CPT® Code 26608

The CPT® Code 26608 refers to the procedure known as percutaneous skeletal fixation of a metacarpal fracture, specifically addressing each individual bone involved in the fracture. This procedure is typically indicated for fractures of the metacarpal bones, which are the long bones in the hand that connect the wrist to the fingers. The term 'percutaneous' indicates that the procedure is performed through the skin, minimizing the need for larger incisions and thereby reducing potential complications associated with open surgical techniques. During the procedure, a small incision is made near the fracture site, allowing for the insertion of specialized instruments. A drill is utilized to create a corticotomy, which is a surgical procedure that involves cutting through the outer layer of the bone to access the fracture. Once the fracture is properly aligned or 'reduced,' pre-bent Kirschner wires are inserted through the medullary canal of the bone to stabilize the fracture. This method allows for effective fixation while promoting healing and maintaining the integrity of the surrounding soft tissues. Radiographic imaging is employed to confirm that the anatomical alignment of the bone has been achieved, ensuring that the fracture is properly stabilized for optimal recovery.