CPT® Code 28666

The CPT® Code 28666 refers to the procedure known as percutaneous skeletal fixation of an interphalangeal joint dislocation, which includes manipulation of the dislocated joint. This procedure is typically performed on the fingers or toes, where the interphalangeal joints are located. The term 'percutaneous' indicates that the procedure is done through the skin, minimizing the need for larger incisions. During the procedure, a small incision is made over the middle or distal phalanx, which are the bones of the fingers or toes. A specialized drill is then utilized to create a corticotomy, allowing access to the underlying bone structure. The dislocated phalangeal bones are carefully manipulated back into their proper anatomical position. To ensure that the joint remains stable and aligned during the healing process, one or more pre-bent Kirschner wires are inserted through the medullary canals of the phalangeal bones. This fixation method is crucial for maintaining the correct alignment of the joint. After the procedure, the successful reduction of the dislocation is confirmed through radiographs, which are separate imaging studies that can be reported independently. This procedure is essential for restoring function and stability to the affected joint, thereby facilitating recovery and rehabilitation.