CPT 26742 Closed treatment of articular fracture involving metacarpophalangeal or interphalangeal joint with manipulation
Last reviewed: May 17, 2026
RVU Values (2026 CMS Fee Schedule)
Emergency Department Use Case
CPT 26742 is commonly searched by emergency physicians, trauma teams, residents, and coders when documenting closed treatment of articular fracture involving metacarpophalangeal or interphalangeal joint with manipulation in the ED. The chart should make the indication, technique, sedation status when relevant, imaging guidance when relevant, and immediate result easy to audit.
If this code was paired with critical care, fracture care, procedural sedation, ultrasound guidance, or a separately reportable evaluation and management service, make sure the documentation supports each distinct service.
Common Modifiers
None typically required
Related ICD-10 Coding Ideas
Use diagnosis codes that match the documented emergency department indication.
Billing Tips
For ED billing, document medical necessity, consent when applicable, approach, laterality when relevant, fluoroscopy or ultrasound use when separately reportable, and whether manipulation or anesthesia was required. Weak procedure notes kill payment.
Use the Free CPT Code Finder to compare this code against neighboring reduction, access, splinting, and bedside procedure codes before final claim submission.
Related Emergency Department CPT Codes
CPT 23505 — Closed treatment of clavicular fracture with manipulation CPT 23540 — Closed treatment of acromioclavicular dislocation without manipulation CPT 23545 — Closed treatment of acromioclavicular dislocation with manipulation CPT 23600 — Closed treatment of proximal humeral fracture without manipulation CPT 24500 — Closed treatment of humeral shaft fracture without manipulation CPT 24505 — Closed treatment of humeral shaft fracture with manipulationSearch emergency procedure CPT codes, compare work RVUs, and stack related services without guesswork.
Open CPT Code Finder →Documentation and Coding Notes
AdSense readiness coding note: CPT 26742 should be treated as an educational starting point, not a final billing instruction. For closed treatment of articular fracture involving metacarpophalangeal or interphalangeal joint with manipulation, the operative note or procedure note should clearly support the approach, anatomic site, laterality when relevant, clinical indication, and any separately reportable services.
Before submitting a claim or logging the case, compare CPT 26742 with adjacent codes in the same family, confirm current AMA CPT language, check CMS/NCCI edits, and verify payer-specific bundling rules. Modifier use should be tied to documentation rather than added only to bypass an edit.
Common audit checks for emergency department procedures cases include whether the documented work matches the code descriptor, whether add-on services are separately supported, whether a global period applies, and whether ICD-10 diagnosis pairing supports medical necessity.