26727 Treat finger fracture each
Also known as: complex metacarpal fixation, metacarpal intramedullary fixation, advanced metacarpal repair
Surgical treatment of metacarpal bone fracture of the hand with open reduction and complex internal fixation including intramedullary devices or advanced fixation techniques.
In Plain Language
complex hand bone repair with internal support; metacarpal fixation with rods
Clinical Context
Indicated for complex, comminuted, or pathologic metacarpal fractures requiring intramedullary nailing or advanced fixation methods for optimal alignment.
RVU Breakdown
| Work RVU | 5.28 |
| Total RVU | 5.28 |
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 5.28, 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 26727?
CPT 26727 (Treat finger fracture each) is a Surgery code. Surgical treatment of metacarpal bone fracture of the hand with open reduction and complex internal fixation including intramedullary devices or advanced fixation techniques.
What is the wRVU value for CPT 26727?
The work RVU for CPT 26727 is 5.28. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26727 used?
Indicated for complex, comminuted, or pathologic metacarpal fractures requiring intramedullary nailing or advanced fixation methods for optimal alignment.
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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.