CPT® Code 26615

The CPT® Code 26615 refers to the open treatment of a single metacarpal fracture, which is a break in one of the long bones in the hand that connect the wrist to the fingers. This procedure involves making a dorsal incision, which is located on the back of the hand, directly over the fractured metacarpal bone. The surgical approach allows for direct visualization and access to the fracture site, enabling the surgeon to clear any debris and properly align the fractured bone. Once the fracture is exposed, it is reduced, meaning the bone fragments are repositioned to their normal anatomical alignment. Internal fixation may be employed to stabilize the fracture, which can involve various devices such as K wires, pins, mini-fragment screws, or a plate and screw system, depending on the specific characteristics of the fracture. The alignment of the bone can be confirmed using imaging techniques like fluoroscopy or X-ray during the procedure. It is important to note that if multiple metacarpal fractures are treated in a single session, the code 26615 should be reported for each individual bone that is treated.