CPT® Code 26700

The CPT® Code 26700 refers to the closed treatment of a metacarpophalangeal (MCP) dislocation, specifically a single dislocation, which is performed with manipulation and without the use of anesthesia. A metacarpophalangeal dislocation typically occurs due to hyperextension of the finger, which can result in the joint being displaced from its normal position. This condition necessitates careful evaluation and treatment to restore proper function and alignment of the finger. In the procedure, the physician will first obtain radiographs, or X-rays, to confirm the presence of the dislocation and assess any potential associated injuries. The dislocation is then manually reduced, which involves hyperextending the affected joint to a 90-degree angle and subsequently pushing the base of the proximal phalanx into a flexed position to realign the joint. Following the reduction, a second set of radiographs may be taken to ensure that the joint has been properly repositioned. To stabilize the finger post-reduction, it is typically buddy-taped to an adjacent finger, providing additional support during the healing process. It is important to note that if multiple MCP dislocations are treated, each dislocation should be reported separately. The specific code 26700 is utilized when the procedure is performed without anesthesia, while code 26705 is designated for cases where anesthesia is administered.