How To Use CPT Code 26705

CPT 26705 describes the closed treatment of metacarpophalangeal dislocation, single, with manipulation, requiring anesthesia. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26705?

CPT 26705 is used to describe the closed treatment of a single metacarpophalangeal dislocation with manipulation, which requires anesthesia. This code is used when a healthcare provider manipulates the dislocated metacarpophalangeal bone into the correct position under anesthesia to correct deformity, restore function, and relieve pain.

2. Official Description

The official description of CPT code 26705 is: ‘Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia.’

3. Procedure

1. The healthcare provider prepares and anesthetizes the patient, typically using local anesthesia.
2. The provider identifies the dislocated position of the metacarpophalangeal bone using radiographic imaging.
3. Under anesthesia, the provider manipulates the dislocation, moving the bone into the correct position.
4. After manipulation, the provider applies a splint and secures it with tape to stabilize the injury.

4. Qualifying circumstances

CPT 26705 is used when a patient has a major metacarpophalangeal dislocation that requires closed treatment with manipulation under anesthesia. This code is appropriate when the provider needs to correct deformity, restore function, and relieve pain. The procedure must be performed by a qualified healthcare provider and requires the use of anesthesia.

5. When to use CPT code 26705

CPT code 26705 should be used when a patient requires closed treatment of a single metacarpophalangeal dislocation with manipulation under anesthesia. It is important to ensure that the procedure meets the specific criteria outlined in the code description, including the use of anesthesia and the manipulation of a single dislocation.

6. Documentation requirements

To support a claim for CPT 26705, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for closed treatment of a metacarpophalangeal dislocation
• Details of the procedure, including the use of anesthesia and manipulation
• Date and time of the procedure
• Any additional procedures or treatments performed
• Any complications or adverse events
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 26705, ensure that the procedure meets the specific criteria outlined in the code description, including the use of anesthesia and the manipulation of a single dislocation. It is important to follow the appropriate coding guidelines and modifiers if applicable. If an assistant surgeon supports the physician during the procedure, the appropriate modifier should be appended to the code to represent their work.

8. Historical information

CPT 26705 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes closed treatment of a metacarpophalangeal dislocation with manipulation under anesthesia to correct the deformity and restore function.
2. A healthcare provider performs closed treatment of a single metacarpophalangeal dislocation with manipulation under anesthesia to relieve pain and stabilize the injury.
3. A patient with a metacarpophalangeal dislocation undergoes closed treatment with manipulation under anesthesia to restore proper alignment and improve hand function.
4. A healthcare provider manipulates a dislocated metacarpophalangeal bone into the correct position under anesthesia to correct deformity and relieve pain.
5. Closed treatment of a metacarpophalangeal dislocation with manipulation under anesthesia is performed to restore function and alleviate discomfort in a patient.
6. A healthcare provider uses closed treatment with manipulation under anesthesia to correct a metacarpophalangeal dislocation and improve hand function.
7. A patient undergoes closed treatment of a single metacarpophalangeal dislocation with manipulation under anesthesia to restore proper alignment and relieve pain.
8. A healthcare provider performs closed treatment with manipulation under anesthesia to correct a metacarpophalangeal dislocation and stabilize the injury.
9. Closed treatment of a metacarpophalangeal dislocation with manipulation under anesthesia is performed to restore function and alleviate pain in a patient.
10. A patient with a dislocated metacarpophalangeal bone undergoes closed treatment with manipulation under anesthesia to correct deformity and improve hand function.