CPT^® 26746, Under Fracture and/or Dislocation Procedures on the Hand and Fingers

The Current Procedural Terminology (CPT^®) code 26746 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Hand and Fingers.

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Summary

In this procedure, the provider performs an open treatment of an articular fracture involving a metacarpophalangeal or interphalangeal joint. The provider confirms the fracture with X–rays. He may use internal fixation implants such as pins, wires, or screws to fix the fracture.

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FDS repair

This sounds more like an articular fracture (DIP fx). If that's the case, I would code 26746. If it's a distal phalanx fracture, then 26765. There's no suturing of the tendon, no advancement or reatta... [ Read More ]

Closed Reduction Percutaneous Pinning Intra-articular Proximal Phalanx Fracture

Thank you for that suggestion and link as well. I definitely see what you're saying. My doctor was very adamant about using the 26746 though...... [ Read More ]

Closed Reduction Percutaneous Pinning Intra-articular Proximal Phalanx Fracture

As an FYI, I just discussed with my hand surgeon as he just had one of these and he said "the hand resources he has access to recommend 26746 as the clamps and pins are used to reduce the articular na... [ Read More ]

Closed Reduction Percutaneous Pinning Intra-articular Proximal Phalanx Fracture

What CPT code would you use for a closed reduction percutaneous pinning of an intra-articular proximal phalanx fracture? A 0.035 k-wire was placed on the ulnar condyle and driven across the base to s... [ Read More ]

PIP fracture Dislocation Surgery report help fracture hand surgery patient pip fracture dislocation ring finger

Please help advise me on this procedure. My physician likes to review his surgery coding before they get submitted to insurance and approved the codes billed out. He does this procedrue quite frequen... [ Read More ]

new at coding ortho please help

Check out #26548, which has both #26746 and #26785 bundled into it.... [ Read More ]

26746? tia

Ben, 26432 requires the procedure to be performed without an incision. The operative note states there was an incision made. Mel, I would use 26746 with modifier F2 for the procedure.... [ Read More ]

26746? tia

PREOPERATIVE DIAGNOSIS(ES): Left middle mallet finger with bony fracture. Displaced and slight subluxation of the phalanx. POSTOPERATIVE DIAGNOSIS(ES): Same OPERATIVE FINDINGS: Large frag... [ Read More ]

coding question -26746

need help on this one . Closed reduction and percutaneous pinning, right index finger proximal phalanx with proximal interphalangeal joint extension. think it should be 26746 but I'm not sure caus... [ Read More ]

CLOSED vs OPEN REDUCTION

I would code 26746. A closed reduction is accomplished by applying traction at or across the fracture to relax and lengthen the muscles then manipulating the bone fragments back into position and ho... [ Read More ]

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