CPT® Code 26735

Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each

The CPT® Code 26735 refers to the open treatment of a fracture located in the shaft of the proximal or middle phalanx of a finger or thumb. This procedure is specifically designed for cases where the fracture requires surgical intervention to ensure proper healing and alignment. The term "open treatment" indicates that the procedure involves making an incision to access the fractured bone directly, allowing for a thorough examination and repair of the injury. During the procedure, the surgeon will retract the overlying tissue to expose the fracture site, elevate the periosteum, and meticulously clear any debris that may impede healing. Once the fracture is identified, the surgeon will perform a reduction, which is the process of realigning the fractured bone fragments to their normal anatomical position. Internal fixation may be utilized to stabilize the fracture, employing devices such as pins, small screws, or a plate and screw system to maintain the alignment of the bone fragments during the healing process. It is important to note that if multiple fractures in the proximal or middle phalanx shafts are treated during the same surgical session, each fracture should be reported using CPT® Code 26735, ensuring accurate coding for each treated bone.