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Topic Title: Fifth Metacarpal base fracture
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Created On: 08/13/2009 04:24 PM

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 08/13/2009 04:24 PM
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Joined: 06/09/2006


Closed reduction, percutaneous pinning of the left fifth metacarpal base fracture.

Once general endotracheal anesthesia was achieved, the left upper extremity was manipulated under fluoroscopy to show a mobile fracture that was reducible with traction and manual pressure.

A 0.045 K-wire was then placed on the direct ulnar aspect of the fifth metacarpal base. Fluoroscopy was used to confirm adequate positioning at the base of the fifth metacarpal. The K-wire was then advanced into the fracture fragment into the third and fourth metacarpal base. A second K-wire was then placed approximately 1 cm distal and parallel to the previous K-wire into the fifth and fourth metacarpal. Fluoroscopy was used to confirm adequate reduction of the fifth carpometacarpal joint space and proper placement of K-wire pins. The K-wires were then cut at the level of the skin and buried underneath of the skin.

Is 26605 the correct code for that case? Thank you very much for your help.
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 09/04/2009 04:15 PM
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26605 is for closed reduction with manipulation. Look at 26608-percutaneous skeletal fixation of metacarpal bones.

Kathy Lindstrom, RHIT
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