CPT code 26675 designates a closed manipulation (closed reduction) of a displaced joint where the hand meets the wrist, excluding the base of the thumb, performed under general anesthesia without any incision. This code captures an acute operative manual realignment procedure often required after traumatic dislocations or fractures involving carpal-metacarpal or carpometacarpal joints. Nationally, proper coding of this service affects surgical case mix, reimbursement parity between inpatient and outpatient settings, and accurate capture of operative volumes for hand and orthopedic surgery services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and typical sites of service, plus practical guidance on common billing modifiers and payer considerations where available. The publication includes benchmarks and policy context relevant to payers listed above, coding nuance for closed reductions versus open procedures, and implications for surgical scheduling and anesthesia billing. Data limitations are noted where input fields were not provided.

This piece is intended for billing managers, surgical schedulers, orthopedic and hand surgeons, revenue cycle staff, and policy analysts seeking a clear, national-level summary of CPT code 26675 and its operational and payer-facing considerations.