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

In Montana, Medicare pays $341.66 for 26600 in the office and $300.58 when it’s performed in a hospital or facility.

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.

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 Montana 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. Montana pays $341.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26600 rates by state

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

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.

Payment rules and modifiers for 26600

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

What modifiers do to the payment

When to use modifier 51

Codes related to 26600

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

How 26600 has changed in Montana

Price 26600 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates