CPT® Code 26756

The CPT® Code 26756 refers to the procedure of percutaneous skeletal fixation of a distal phalangeal fracture in the finger or thumb. This procedure is specifically designed for fractures located at the distal end of the phalanx, which is the bone in the finger or thumb. The term "percutaneous" indicates that the fixation is performed through the skin, minimizing the need for larger incisions. During the procedure, a thorough assessment is conducted, including obtaining radiographs to confirm the presence of the fracture. A neurovascular examination is also performed to ensure that the nerves and blood vessels surrounding the injury are intact, which is crucial for the patient's recovery and function. Once the fracture is confirmed, the physician reduces the fracture, meaning they realign the bone fragments to their normal anatomical position. To maintain this alignment, a wire or pin is inserted through the skin into the bone. After the fixation is completed, additional radiographs are taken to verify that the fracture has been properly reduced and that the pin is correctly placed. 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 session, each fracture must be reported separately for accurate coding and billing purposes.