26665 Treat thumb fracture
Also known as: Thumb fracture ORIF, Open reduction internal fixation, Surgical thumb fixation
Open treatment of a thumb 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 thumb bone with metal plates or screws; Internal fixation of thumb fracture
Clinical Context
Indicated for unstable thumb fractures, displaced fractures, or fractures requiring rigid fixation for optimal healing and function.
RVU Breakdown
| Work RVU | 7.74 |
| Total RVU | 7.74 |
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 7.74, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26665?
CPT 26665 (Treat thumb fracture) is a Surgery code. Open treatment of a thumb 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 26665?
The work RVU for CPT 26665 is 7.74. This code is primarily used by Hand Surgery, Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 26665 used?
Indicated for unstable thumb 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.