CPT® Code 26746

Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each

The CPT® Code 26746 refers to the open treatment of an articular fracture that involves either the metacarpophalangeal joint or the interphalangeal joint. This procedure includes the use of internal fixation when it is performed. An articular fracture is a break in a bone that crosses into the joint surface, which can significantly affect joint function and stability. The open treatment approach involves a surgical incision to directly access the fracture site, allowing for precise manipulation and stabilization of the bone fragments. This method is essential for ensuring proper alignment and healing of the fracture, which is critical for restoring normal joint function. The procedure typically begins with obtaining radiographs to confirm the presence of the fracture and assess its characteristics. A thorough neurovascular examination is conducted to ensure that the nerves and blood vessels surrounding the injury are intact, which is vital for preventing complications. The surgical process involves making an incision over the fracture site, retracting the overlying tissue, and incising the joint capsule to expose the fracture. Once the fracture is visible, the fragments are carefully reduced, meaning they are realigned to their normal anatomical position. Internal fixation devices, such as K-wires or pins, may be utilized to maintain the position of the bone fragments during the healing process. After the fixation is placed, additional radiographs are taken to confirm that the reduction and pin placement are correct. Finally, the finger is immobilized using a finger splint to support the healing process. It is important to note that if multiple fractures are treated during the same surgical session, each fracture site must be reported separately for accurate coding and billing purposes.