CPT® Code 26727

Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each

The CPT® Code 26727 refers to the procedure of percutaneous skeletal fixation specifically for unstable fractures of the phalangeal shaft, which can occur in either the proximal or middle phalanx of the finger or thumb. This procedure is performed with manipulation, indicating that the fracture is realigned during the process. The term 'percutaneous' signifies that the procedure is conducted through a small skin incision, minimizing tissue damage and promoting quicker recovery. The technique involves the use of a small drill to create a corticotomy, which is an incision into the cortex of the bone, located proximal to the fracture site. Following this, the fracture is reduced, meaning that the bone fragments are aligned properly. To stabilize the fracture, one or more pre-bent Kirschner wires are inserted through the medullary canal, which is the central cavity of the bone. The success of the reduction is confirmed through radiographic imaging, ensuring that the bones are properly aligned before concluding the procedure. It is important to report CPT® Code 26727 for each phalangeal shaft fracture that is treated using this percutaneous fixation method, as it reflects the specific nature of the intervention performed.