26645 Treat thumb fracture
Also known as: Thumb fracture closed treatment, Conservative fracture management, Non-operative treatment
Closed treatment of a thumb bone fracture, performed without operative intervention, managing fracture through non-surgical means such as immobilization or manipulation.
In Plain Language
Treatment of a broken thumb without surgery; Splinting a broken thumb bone
Clinical Context
Used for stable or minimally displaced thumb fractures where conservative treatment with immobilization provides adequate healing.
RVU Breakdown
| Work RVU | 4.47 |
| Total RVU | 4.47 |
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 4.47, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26645?
CPT 26645 (Treat thumb fracture) is a Surgery code. Closed treatment of a thumb bone fracture, performed without operative intervention, managing fracture through non-surgical means such as immobilization or manipulation.
What is the wRVU value for CPT 26645?
The work RVU for CPT 26645 is 4.47. This code is primarily used by Hand Surgery, Orthopedic Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 26645 used?
Used for stable or minimally displaced thumb fractures where conservative treatment with immobilization provides adequate healing.
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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.