26608 Treat metacarpal fracture
Also known as: Metacarpal ORIF, Open reduction internal fixation, Surgical fixation
Open treatment of a metacarpal bone fracture with internal fixation, using operative reduction and placement of hardware such as plates, screws, or intramedullary devices.
In Plain Language
Surgery to fix a broken hand bone with metal plates or screws; Internal fixation of metacarpal fracture
Clinical Context
Indicated for unstable metacarpal fractures, displaced fractures, or fractures requiring rigid fixation for optimal healing and function.
RVU Breakdown
| Work RVU | 5.41 |
| Total RVU | 5.41 |
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 5.41, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26608?
CPT 26608 (Treat metacarpal fracture) is a Surgery code. Open treatment of a metacarpal bone fracture with internal fixation, using operative reduction and placement of hardware such as plates, screws, or intramedullary devices.
What is the wRVU value for CPT 26608?
The work RVU for CPT 26608 is 5.41. This code is primarily used by Hand Surgery, Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 26608 used?
Indicated for unstable metacarpal fractures, displaced fractures, or fractures requiring rigid fixation for optimal healing and function.
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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.