CPT® Code 26775

Closed treatment of interphalangeal joint dislocation involves the manual repositioning of a dislocated joint in the fingers, specifically the interphalangeal (IP) joints. An IP joint dislocation typically occurs due to extreme movements such as hyperextension or hyperflexion of the finger, which can result in the bones of the finger becoming misaligned. To assess the extent of the injury, separate radiographs are often obtained, which are essential for evaluating the dislocation. During the procedure, the hand is securely braced to stabilize it, and the dislocated phalanx is manipulated back into its normal anatomical position. This is achieved by either slightly hyperextending the joint for dorsal dislocations or slightly hyperflexing it for volar dislocations. After the successful reduction of the dislocation, the healthcare provider checks the flexor-extensor function and range of motion of the finger to ensure proper recovery. Finally, the finger is immobilized using a splint to maintain the correct position during the healing process. It is important to note that if multiple IP joint dislocations are treated, each dislocation is reported separately. The procedure is coded as CPT® 26775 when anesthesia is required, while CPT® 26770 is used when the procedure is performed without anesthesia.