© Copyright 2025 American Medical Association. All rights reserved.
Closed treatment of a carpometacarpal (CMC) dislocation of the thumb involves a non-surgical procedure aimed at realigning the bones at the base of the thumb where it meets the wrist. This type of dislocation is characterized by the displacement of the thumb's metacarpal bone from its normal position in the CMC joint. Such dislocations are uncommon, primarily due to the robust nature of the volar ligament, which provides significant stability to the joint. The procedure is performed without making any incisions, hence the term 'closed treatment.' It requires skilled manipulation to restore the thumb's normal anatomy. Prior to the manipulation, imaging studies, specifically radiographs, are obtained to assess the extent of the dislocation and to rule out any associated fractures. The manipulation technique typically involves applying traction to the thumb while simultaneously extending, pronating, and abducting the metacarpal to facilitate the reduction of the dislocation. Following the reduction, additional radiographs may be taken to ensure that the bones are properly aligned and that the joint is stable.
© Copyright 2025 Coding Ahead. All rights reserved.
Closed treatment of carpometacarpal dislocation of the thumb is indicated for the following conditions:
The closed treatment of a carpometacarpal dislocation of the thumb involves several key procedural steps:
Following the closed treatment of a carpometacarpal dislocation of the thumb, the patient may be advised to rest the thumb and avoid any activities that could stress the joint. The provider may recommend the use of a splint or brace to immobilize the thumb during the initial healing phase. Follow-up appointments are typically scheduled to monitor the recovery process and to assess the stability of the joint. Patients are also instructed to report any signs of complications, such as increased pain, swelling, or loss of function, which may require further evaluation.
| Short Descr | TREAT THUMB DISLOCATION | Medium Descr | CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ | Long Descr | Closed treatment of carpometacarpal dislocation, thumb, with manipulation | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | F5 | Right hand, thumb | FA | Left hand, thumb | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.