CPT® Code 26742

The CPT® Code 26742 refers to the closed treatment of an articular fracture that involves either the metacarpophalangeal joint or the interphalangeal joint, specifically when manipulation is required. An articular fracture is a type of fracture that occurs at a joint surface, which can significantly impact the joint's function and stability. In this procedure, the physician performs a closed treatment, meaning that no surgical incision is made to access the fracture site. Instead, the treatment is conducted externally, and manipulation is employed to realign the fractured bone fragments to their proper anatomical position. This manipulation is crucial for ensuring that the joint can heal correctly and maintain its function. If multiple fractures are present, each fracture site must be reported separately, emphasizing the need for thorough documentation and accurate coding. Additionally, radiographs, or X-rays, are obtained to confirm the presence of the fracture and to verify that the manipulation has successfully restored the bone fragments to their correct alignment. A neurovascular examination is also performed to assess the integrity of the nerves and blood vessels surrounding the injury, ensuring that there are no complications that could affect healing or function. Following the manipulation, the finger is immobilized using a splint or buddy taping to provide stability during the healing process.