26746 Treat finger fracture each
Also known as: complex phalanx fixation, intra-articular phalangeal repair, advanced finger fracture fixation
Surgical treatment of phalangeal (finger bone) fracture with open reduction and complex internal fixation including articular surface reconstruction.
In Plain Language
complex finger bone repair with exact alignment; finger fracture repair with joint restoration
Clinical Context
Used for complex intra-articular phalangeal fractures with joint surface involvement requiring precise reduction and fixation to prevent post-traumatic arthritis.
RVU Breakdown
| Work RVU | 9.56 |
| Total RVU | 9.56 |
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 9.56, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26746?
CPT 26746 (Treat finger fracture each) is a Surgery code. Surgical treatment of phalangeal (finger bone) fracture with open reduction and complex internal fixation including articular surface reconstruction.
What is the wRVU value for CPT 26746?
The work RVU for CPT 26746 is 9.56. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26746 used?
Used for complex intra-articular phalangeal fractures with joint surface involvement requiring precise reduction and fixation to prevent post-traumatic arthritis.
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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.