How To Use CPT Code 26706

CPT 26706 describes the percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation. 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 26706?

CPT 26706 can be used to describe the percutaneous skeletal fixation of a single metacarpophalangeal dislocation with manipulation. This code is used when a healthcare provider manipulates the dislocated portion of the metacarpophalangeal bone and stabilizes it with screws, pins, or wires. The procedure aims to correct deformity, restore function, and relieve pain.

2. Official Description

The official description of CPT code 26706 is: ‘Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation.’

3. Procedure

1. The healthcare provider identifies the dislocated portion of the metacarpophalangeal bone and manipulates it into the correct position.
2. A fixation device, such as a wire, screw, or pin, is applied and drilled into the joint to hold the metacarpophalangeal bone in place.

4. Qualifying circumstances

CPT 26706 is performed on patients with metacarpophalangeal dislocation who require stabilization and correction of the deformity. The procedure is suitable for individuals experiencing pain and functional impairment due to the dislocation. It is important to note that this code specifically applies to single metacarpophalangeal dislocations.

5. When to use CPT code 26706

CPT code 26706 should be used when a healthcare provider performs percutaneous skeletal fixation on a single metacarpophalangeal dislocation with manipulation. It is important to ensure that the procedure aligns with the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 26706, the healthcare provider must document the following information:

• Diagnosis of metacarpophalangeal dislocation
• Details of the manipulation performed to correct the dislocation
• Type of fixation device used (e.g., wire, screw, pin)
• Date of the procedure
• Any additional relevant information or complications encountered during the procedure

7. Billing guidelines

When billing for CPT 26706, ensure that the procedure performed aligns with the code description. It is important to accurately report the manipulation and fixation of a single metacarpophalangeal dislocation. Review the documentation requirements and ensure all necessary information is included in the claim.

8. Historical information

CPT 26706 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 hand surgeon performs percutaneous skeletal fixation with manipulation on a patient with a dislocated metacarpophalangeal joint.
2. A orthopedic specialist manipulates and fixes a single metacarpophalangeal dislocation using screws.
3. A plastic surgeon performs percutaneous skeletal fixation on a patient with a dislocated metacarpophalangeal joint, using pins to stabilize the bone.
4. An emergency room physician manipulates and fixes a single metacarpophalangeal dislocation in a patient who sustained a hand injury.
5. A hand therapist assists a healthcare provider in the percutaneous skeletal fixation of a single metacarpophalangeal dislocation, providing support and guidance during the procedure.
6. A sports medicine physician performs percutaneous skeletal fixation with manipulation on a professional athlete with a dislocated metacarpophalangeal joint.
7. An orthopedic surgeon performs percutaneous skeletal fixation on a patient with a chronic metacarpophalangeal dislocation, aiming to improve hand function and alleviate pain.
8. A hand surgeon performs percutaneous skeletal fixation with manipulation on a patient with a traumatic metacarpophalangeal dislocation.
9. A resident physician assists an attending surgeon in the percutaneous skeletal fixation of a single metacarpophalangeal dislocation, gaining hands-on experience in the procedure.
10. A hand therapist provides post-operative care and rehabilitation to a patient who underwent percutaneous skeletal fixation for a metacarpophalangeal dislocation.