How To Use CPT Code 26607

CPT 26607 describes the closed treatment of a metacarpal fracture with manipulation and external fixation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26607?

CPT 26607 is used to describe the closed treatment of a metacarpal fracture with manipulation and external fixation. This code is used when a healthcare provider performs a closed reduction of each metacarpal bone fracture, manipulates the fracture into the correct position, and applies an external fixation device to stabilize the injury.

2. Official Description

The official description of CPT code 26607 is: ‘Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone.’

3. Procedure

1. The healthcare provider examines the patient and confirms the metacarpal fracture using radiographic imaging.
2. Using local anesthesia, if necessary, the provider manipulates the fracture into the correct position.
3. The provider applies an external fixation device to the affected finger, securing it with screws or wires inserted through the skin and into the bone.
4. The external fixation device stabilizes the fracture and allows for later adjustments if needed.

4. Qualifying circumstances

CPT 26607 is used for patients with metacarpal fractures that require closed treatment with manipulation and external fixation. The procedure is performed by a healthcare provider to prevent deformity, relieve pain, and restore function.

5. When to use CPT code 26607

CPT code 26607 should be used when a healthcare provider performs closed treatment of a metacarpal fracture with manipulation and external fixation. This code is appropriate when the provider manipulates the fracture and applies an external fixation device to stabilize the injury.

6. Documentation requirements

To support a claim for CPT 26607, the healthcare provider must document the following information:

• Patient’s diagnosis and confirmation of the metacarpal fracture
• Details of the closed reduction and manipulation procedure
• Description of the external fixation device used
• Date of the procedure
• Any additional information relevant to the treatment and outcome

7. Billing guidelines

When billing for CPT 26607, ensure that the procedure involves closed treatment of a metacarpal fracture with manipulation and external fixation. Follow the appropriate coding guidelines and modifiers if necessary. It is important to accurately report the procedure to ensure proper reimbursement.

8. Historical information

CPT 26607 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2002, with the addition of internal or external fixation as an option for the procedure.

9. Examples

1. A patient sustains a metacarpal fracture in their dominant hand. The healthcare provider performs closed treatment with manipulation and external fixation to restore function and prevent deformity.
2. After a fall, a patient presents with a metacarpal fracture. The healthcare provider performs closed reduction, manipulates the fracture, and applies an external fixation device to stabilize the injury.
3. A professional athlete fractures their metacarpal bone during a game. The healthcare provider performs closed treatment with manipulation and external fixation to ensure a quick recovery and return to play.
4. A patient involved in a car accident fractures multiple metacarpal bones. The healthcare provider performs closed reduction, manipulates the fractures, and applies an external fixation device to stabilize the injuries.
5. A construction worker sustains a metacarpal fracture while on the job. The healthcare provider performs closed treatment with manipulation and external fixation to relieve pain and restore hand function.
6. An elderly patient fractures their metacarpal bone due to osteoporosis. The healthcare provider performs closed reduction, manipulates the fracture, and applies an external fixation device to promote healing and prevent further injury.
7. A child fractures their metacarpal bone while playing sports. The healthcare provider performs closed treatment with manipulation and external fixation to ensure proper healing and prevent long-term complications.
8. A patient presents with a metacarpal fracture after a fall from a bike. The healthcare provider performs closed reduction, manipulates the fracture, and applies an external fixation device to stabilize the injury and promote healing.
9. A musician fractures their metacarpal bone in their dominant hand. The healthcare provider performs closed treatment with manipulation and external fixation to restore hand function and allow for a quick return to playing their instrument.
10. A patient sustains a metacarpal fracture in a workplace accident. The healthcare provider performs closed reduction, manipulates the fracture, and applies an external fixation device to stabilize the injury and facilitate a smooth recovery.