually required or carried out. The surgeon's documentation should indicate what was performed during the amputation procedure, debridement, revision of soft tissue, contouring bone, wound closure.
*This response is based on the best information available as of 10/08/26.
