CPT® Code 26685

The CPT® Code 26685 refers to the open treatment of a carpometacarpal (CMC) dislocation, specifically for joints other than the thumb. This procedure involves a surgical approach where a dorsal incision is made on the back of the hand to access the dislocated joint. The primary goal of this intervention is to restore the normal alignment of the dislocated joint through open reduction, which is the process of manually repositioning the bones into their proper alignment. During the procedure, the surgeon carefully retracts the extensor tendons to enhance visibility and access to the joint. The joint capsule is then opened to allow for direct manipulation of the dislocated joint surfaces. If necessary, internal fixation is applied to stabilize the joint, with wire fixation being a common method used. After the dislocation is successfully reduced and any required fixation is completed, the joint capsule is repaired, and the surgical wound is subsequently closed. It is important to note that if multiple carpometacarpal joints are treated during the same surgical session, the code 26685 should be reported for each joint that undergoes this open treatment. This procedure is distinct from the treatment of complex carpometacarpal dislocations, which are coded separately under CPT® Code 26686, indicating a more complicated clinical scenario involving recurrent dislocations or delayed treatment.