CPT® Code 26776

The CPT® Code 26776 refers to the procedure known as "Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation." This procedure is specifically designed to address dislocations of the interphalangeal joints, which are the joints located between the phalanges (bones) of the fingers and toes. In this context, a dislocation occurs when the bones of the joint are displaced from their normal anatomical position, leading to pain, swelling, and impaired function. The procedure involves a minimally invasive approach, where a small incision is made over the distal phalanx, allowing for direct access to the joint. A drill is then utilized to create a corticotomy, which is a surgical procedure that involves cutting through the outer layer of the bone to facilitate the reduction of the dislocated bones. Once the dislocated phalangeal bones are realigned to their proper anatomical position, one or more pre-bent Kirschner wires are inserted into the medullary canal of the phalanx, crossing the interphalangeal joint to stabilize the reduction. The success of the procedure is confirmed through radiographic imaging, ensuring that the bones are properly aligned. It is important to report CPT® Code 26776 for each interphalangeal joint dislocation that is treated using this percutaneous fixation technique, as it accurately reflects the surgical intervention performed.