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The CPT® Code 26720 refers to the closed treatment of a phalangeal shaft fracture specifically located in the proximal or middle phalanx of either the finger or thumb, performed without manipulation. This procedure is indicated for cases where a single phalangeal shaft fracture occurs, and it is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. In such instances, the treatment involves immobilizing the affected finger or thumb using a splint to prevent movement and facilitate healing. It is important to note that if multiple fractures are present, each fracture must be reported separately using the appropriate codes. Prior to treatment, a neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no additional complications. Radiographs, or X-rays, are also obtained to confirm the presence of the fracture and to guide the treatment process. This code is distinct from CPT® Code 26725, which pertains to the treatment of displaced fractures that require manipulation to restore proper alignment.
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