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CPT 26670: Closed Manipulation of Displaced Hand/Wrist Joint
CPT code 26670 represents a closed manipulation (non‑incisional) to reduce displaced bones in a hand or wrist joint, excluding the carpometacarpal joint at the base of the thumb. Nationally, this code captures a common urgent and procedural intervention used to restore joint alignment and facilitate fracture or dislocation healing without general anesthesia. The code is relevant to orthopedic and emergency care billing, utilization monitoring, and payment policy because it spans multiple sites of service, including ambulatory surgical centers, hospital outpatient departments, emergency departments, and occasionally office settings.
Key payers in the coverage landscape include Aetna, Blue Cross Blue Shield plans, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for when the procedure is used, typical sites of service, common modifiers and coding considerations (listed separately), and how CPT code 26670 maps to procedural workflows. The publication summarizes benchmarks and payer coverage patterns where available, highlights billing nuances that affect claim adjudication, and outlines clinical scenarios that commonly generate this code. Data not provided in the input is noted as unavailable where applicable.
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Billing Code Overview
CPT code 26670 describes a closed manipulation of a dislocated carpal-metacarpal or intercarpal joint in the hand or wrist (excluding the base of the thumb) performed without an incision and without general anesthesia. The procedure involves manual manipulation to restore normal alignment of displaced bones in the joint and facilitate healing.
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Service type: Closed manipulation, joint reduction (hand/wrist)
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an emergency department or office setting depending on clinical circumstances.