CPT® Code 26706

The CPT® Code 26706 refers to the procedure known as percutaneous skeletal fixation of a metacarpophalangeal dislocation, specifically for a single joint, accompanied by manipulation. This procedure is performed to address dislocations of the metacarpophalangeal joint, which is the joint located between the metacarpal bones of the hand and the proximal phalanges of the fingers. In this minimally invasive technique, a small incision is made over the proximal phalanx, allowing access to the joint without the need for extensive surgical exposure. A specialized drill is utilized to create a corticotomy, which is a surgical procedure that involves cutting through the cortex of the bone to facilitate access to the underlying structures. Once the dislocated bones are properly aligned, they are reduced back to their anatomical position. To secure the joint in place, one or more pre-bent Kirschner wires are inserted into the phalangeal medullary canal, traversing the metacarpophalangeal joint and anchoring into the metacarpal bone. This fixation method helps maintain the alignment of the joint during the healing process. The success of the procedure is confirmed through radiographic imaging, ensuring that the dislocation has been adequately addressed. The code 26706 should be reported for each metacarpophalangeal joint dislocation that is treated using this percutaneous fixation technique.