CPT® Code 26676

The CPT® Code 26676 refers to the procedure known as percutaneous skeletal fixation of carpometacarpal dislocation, specifically for dislocations other than the thumb, and includes manipulation for each joint involved. This procedure is performed to address dislocations of the carpometacarpal joints, which are the joints located between the carpal bones of the wrist and the metacarpal bones of the hand. The term 'percutaneous' indicates that the procedure is performed through a small incision in the skin, minimizing tissue damage and promoting quicker recovery. During the procedure, a small drill is utilized to create a corticotomy, which is an incision into the cortex of the bone, allowing access to the dislocated carpometacarpal bones. The surgeon then carefully reduces the dislocated bones, restoring them to their normal anatomical position. To secure the bones in place, one or more pre-bent Kirschner wires are inserted into the metacarpal medullary canal, traversing the carpometacarpal joint and anchoring into the carpal bone. This fixation method is crucial for maintaining the alignment of the bones during the healing process. Following the procedure, the anatomical reduction of the dislocation is confirmed through radiographic imaging, ensuring that the bones are properly aligned before concluding the intervention. It is important to report code 26676 for each carpometacarpal joint dislocation that is treated using this percutaneous fixation technique.