CPT® Code 26705

The closed treatment of a metacarpophalangeal (MCP) dislocation, as described by CPT® Code 26705, involves the manual reduction of a dislocated finger joint that has been displaced due to hyperextension. This type of dislocation typically occurs when the finger is forced backward beyond its normal range of motion, leading to the misalignment of the joint. The procedure requires the use of anesthesia to ensure patient comfort during the manipulation of the dislocated joint. Prior to the treatment, separate radiographs are obtained to confirm the presence and extent of the dislocation. The reduction technique involves hyperextending the dislocated joint to a 90-degree angle and then applying pressure to the base of the proximal phalanx to flex it back into its proper position. Following the successful reduction, a second set of radiographs may be taken to verify that the joint has been properly aligned. To stabilize the finger post-reduction, it is typically buddy-taped to an adjacent finger. It is important to note that if multiple MCP dislocations are treated, each dislocation is reported separately. Additionally, CPT® Code 26700 is used when the procedure is performed without anesthesia, while CPT® Code 26705 is specifically designated for cases requiring anesthesia.