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CPT code 26600: Metacarpal fracture care, single bone, no manipulation2026 Medicare rate & RVUs in Connecticut

Closed treatment of one metacarpal fracture without manipulation, typically used when the treating clinician immobilizes the fracture without repositioning it.

CMS RVU26DEffective Oct 1, 2026One payment locality9.5K Medicare services in 2024

In Connecticut, Medicare pays $365.34 for 26600 in the office and $321.10 when it’s performed in a hospital or facility.

$365.34Office (non-facility)
$321.10Hospital or facility
+6.9%vs the national office rate ($341.69)

Check a contract rate as a % of Medicare · 26600 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 26600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 26600 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 26600 covers

This code describes closed care for a fracture of one metacarpal when the clinician does not manipulate the bone to reduce or reposition it. Orthopedic and hand surgeons commonly provide this care, as may other clinicians who manage acute hand fractures, in an office, emergency department, or facility setting. Treatment may include stabilizing the hand with an appropriate splint or cast and arranging fracture follow-up.

Select this code when documentation supports treatment of one metacarpal fracture without manipulation; use the multiple-fracture code family when more than one metacarpal is treated. Record the injured bone, fracture findings, treatment plan, and immobilization. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 26600

Across 109 of 109 payment localities, the office rate for 26600 runs from $299.84 in Arkansas to $449.72 in San Benito County, CA. Connecticut pays $365.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

26600 in Connecticut vs other payment areas
  1. Connecticut · this page$365.34
  2. Los Angeles, CA · California$383.68+$18.34
  3. Washington, DC area · District of Columbia$390.93+$25.59
  4. Miami, FL · Florida$376.58+$11.24
  5. Chicago, IL · Illinois$364.68−$0.66
  6. Manhattan, NY · New York$395.67+$30.33
  7. Alaska · Alaska$392.39+$27.05

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

26600 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$304.53$268.58
ArkansasArkansas$299.84$264.55
ArizonaArizona$331.88$292.07
Bakersfield, CACalifornia$359.99$314.96
Chico, CACalifornia$358.63$313.60
El Centro, CACalifornia$358.71$313.68
Fresno, CACalifornia$358.63$313.60
Hanford, CACalifornia$358.63$313.60

26600 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$299.84

$404.18

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
26600 office rate range by state
State / territoryOffice rate rangeLocalities
AK$392.391
AL$304.531
AR$299.841
AZ$331.881
CA$358.63–$449.7229
CO$354.521
CT$365.341
DC$390.931
DE$337.581
FL$339.34–$376.583
GA$318.86–$349.082
GU$367.751
HI$367.751
IA$311.381
ID$313.831
IL$329.98–$364.684
IN$315.721
KS$310.491
KY$313.611
LA$313.35–$329.732
MA$352.47–$390.022
MD$344.08–$390.933
ME$316.27–$333.492
MI$322.88–$344.502
MN$337.141
MO$308.08–$330.183
MS$303.991
MT$341.661
NC$319.671
ND$331.971
NE$312.991
NH$349.511
NJ$368.80–$386.632
NM$325.021
NV$339.201
NY$324.81–$406.605
OH$320.901
OK$312.311
OR$335.87–$365.552
PA$321.07–$356.242
PR$344.091
RI$349.471
SC$320.961
SD$330.821
TN$312.231
TX$318.89–$353.948
UT$325.591
VA$332.79–$390.932
VI$344.091
VT$331.201
WA$351.63–$397.532
WI$320.271
WV$317.241
WY$337.441

See 26600 in every payment locality

How the 26600 rate is calculated

Each of 26600’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 26600

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.54

2.54 RVUs× 1.000 GPCI

Practice expense7.20

7.20 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

10.2300

Conversion factor

$33.4009

Medicare rate

$341.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,658

Code
26600
Physician work
2.54
Practice expense
7.20
Malpractice
0.49

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 26600 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.54× 1.0202.5908
Practice expense7.20× 1.0777.7544
Malpractice0.49× 1.2100.5929
Total RVUs10.9381
Conversion factor× 33.4009

Office rate, Connecticut$365.34

Office: (2.54 × 1.02 + 7.2 × 1.077 + 0.49 × 1.21) × $33.4009 = $365.34

Facility: (2.54 × 1.02 + 5.97 × 1.077 + 0.49 × 1.21) × $33.4009 = $321.10

Open 26600 in the RVU calculator

Payment rules and modifiers for 26600

26600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26600

Metacarpal fracture care, single bone, no manipulation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26600

Metacarpal fracture care, single bone, no manipulation

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

26600 without 51 · national office

$341.69

Metacarpal fracture care, single bone, no manipulation

26600-51 · Second procedure: 50%

$170.85

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 26600

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 26600
CodeHow it relatesOffice range, Connecticut
Same family
26605Metacarpal fracture, closed treatment with manipulationSingle metacarpal fracture treatment when manipulation is performed.$402.51
26607Metacarpal fracture, manipulation with percutaneous fixationMultiple metacarpal fractures treated without manipulation.No office rate
26608Metacarpal fracture, percutaneous skeletal fixationMultiple metacarpal fractures treated with manipulation.No office rate
Used instead
26615Metacarpal fracture, open treatment, each boneOpen treatment of a metacarpal fracture rather than closed treatment.No office rate

How 26600 has changed in Connecticut

26600 · Office / nonfacility

$365.34

Effective 2026-10-01

The base rate is $30.84 higher than on 2025-10-01, moving from $334.50 to $365.34 (9.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $334.50changed to$365.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.60 changed to 2.54
    • Practice expense RVU 6.49 changed to 7.20
    • Malpractice RVU 0.50 changed to 0.49
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $339.88changed to$334.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.37 changed to 6.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $334.33changed to$339.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $340.05changed to$334.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.20 changed to 6.37
    • Malpractice RVU 0.49 changed to 0.50
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $339.23changed to$340.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.96 changed to 6.20
    • Malpractice RVU 0.50 changed to 0.49
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $336.34changed to$339.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.83 changed to 5.96
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $333.21changed to$336.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.42 changed to 5.83
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $329.92changed to$333.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.36 changed to 5.42
    • Malpractice RVU 0.43 changed to 0.48
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $331.21changed to$329.92

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.39 changed to 5.36
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $328.01changed to$331.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.30 changed to 5.39
    • Malpractice RVU 0.45 changed to 0.44
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $327.90changed to$328.01

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $329.08changed to$327.90

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $327.45changed to$329.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $325.20changed to$327.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.24 changed to 5.30
    • Malpractice RVU 0.46 changed to 0.45
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $330.17changed to$325.20

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.81 changed to 5.24
    • Malpractice RVU 0.48 changed to 0.46
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $330.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$365.34$321.10RVU26D
2026-07-01$365.34$321.10RVU26C
2026-04-01$365.34$321.10RVU26B
2026-01-01$365.34$321.10RVU26A
2025-10-01$334.50$318.98RVU25D
2025-07-01$334.50$318.98RVU25C
2025-04-01$334.50$318.98RVU25B
2025-01-01$334.50$318.98RVU25A
2024-10-01$339.88$323.54RVU24D
2024-07-01$339.88$323.54RVU24C
2024-04-01$339.88$323.54RVU24B
2024-03-09$339.88$323.54RVU24AR
2024-01-01$334.33$318.25RVU24A
2023-10-01$340.05$323.24RVU23D
2023-07-01$340.05$323.24RVU23C
2023-04-01$340.05$323.24RVU23B
2023-01-01$340.05$323.24RVU23A
2022-10-01$339.23$322.27RVU22D
2022-07-01$339.23$322.27RVU22C
2022-04-01$339.23$322.27RVU22B
2022-01-01$339.23$322.27RVU22A
2021-10-01$336.34$318.46RVU21D
2021-07-01$336.34$318.46RVU21C
2021-04-01$336.34$318.46RVU21B
2021-01-01$336.34$318.46RVU21A
2020-10-01$333.21$315.54RVU20D
2020-07-01$333.21$315.54RVU20C
2020-04-01$333.21$315.54RVU20B
2020-01-01$333.21$315.54RVU20A
2019-10-01$329.92$311.89RVU19D
2019-07-01$329.92$311.89RVU19C
2019-04-01$329.92$311.89RVU19B
2019-01-01$329.92$311.89RVU19A
2018-10-01$331.21$310.40RVU18D
2018-07-01$331.21$310.40RVU18C
2018-04-01$331.21$310.40RVU18B
2018-01-01$331.21$310.40RVU18AR1
2017-10-01$328.01$308.37RVU17D
2017-07-01$328.01$308.37RVU17C
2017-04-01$328.01$308.37RVU17B
2017-01-01$328.01$308.37RVU17A
2016-10-01$327.90$308.63RVU16D
2016-07-01$327.90$308.63RVU16C
2016-04-01$327.90$308.63RVU16B
2016-01-01$327.90$308.63RVU16A
2015-10-01$329.08$309.34RVU15D
2015-07-01$329.08$309.34RVU15C
2015-04-01$327.45$307.81RVU15B
2015-01-01$327.45$307.81RVU15A
2014-10-01$325.20$306.41RVU14D
2014-07-01$325.20$306.41RVU14C
2014-04-01$325.20$306.41RVU14B
2014-01-01$325.20$306.41RVU14A
2013-10-01$330.17$310.15RVU13D
2013-07-01$330.17$310.15RVU13C
2013-04-01$330.17$310.15RVU13B
2013-01-01$330.17$310.15RVU13AR

Price 26600 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

26600 billing questions

When should 26600 be chosen over 26605?

Use 26600 when one metacarpal fracture is treated without manipulation. Use 26605 when the clinician manipulates the fracture.

How does 26600 differ from 26607?

26600 is for treatment of a single metacarpal fracture. The 26607 family addresses multiple metacarpal fractures treated without manipulation.

Can the initial cast or splint be billed separately?

Routine initial immobilization associated with the fracture treatment is generally included in the fracture-care service. Document the immobilization and treatment plan.

Can modifier 50 be used for fractures in both hands?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What documentation supports reporting 26600?

Document the metacarpal involved, the fracture diagnosis and findings, that one bone is being treated, and that no manipulation was performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 26600PPRRVU2026_Oct_nonQPP.csv, line 2,658 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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