CPT® Code 26686

The CPT® Code 26686 refers to the open treatment of a carpometacarpal (CMC) dislocation, specifically for cases that are classified as complex, multiple, or those that have experienced delayed reduction. A carpometacarpal dislocation occurs when the bones at the base of the fingers, excluding the thumb, become dislocated from their normal position. This procedure involves a surgical approach where an incision is made on the dorsal side of the hand, allowing the surgeon to access the dislocated joint directly. The complexity of the dislocation may arise from previous dislocations or a delay in treatment, which can complicate the reduction process. The open reduction technique is utilized to realign the dislocated joint accurately, ensuring proper healing and function. This procedure is critical for restoring mobility and strength to the affected hand, particularly in cases where the dislocation has not been addressed promptly or has recurred multiple times.