CPT® Code 26715

The CPT® Code 26715 refers to the open treatment of a single metacarpophalangeal (MCP) dislocation, which is a specific type of joint dislocation occurring at the base of the fingers where the metacarpal bones meet the proximal phalanges. This procedure involves a surgical approach to correct the dislocation, which may be necessary when the joint cannot be realigned through non-surgical methods. The open treatment allows for direct visualization and manipulation of the joint structures, ensuring that the dislocation is properly addressed. During the procedure, a dorsal (back of the hand) or volar (palm) incision is made to access the affected joint. If a volar incision is chosen, special care is taken to avoid damaging the digital neurovascular bundles, which are critical for finger function and sensation. The surgical team retracts the tendons and muscles to gain access to the joint, and the volar plate, a ligamentous structure that stabilizes the joint, is carefully teased out to facilitate the reduction of the dislocated joint. Once the joint is properly aligned, internal fixation may be applied as necessary, often utilizing wire fixation to maintain stability during the healing process. After the procedure, the incision is closed, and if multiple joints require treatment, the same code (26715) is reported for each joint treated, ensuring accurate documentation and billing for the surgical intervention.