26605 Treat metacarpal fracture
Also known as: Metacarpal fracture reduction, Fracture manipulation, Closed reduction
Closed treatment of a metacarpal bone fracture with manipulation, performed when the fracture requires reduction under manual guidance without operative fixation.
In Plain Language
Setting a broken hand bone back in place without surgery; Realigning a metacarpal fracture by hand
Clinical Context
Indicated for metacarpal fractures requiring reduction where alignment can be maintained with external immobilization after manipulation.
RVU Breakdown
| Work RVU | 2.95 |
| Total RVU | 2.95 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.95, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26605?
CPT 26605 (Treat metacarpal fracture) is a Surgery code. Closed treatment of a metacarpal bone fracture with manipulation, performed when the fracture requires reduction under manual guidance without operative fixation.
What is the wRVU value for CPT 26605?
The work RVU for CPT 26605 is 2.95. This code is primarily used by Hand Surgery, Orthopedic Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 26605 used?
Indicated for metacarpal fractures requiring reduction where alignment can be maintained with external immobilization after manipulation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.