How To Use CPT Code 26675

CPT 26675 describes the closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint, requiring anesthesia. 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 26675?

CPT 26675 can be used to describe the closed treatment of carpometacarpal dislocation, excluding the thumb, with manipulation. This procedure is performed by a healthcare provider to restore normal alignment of the bones in the carpometacarpal joint, using general anesthesia.

2. Official Description

The official description of CPT code 26675 is: ‘Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia.’

3. Procedure

1. The healthcare provider administers general anesthesia to the patient.
2. The provider manipulates the displaced bones in the carpometacarpal joint, excluding the thumb, to restore normal alignment.
3. Imaging is used to confirm the correct anatomical position of the bones.
4. A splint or brace is applied to stabilize the repair and minimize pain.

4. Qualifying circumstances

CPT 26675 is used for patients with carpometacarpal dislocation, excluding the thumb, that requires closed treatment with manipulation. The procedure must be performed under general anesthesia.

5. When to use CPT code 26675

CPT code 26675 should be used when a healthcare provider performs closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, and general anesthesia is required. This code should not be used for open treatment or when local anesthesia is used.

6. Documentation requirements

To support a claim for CPT 26675, the healthcare provider must document the following information:

• Patient’s diagnosis of carpometacarpal dislocation, excluding the thumb
• Use of general anesthesia
• Date of the procedure
• Details of the manipulation performed
• Confirmation of correct anatomical alignment through imaging
• Application of a splint or brace

7. Billing guidelines

When billing for CPT 26675, ensure that the procedure involves closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, and requires general anesthesia. Do not report CPT 26675 if the procedure involves open treatment or the use of local anesthesia. It is important to follow coding guidelines regarding anesthesia requirements. Additional supplies of casting materials should also be reported separately.

8. Historical information

CPT 26675 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, under general anesthesia.
2. A healthcare provider performs closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, using general anesthesia and applies a splint for stabilization.
3. A patient with carpometacarpal dislocation, excluding the thumb, undergoes closed treatment with manipulation under general anesthesia, and imaging confirms correct alignment.
4. A healthcare provider administers general anesthesia to a patient with carpometacarpal dislocation, excluding the thumb, and performs closed treatment with manipulation to restore normal alignment.
5. Closed treatment with manipulation is performed for carpometacarpal dislocation, excluding the thumb, under general anesthesia, and a splint is applied for stabilization.
6. A patient undergoes closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, using general anesthesia, and imaging confirms the correct anatomical position of the bones.
7. A healthcare provider performs closed treatment with manipulation for carpometacarpal dislocation, excluding the thumb, under general anesthesia, and applies a brace for stabilization.
8. A patient with carpometacarpal dislocation, excluding the thumb, undergoes closed treatment with manipulation under general anesthesia, and imaging is used to confirm the correct alignment of the bones.
9. A healthcare provider administers general anesthesia to a patient with carpometacarpal dislocation, excluding the thumb, and performs closed treatment with manipulation to restore normal alignment.
10. Closed treatment with manipulation is performed for carpometacarpal dislocation, excluding the thumb, under general anesthesia, and a brace is applied for stabilization.