26615 Treat metacarpal fracture
Also known as: Complex metacarpal ORIF, Comminuted fracture fixation, Complex open treatment
Open treatment of a metacarpal bone fracture with internal fixation and surgical management of complex features such as comminution, intra-articular involvement, or associated soft tissue damage.
In Plain Language
Complex surgery to fix a badly broken hand bone with hardware; Surgery for a shattered metacarpal fracture
Clinical Context
Indicated for comminuted metacarpal fractures, fracture-dislocations, or fractures with associated soft tissue injury requiring comprehensive fixation.
RVU Breakdown
| Work RVU | 6.89 |
| Total RVU | 6.89 |
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 6.89, this code ranks in the 45th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26615?
CPT 26615 (Treat metacarpal fracture) is a Surgery code. Open treatment of a metacarpal bone fracture with internal fixation and surgical management of complex features such as comminution, intra-articular involvement, or associated soft tissue damage.
What is the wRVU value for CPT 26615?
The work RVU for CPT 26615 is 6.89. This code is primarily used by Hand Surgery, Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 26615 used?
Indicated for comminuted metacarpal fractures, fracture-dislocations, or fractures with associated soft tissue injury requiring comprehensive fixation.
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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.