Fracture and Dislocation R 4th Carpometacarpal joint

coderguy1939

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This was described in the op report as an axial fracture and dislocation of the 4th CMC joint. Op report states an open treatment of the R 4th CMC joint fracture and dislocation with internal fixation was done. I'd appreciate suggestions for CPT code. Thanks.
 

smcbroom

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how about 26685 or 26686? Depending upon if it was complex, multiple or delayed reduction.
 

coderguy1939

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26685 and 26686 is for dislocation only. There is a fracture involved here as well. The procedure on the op report reads "Open treatment of right fourth CMC joint fracture and dislocation with internal fixation"
 

mbort

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sorry--missread :( So is it the Carpal or the Metacarpal that is fractured? The carpometacarpal is the joint in between that is dislocated, now we need to know specifically what is fractured.
 
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