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Closed Treatment w/o manipulation for Fracture of Ulnar Side Sesamoid of Thumb

Camille Posted Tue 03rd of March, 2020 13:24:03 PM
Dx: Rt thumb ulnar collateral ligament disruption and ulnar sesamoid fracture. Performed: Rt thumb ACP joint arthrotomy (CPT 26075), open repair of ulnar collateral ligament (CPT 26540), and closed treatment of sesamoid fracture, ulnar side, without manipulation. QUESTION: Is the correct code for the sesamoid fracture 26989, 26600, or other? Thank you!
SuperCoder Answered Wed 04th of March, 2020 04:06:55 AM

Hi Camille,


You should use CPT code 26740 for closed treatment of ulnar sesamoid fracture of thumb. Ulnar fracture of thumb is fracture of metacarpophalangeal joint of the thumb.


Provided CPT code 26600 is for closed treatment of metacarpal fracture whereas the procedure was performed on metacarpophalangeal joint of the thumb (ulnar sesamoid fracture). Therefore, CPT code 26740 would be the appropriate CPT code for the provided scenario.



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