CPT® Code 26670

The CPT® Code 26670 refers to the closed treatment of a carpometacarpal (CMC) dislocation, specifically for joints other than the thumb, and is performed without the use of anesthesia. A carpometacarpal dislocation occurs when the bones at the base of the fingers, where they meet the wrist, become displaced from their normal position. This procedure involves the manual manipulation of the dislocated joint to restore it to its proper alignment. The treatment is considered 'closed' because it does not require any surgical incisions; instead, the physician uses hands-on techniques to realign the bones. Radiographs, or X-rays, are typically obtained to assess the extent of the injury and confirm the dislocation. The manipulation is achieved through a method known as longitudinal traction, which involves pulling on the finger while applying pressure to the base of the metacarpal bone. Following the reduction of the dislocation, the affected finger may be immobilized using a splint to ensure stability during the healing process. It is important to note that if multiple CMC dislocations are treated, each dislocation is reported separately. This code is specifically applicable when the procedure is performed without anesthesia, distinguishing it from CPT® Code 26675, which is used when anesthesia is administered during the procedure.