CPT® Code 26785

The procedure described by CPT® Code 26785 pertains to the open treatment of dislocations occurring in the interphalangeal joints, which are the joints located between the phalanges (bones) of the fingers and toes. This procedure involves a surgical approach to reduce the dislocation, which means to restore the joint to its normal anatomical position. The term 'open treatment' indicates that the procedure is performed through an incision, allowing direct access to the joint. In cases where internal fixation is necessary, this procedure includes the application of devices such as K wires to stabilize the joint after reduction. The surgical approach typically involves making a curvilinear incision on the dorsal side of the hand, which is the back side, and carefully dissecting through the surrounding tissues to reach the extensor mechanism, which is crucial for finger movement. The procedure also includes repairing the central slip, a part of the extensor tendon that is essential for proper finger function. It is important to note that if multiple interphalangeal joints require treatment, each joint treated should be reported using the same CPT® code, 26785, ensuring accurate documentation and billing for the services rendered.