Results 1 to 8 of 8

Fracture and Dislocation R 4th Carpometacarpal joint

  1. #1
    Default Fracture and Dislocation R 4th Carpometacarpal joint
    Medical Coding Books
    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.

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

  3. #3
    I agree with smcbroom

  4. #4
    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"

  5. #5
    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.

  6. #6
    A comminuted articular fracture of the base of fourth metacarpal. Looks like this might be 26615.

  7. #7
    yes it does, and depending on the documentation you may be able to capture that dislocation too.

  8. #8
    Thanks for you input.

Similar Threads

  1. Tx of dislocation vs fracture
    By raidaste in forum Orthopaedics
    Replies: 1
    Last Post: 04-30-2014, 08:45 PM
  2. Dislocation of carpometacarpal arthroplasty of the thumb
    By Lisa M. Lowe in forum Orthopaedics
    Replies: 0
    Last Post: 12-21-2011, 12:19 PM
  3. Fracture and/or Dislocation
    By Jackie1973 in forum Family Practice
    Replies: 4
    Last Post: 05-27-2010, 02:29 PM
  4. Soft tissue interpositional arthroplasty-Thumb/carpometacarpal joint
    By zvankleek1 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-22-2009, 09:23 AM
  5. Fracture Dislocation DIP joint
    By coderguy1939 in forum Orthopaedics
    Replies: 3
    Last Post: 10-23-2008, 11:33 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.