{"id":162277,"date":"2026-07-23T09:38:18","date_gmt":"2026-07-23T09:38:18","guid":{"rendered":"https:\/\/pabau.com\/?p=162277"},"modified":"2026-08-18T12:43:23","modified_gmt":"2026-08-18T12:43:23","slug":"cpt-code-26675","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/","title":{"rendered":"CPT Code 26675: Closed treatment of carpometacarpal dislocation"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT Code 26675: Closed treatment of carpometacarpal dislocation\",\"description\":\"CPT code 26675 covers closed treatment of carpometacarpal dislocation (other than the thumb), with manipulation, requiring anesthesia. Learn RVUs, Medicare rates, ICD-10 crosswalk, related codes, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-26675\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-23\",\"dateModified\":\"2026-07-23\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key Takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key Takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 26675 covers closed treatment of carpometacarpal dislocation, other than the thumb, with manipulation, requiring anesthesia &#8211; each joint billed separately.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The code carries a 90-day global surgery period; E\/M visits during that window are bundled unless modifier 24 applies for an unrelated condition.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Never use 26675 for thumb CMC injuries: a pure thumb dislocation bills under 26641, and a thumb fracture-dislocation (Bennett fracture) bills under 26645.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s claims management software helps orthopedic and hand surgery practices flag global period conflicts and submit closed reduction claims accurately.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 is the code hand surgeons and emergency physicians report when they reduce a dislocated carpometacarpal joint by closed manipulation and the patient needs anesthesia to tolerate it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It sits in a small family of related codes &#8211; 26670, 26676, and 26685 &#8211; that differ by anesthesia use, added fixation, or an open surgical approach. Picking the wrong one is a common, avoidable audit finding.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers what CPT 26675 describes, the RVU and Medicare reimbursement figures behind it, the ICD-10 codes that support the claim, how it differs from neighboring codes (including the thumb-specific Bennett fracture codes), and the documentation a payer expects to see before paying the claim.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-cpt-code-26675-definition-and-clinical-description\" class=\"wp-block-heading\">CPT Code 26675: Definition and clinical description<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 describes closed treatment of carpometacarpal dislocation, other than the thumb, with manipulation, each joint, requiring anesthesia. It applies only when three conditions are met at once: the injured joint is a non-thumb CMC joint, closed manipulation is performed, and anesthesia is required to complete that manipulation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is one of the most specific codes in the hand dislocation code family for exactly that reason. Practices relying on structured CPT coding workflows tend to catch the distinction between this code and its adjacent variants before claims go out the door.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association (AMA)<\/a> maintains CPT 26675 within the Musculoskeletal System subsection covering carpals and metacarpals. The phrase &#8220;each joint&#8221; in the descriptor is significant: if two non-thumb CMC joints are treated at the same operative encounter, each joint may be billed separately. Payer bilateral policies vary, so confirm coverage rules before reporting multiple units.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">26675<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full Description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code Type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CPT Category I &#8211; Surgical (Musculoskeletal)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global Period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">90 days<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Anesthesia Required<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes &#8211; per code descriptor<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Thumb CMC (Bennett Fracture)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Excluded &#8211; see CPT 26641-26645<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active; covered under Part B when medically necessary<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-clinical-context-carpometacarpal-dislocation\" class=\"wp-block-heading\">Clinical context: Carpometacarpal dislocation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The carpometacarpal joints connect the metacarpal bases to the distal carpal row. Non-thumb CMC dislocations are rare, accounting for roughly 1% of all hand injuries, but they carry significant functional consequences when missed or improperly managed. High-energy trauma &#8211; crushing injuries, punching mechanisms, axial loading &#8211; drives most of these injuries.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Providers evaluating polytrauma patients from these mechanisms often screen for associated ligamentous injury elsewhere in the body. Hand surgeons and emergency orthopedic providers handling these cases frequently serve sports medicine populations where manipulation under anesthesia is the first-line reduction strategy before considering operative fixation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 applies specifically when the treating clinician achieves reduction through closed means &#8211; no incision, no direct manipulation through an open wound &#8211; and anesthesia is required to relax musculature and allow adequate reduction. That anesthesia requirement distinguishes this code from CPT 26670, its closest relative.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regional blocks, procedural sedation, and general anesthesia all satisfy the &#8220;requiring anesthesia&#8221; language in the descriptor, provided the anesthesia is documented in the record.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Manage fracture care billing without the guesswork                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management tools help orthopedic and hand surgery practices submit cleaner claims, track global periods, and reduce denials on codes like CPT 26675.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<p class=\"wp-block-paragraph\"><strong>Key clinical scope for CPT 26675:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Non-thumb CMC joints (second through fifth metacarpal bases)<\/li>\n\n\n\n<li>Closed reduction performed &#8211; no open surgical approach<\/li>\n\n\n\n<li>Anesthesia administered and documented for the manipulation<\/li>\n\n\n\n<li>Dislocation confirmed on imaging (plain radiograph or CT), with no fracture requiring separate fixation<\/li>\n\n\n\n<li>May be combined with percutaneous pin fixation (CPT 26676) at the same encounter when fixation is added<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The Bennett fracture &#8211; a fracture-dislocation at the base of the first metacarpal (thumb CMC joint) &#8211; is explicitly outside the scope of CPT 26675. Thumb CMC injuries use a separate code pair: a pure dislocation with no fracture codes under 26641, while a fracture-dislocation at the thumb base (the Bennett pattern) codes under 26645.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Billing 26675 for either thumb CMC code is a code-selection error that survives many automated edits but will flag on detailed chart review. Accurate coding for surgical procedures at the procedure level depends on confirming anatomical site before code assignment.<\/p>\n\n\n\n<h2 id=\"h-rvu-and-medicare-reimbursement-for-cpt-code-26675\" class=\"wp-block-heading\">RVU and Medicare reimbursement for CPT code 26675<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Relative value units (RVUs) determine Medicare payment under the Resource-Based Relative Value Scale (RBRVS). CPT code 26675 carries a moderate work RVU reflecting the technical skill and time required for closed reduction under anesthesia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All figures below are national averages; geographic practice cost index (GPCI) adjustments apply in every locality. Use the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS fee schedule tool<\/a> to retrieve current year-specific rates for your Medicare Administrative Contractor (MAC) region.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU Component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician skill and time<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify via <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU 2026 lookup<\/a><\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice Expense RVU (Facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital\/ASC overhead allocation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lower than non-facility<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice Expense RVU (Non-Facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Office\/practice overhead allocation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Higher; reflects in-office supply costs<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Liability insurance component<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reflects procedural risk for hand surgery<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sum of all components x GPCI x conversion factor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiply by the CY2026 Medicare conversion factor: $33.4009 for non-APM-QP clinicians, or $33.5675 for APM qualifying participants, effective January 1, 2026<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Facility vs Non-Facility<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Payment differs by setting<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Higher physician payment in facility settings; hospital bills separately<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Orthopedic and physical therapy practices managing post-reduction care should note that the 90-day global period covers all routine follow-up after CPT 26675 is reported. Medicare does not pay separately for casting changes, routine X-rays to confirm alignment, or office visits related to the same condition during that window.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">State Medicaid rates and commercial payer allowables differ from Medicare; never apply Medicare rates universally without confirming payer-specific fee schedules. When medical necessity is in question, get a signed Medicare waiver on file before the procedure so the practice isn&#8217;t left absorbing the cost of a denial.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our roundup of <a href=\"https:\/\/pabau.com\/blog\/jane-app-alternatives\/\">alternatives to Jane App<\/a> covers platforms that pair procedure coding with treatment planning and claims.<\/p>\n\n\n\n<h2 id=\"h-icd-10-diagnosis-codes-used-with-cpt-code-26675\" class=\"wp-block-heading\">ICD-10 diagnosis codes used with CPT code 26675<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every claim for CPT code 26675 requires a supporting ICD-10-CM diagnosis code that confirms a carpometacarpal dislocation. The primary codes come from the S63.05x range (dislocation of carpometacarpal joint); S62.31x fracture codes apply only as a secondary diagnosis when a genuine fracture-dislocation is present rather than a pure dislocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Laterality and episode-of-care indicators are required in the 7th character position for all of these codes &#8211; the same precision required for codes like S63.002D elsewhere in the wrist and hand injury range.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th Character Options<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S63.054<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dislocation of carpometacarpal joint of right hand (primary crosswalk code)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A (initial), D (subsequent), S (sequela)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S63.055<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dislocation of carpometacarpal joint of left hand (primary crosswalk code)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A, D, S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S63.056<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dislocation of carpometacarpal joint, unspecified hand (primary crosswalk code)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A, D, S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.310<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of base of second metacarpal bone, right hand (secondary; genuine fracture-dislocation only)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A, B (open), D, G, K, P, S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.311<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of base of second metacarpal bone, left hand (secondary; genuine fracture-dislocation only)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A, B, D, G, K, P, S<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Use 7th character &#8220;A&#8221; for the initial encounter &#8211; the visit at which the reduction procedure (CPT 26675) is performed. Subsequent routine visits during the global period carry 7th character &#8220;D.&#8221; Bill the initial claim with the full S63.05x dislocation code, including the correct laterality indicator.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Add a secondary S62.31x code only when a genuine fracture accompanies the dislocation. Failure to include a valid dislocation diagnosis from the S63.05x family is one of the top denial reasons for this code family; the diagnosis must always align with the procedure at the same anatomical site.<\/p>\n\n\n\n<h2 id=\"h-related-cpt-codes-26675-vs-26670-and-others\" class=\"wp-block-heading\">Related CPT codes: 26675 vs 26670 and others<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting the correct code within the 26670-26685 family is where most coding errors occur for carpometacarpal dislocations. The single most common mistake: billing CPT code 26675 when 26670 should have been reported, or vice versa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The difference is whether anesthesia was administered and documented. If the record does not contain an anesthesia note, 26675 cannot be supported on audit regardless of what the surgeon intended.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key Differentiator<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26670<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint, without anesthesia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No anesthesia &#8211; local infiltration or no sedation; lower work RVU<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26675<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint, requiring anesthesia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesia required and documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26676<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Adds percutaneous pin fixation to the closed reduction; may be reported with 26675 when both performed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26685<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of carpometacarpal dislocation, other than thumb, includes internal fixation when performed, each joint<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Surgical incision required; higher work RVU; different global considerations<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26641<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of carpometacarpal dislocation, thumb, with manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Thumb CMC; with manipulation; no fracture (pure dislocation)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26645<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of thumb CMC fracture-dislocation, with manipulation (Bennett fracture)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bennett fracture; thumb CMC; manipulation performed; fracture present<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT code lookup<\/a> provides the full family of adjacent hand and carpal codes with crosswalk data.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When a closed reduction fails and the same surgeon converts to an open procedure at the same encounter, do not report both 26675 and 26685. Report only 26685, the more definitive procedure &#8211; NCCI bundling edits enforce this, and violations result in automatic claim rejection.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-cpt-code-26675\" class=\"wp-block-heading\">Documentation requirements for billing CPT code 26675<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Fracture and dislocation care claims draw payer scrutiny. The <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/article.aspx?articleid=52767\" target=\"_blank\" rel=\"nofollow noopener\">CMS billing article A52767<\/a> outlines what documentation must support these treatment codes billed to Medicare, including closed reduction procedures like CPT code 26675. A compliant record must include all of the following elements before the claim goes out.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Imaging report:<\/strong> Radiograph or CT confirming carpometacarpal dislocation at a non-thumb joint, with laterality noted<\/li>\n\n\n\n<li><strong>Procedure note:<\/strong> Describes the manipulation technique, position, reduction achieved, and post-reduction alignment confirmation<\/li>\n\n\n\n<li><strong>Anesthesia record:<\/strong> Type of anesthesia administered, agent, dosing, and provider &#8211; this is the single most commonly missing element on audit<\/li>\n\n\n\n<li><strong>Clinical indication:<\/strong> Documentation that conservative management or simple splinting was insufficient or that closed manipulation was the appropriate first-line intervention<\/li>\n\n\n\n<li><strong>Post-reduction imaging:<\/strong> Confirmation that acceptable alignment was achieved; if not, the record should reflect the plan (casting for acceptable reduction, escalation for unacceptable)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">HIPAA-compliant documentation standards for medical offices require that clinical records support the services billed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using digital procedure documentation tools can build structured note templates that prompt clinicians to capture each required element at the point of care, reducing the risk that a claim is denied months later because an anesthesia note was filed separately from the operative record. The HIPAA compliance guide covers how those records should be stored and transmitted.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-26675\/how-to-mark-injection-points-in-a-treatment-note.webp\" alt=\"Documenting closed reduction of a carpometacarpal dislocation in a procedure note\"\/><figcaption class=\"wp-element-caption\"><em>Documenting closed reduction of a carpometacarpal dislocation in a procedure note<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 id=\"h-global-surgery-period-and-post-operative-billing\" class=\"wp-block-heading\">Global surgery period and post-operative billing<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 carries a 90-day global surgery period under Medicare. That means the payment for 26675 is intended to cover all routine post-operative management for 90 days following the procedure. During those 90 days, the following services are bundled and cannot be billed separately to Medicare:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Post-reduction cast applications or changes<\/li>\n\n\n\n<li>Routine office visits for fracture follow-up (same condition, same provider)<\/li>\n\n\n\n<li>X-rays to confirm alignment or healing progression at scheduled follow-up visits<\/li>\n\n\n\n<li>Pin removal when percutaneous fixation (26676) was performed at the same encounter<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Two exceptions apply. If the patient develops a new, unrelated condition during the global period, that visit can be billed with modifier 24 (unrelated E\/M during a postoperative period). If the original reduction fails and a separate surgical procedure is required during the global window, that new procedure is billed separately with modifier 79 (unrelated procedure during postoperative period).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier 58 applies when a staged or related procedure is planned and performed during the same global period &#8211; for example, when open reduction and internal fixation becomes necessary after a failed closed reduction.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Build a 90-day global period tracker into your scheduling system when CPT 26675 is billed. Flag every follow-up appointment within that window so billing staff can confirm whether the visit qualifies for a separate charge or falls under the global bundle. Missing this step is the primary source of post-payment audit recoveries in hand surgery practices.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-common-billing-mistakes-and-how-to-avoid-them\" class=\"wp-block-heading\">Common billing mistakes and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 is a low-volume, high-specificity code. That combination means coding errors tend to go undetected longer than errors on high-frequency codes. The patterns below account for the majority of claim problems seen with this code on audit.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Billing 26675 when 26670 is correct:<\/strong> If the procedure note does not document anesthesia, 26675 cannot be justified. Downcode to 26670 before submitting, or obtain a corrected operative note if anesthesia was administered and simply omitted from the original documentation.<\/li>\n\n\n\n<li><strong>Upcoding to 26685 (open treatment):<\/strong> Some practices bill the open-treatment code for closed procedures to capture a higher RVU. This is a significant upcoding risk. The procedure note must describe a surgical incision to support 26685.<\/li>\n\n\n\n<li><strong>Reporting 26675 for a Bennett fracture:<\/strong> The thumb CMC joint is explicitly excluded from this code. An ICD-10 code from the thumb-specific dislocation range will not align with 26675, and most clearinghouses will reject the claim on edit.<\/li>\n\n\n\n<li><strong>Unbundling E\/M during the global period:<\/strong> Billing a standard office visit (99213-99215) for routine follow-up during the 90-day global is a bundling violation. Use modifier 24 only when the E\/M genuinely addresses a separate, documented condition.<\/li>\n\n\n\n<li><strong>Missing the &#8220;each joint&#8221; opportunity:<\/strong> When two non-thumb CMC joints are treated at the same encounter, each qualifies for a separate unit of 26675. Failing to report both leaves reimbursement on the table. Confirm bilateral or multi-joint payer policy before reporting multiple units.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that run their fracture care claims through a dedicated claims management workflow catch most of these errors at the pre-submission stage. Automated edits for code-family mismatches, ICD-10 alignment, and global period conflicts surface problems before they generate denials.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For practices building or improving their orthopedic coding processes.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-26675\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Automate claims and billing with Pabau<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Related CPT codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22840\/\">CPT code 22840 \u2014 Posterior Non-Segmental Instrumentation<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-27096\/\">CPT code 27096 \u2014 Sacroiliac Joint Injection<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-27130\/\">CPT Code 27130 \u2014 Total hip arthroplasty<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-27299\/\">CPT code 27299 \u2014 Unlisted Procedure, Pelvis or Hip Joint<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 26675 sits at the intersection of clinical specificity and billing precision. Three conditions must all be present: a non-thumb CMC dislocation, closed manipulation, and documented anesthesia. Miss any one of them and the wrong code goes on the claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The 90-day global period adds another layer of complexity for practices that do not proactively track post-reduction follow-up against the operative date.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s claims management software gives orthopedic and hand surgery practices the pre-submission edit layer that catches code-family mismatches, ICD-10 alignment errors, and global period conflicts before they become denials. See how it works for your practice management workflows, or <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a> to walk through a live claims workflow.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding another anesthesia-dependent procedure?<\/strong> The <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-01210\/\">CPT code 01210<\/a> guide breaks down anesthesia billing for an open hip procedure, using the same anesthesia-documentation logic that applies to CPT 26675.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Screening for other joint injuries after high-energy trauma?<\/strong> The <a href=\"https:\/\/pabau.com\/blog\/barlow-test\/\">Barlow and Ortolani test<\/a> guide covers technique, interpretation, and referral for a related orthopedic screening exam.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Handling billing for a different specialty?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/chiropractic-billing-cheat-sheet\/\">chiropractic billing cheat sheet<\/a> lays out the CPT and ICD-10 codes another specialty uses to keep claims clean.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1784795198390\"><h3 class=\"schema-faq-question\">What is CPT code 26675 used for?<\/h3> <p class=\"schema-faq-answer\">CPT code 26675 is used to bill closed treatment of carpometacarpal dislocation, other than the thumb, with manipulation requiring anesthesia, for each joint treated. It applies when a hand surgeon or emergency physician performs closed reduction of a non-thumb CMC dislocation and anesthesia is administered and documented as part of the procedure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198391\"><h3 class=\"schema-faq-question\">What is the difference between CPT 26675 and CPT 26670?<\/h3> <p class=\"schema-faq-answer\">The sole clinical distinction is anesthesia: CPT 26670 covers closed treatment of a CMC dislocation with manipulation but without anesthesia, while CPT code 26675 requires that anesthesia be administered and documented. Billing 26675 without an anesthesia record is an audit risk; if no anesthesia was given, 26670 is the correct code regardless of the complexity of the reduction.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198392\"><h3 class=\"schema-faq-question\">Does CPT 26675 require anesthesia every time?<\/h3> <p class=\"schema-faq-answer\">Yes. The descriptor &#8220;requiring anesthesia&#8221; is a billing prerequisite, not a suggestion. The operative or procedure record must document the type of anesthesia, the administering provider, and the dosing. Without that documentation, the claim for CPT code 26675 cannot be supported on audit and the claim should be reported as CPT 26670 instead.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198393\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with CPT 26675?<\/h3> <p class=\"schema-faq-answer\">Primary ICD-10-CM codes come from the S63.05x dislocation range: S63.054 for the right hand, S63.055 for the left, and S63.056 for an unspecified hand. If a genuine fracture accompanies the dislocation, add a secondary S62.31x displaced-fracture code (S62.310 right, S62.311 left). Use 7th character &#8220;A&#8221; for the initial encounter when the procedure is performed.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198394\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT 26675?<\/h3> <p class=\"schema-faq-answer\">Medicare reimbursement for CPT code 26675 varies by geographic locality through the GPCI adjustment and changes annually with the Medicare Physician Fee Schedule update. Use the CMS Physician Fee Schedule Look-Up Tool to retrieve the current facility and non-facility payment amounts for your specific MAC region &#8211; never rely on rates from a prior year.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198395\"><h3 class=\"schema-faq-question\">Is CPT 26675 subject to a global surgery period?<\/h3> <p class=\"schema-faq-answer\">Yes. CPT code 26675 carries a 90-day global surgery period under Medicare. Routine follow-up visits, cast changes, alignment X-rays, and pin removal (if percutaneous fixation was added) are all bundled into the global payment. Separate billing for these services during the 90-day window is a bundling violation; only unrelated conditions (modifier 24) or unrelated procedures (modifier 79) may be billed independently.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784795198396\"><h3 class=\"schema-faq-question\">What documentation is required to bill CPT 26675?<\/h3> <p class=\"schema-faq-answer\">A compliant claim requires: imaging confirming CMC dislocation with laterality; a procedure note describing the manipulation technique and post-reduction alignment; an anesthesia record documenting type, agent, dosing, and administering provider; and clinical indication that closed manipulation was appropriate. Missing the anesthesia record is the most frequent documentation deficiency found on audits for this code.<\/p> <\/div> <\/div>\n\n\n","protected":false},"excerpt":{"rendered":"<p>CPT code 26675 is the code hand surgeons and emergency physicians report when they reduce a dislocated carpometacarpal joint by closed manipulation and the patient needs anesthesia to tolerate it. It sits in a small family of related codes &#8211; 26670, 26676, and 26685 &#8211; that differ by anesthesia use, added fixation, or an open [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":162275,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"91","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[4282,4284,4281,4283,1666,3271],"class_list":["post-162277","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-carpometacarpal-dislocation","tag-closed-reduction-billing","tag-cpt-26675","tag-hand-cpt-codes","tag-orthopedic-billing","tag-orthopedic-trauma"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT Code 26675: Closed treatment of carpometacarpal dislocation<\/title>\n<meta name=\"description\" content=\"CPT code 26675 covers closed treatment of a non-thumb carpometacarpal dislocation with manipulation requiring anesthesia.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT Code 26675: Closed treatment of carpometacarpal dislocation\" \/>\n<meta property=\"og:description\" content=\"CPT code 26675 covers closed treatment of a non-thumb carpometacarpal dislocation with manipulation requiring anesthesia.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-23T09:38:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T12:43:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/cpt-code-26675.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Katy Piper\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katy Piper\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/\"},\"author\":{\"name\":\"Katy Piper\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\"},\"headline\":\"CPT Code 26675: Closed treatment of carpometacarpal 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\",\"name\":\"Katy Piper\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"caption\":\"Katy Piper\"},\"description\":\"Katy Piper is a content writer covering aesthetics, dermatology, and clinic operations, with a knack for making clinical detail feel approachable. Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/blog\\\/author\\\/katy-piper\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198390\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198390\",\"name\":\"What is CPT code 26675 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 26675 is used to bill closed treatment of carpometacarpal dislocation, other than the thumb, with manipulation requiring anesthesia, for each joint treated. It applies when a hand surgeon or emergency physician performs closed reduction of a non-thumb CMC dislocation and anesthesia is administered and documented as part of the procedure.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198391\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198391\",\"name\":\"What is the difference between CPT 26675 and CPT 26670?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The sole clinical distinction is anesthesia: CPT 26670 covers closed treatment of a CMC dislocation with manipulation but without anesthesia, while CPT code 26675 requires that anesthesia be administered and documented. Billing 26675 without an anesthesia record is an audit risk; if no anesthesia was given, 26670 is the correct code regardless of the complexity of the reduction.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198392\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198392\",\"name\":\"Does CPT 26675 require anesthesia every time?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. The descriptor \\\"requiring anesthesia\\\" is a billing prerequisite, not a suggestion. The operative or procedure record must document the type of anesthesia, the administering provider, and the dosing. Without that documentation, the claim for CPT code 26675 cannot be supported on audit and the claim should be reported as CPT 26670 instead.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198393\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198393\",\"name\":\"What ICD-10 codes are used with CPT 26675?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Primary ICD-10-CM codes come from the S63.05x dislocation range: S63.054 for the right hand, S63.055 for the left, and S63.056 for an unspecified hand. If a genuine fracture accompanies the dislocation, add a secondary S62.31x displaced-fracture code (S62.310 right, S62.311 left). Use 7th character \\\"A\\\" for the initial encounter when the procedure is performed.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198394\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198394\",\"name\":\"What is the Medicare reimbursement rate for CPT 26675?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare reimbursement for CPT code 26675 varies by geographic locality through the GPCI adjustment and changes annually with the Medicare Physician Fee Schedule update. Use the CMS Physician Fee Schedule Look-Up Tool to retrieve the current facility and non-facility payment amounts for your specific MAC region - never rely on rates from a prior year.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198395\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198395\",\"name\":\"Is CPT 26675 subject to a global surgery period?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. CPT code 26675 carries a 90-day global surgery period under Medicare. Routine follow-up visits, cast changes, alignment X-rays, and pin removal (if percutaneous fixation was added) are all bundled into the global payment. Separate billing for these services during the 90-day window is a bundling violation; only unrelated conditions (modifier 24) or unrelated procedures (modifier 79) may be billed independently.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198396\",\"position\":7,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-26675\\\/#faq-question-1784795198396\",\"name\":\"What documentation is required to bill CPT 26675?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A compliant claim requires: imaging confirming CMC dislocation with laterality; a procedure note describing the manipulation technique and post-reduction alignment; an anesthesia record documenting type, agent, dosing, and administering provider; and clinical indication that closed manipulation was appropriate. 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Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.","url":"https:\/\/pabau.com\/nl\/blog\/author\/katy-piper\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198390","position":1,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198390","name":"What is CPT code 26675 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT code 26675 is used to bill closed treatment of carpometacarpal dislocation, other than the thumb, with manipulation requiring anesthesia, for each joint treated. It applies when a hand surgeon or emergency physician performs closed reduction of a non-thumb CMC dislocation and anesthesia is administered and documented as part of the procedure.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198391","position":2,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198391","name":"What is the difference between CPT 26675 and CPT 26670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The sole clinical distinction is anesthesia: CPT 26670 covers closed treatment of a CMC dislocation with manipulation but without anesthesia, while CPT code 26675 requires that anesthesia be administered and documented. Billing 26675 without an anesthesia record is an audit risk; if no anesthesia was given, 26670 is the correct code regardless of the complexity of the reduction.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198392","position":3,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198392","name":"Does CPT 26675 require anesthesia every time?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. The descriptor \"requiring anesthesia\" is a billing prerequisite, not a suggestion. The operative or procedure record must document the type of anesthesia, the administering provider, and the dosing. Without that documentation, the claim for CPT code 26675 cannot be supported on audit and the claim should be reported as CPT 26670 instead.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198393","position":4,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198393","name":"What ICD-10 codes are used with CPT 26675?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Primary ICD-10-CM codes come from the S63.05x dislocation range: S63.054 for the right hand, S63.055 for the left, and S63.056 for an unspecified hand. If a genuine fracture accompanies the dislocation, add a secondary S62.31x displaced-fracture code (S62.310 right, S62.311 left). 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Use the CMS Physician Fee Schedule Look-Up Tool to retrieve the current facility and non-facility payment amounts for your specific MAC region - never rely on rates from a prior year.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198395","position":6,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-26675\/#faq-question-1784795198395","name":"Is CPT 26675 subject to a global surgery period?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. CPT code 26675 carries a 90-day global surgery period under Medicare. Routine follow-up visits, cast changes, alignment X-rays, and pin removal (if percutaneous fixation was added) are all bundled into the global payment. 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