26650 Treat thumb fracture
Also known as: Thumb fracture reduction, Fracture manipulation, Closed reduction
Closed treatment of a thumb bone fracture with manipulation, performed when the fracture requires reduction under manual guidance without operative fixation.
In Plain Language
Setting a broken thumb back in place without surgery; Realigning a thumb fracture by hand
Clinical Context
Indicated for thumb fractures requiring reduction where alignment can be maintained with external immobilization after manipulation.
RVU Breakdown
| Work RVU | 5.22 |
| Total RVU | 5.22 |
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 5.22, this code ranks in the 35th 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 26650?
CPT 26650 (Treat thumb fracture) is a Surgery code. Closed treatment of a thumb bone fracture with manipulation, performed when the fracture requires reduction under manual guidance without operative fixation.
What is the wRVU value for CPT 26650?
The work RVU for CPT 26650 is 5.22. This code is primarily used by Hand Surgery, Orthopedic Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 26650 used?
Indicated for thumb 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.