CPT code 26607: Metacarpal fracture, manipulation with percutaneous fixation2026 Medicare rate & RVUs

Medicare pays $497.34 for 26607 nationally in a facility.

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

What 26607 covers

This service treats a metacarpal fracture without open exposure of the fracture site. The clinician manipulates the fracture into position and stabilizes it with percutaneous skeletal fixation, such as pins placed through the skin. It is typically performed by an orthopedic or hand surgeon when closed reduction alone is not sufficient to maintain alignment. The code is reported for each bone treated, so documentation should identify the metacarpal, fracture, reduction, and fixation performed.

This major surgery code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 for this code’s anatomy or descriptor. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted. The operative report should establish that closed manipulation and percutaneous fixation were performed, distinguishing this service from closed treatment without fixation or open fracture treatment.

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.

Where 26607 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

26607 rates by state

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

How the 26607 rate is calculated

Each of 26607’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 26607

26607 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

26607 compared with similar codes

How to choose

26600Metacarpal fracture careSingle bone, no manipulation

26600 describes closed treatment without manipulation. 26607 involves manipulation and percutaneous skeletal fixation.

26605Metacarpal fractureClosed treatment with manipulation

26605 describes closed treatment with manipulation but without percutaneous skeletal fixation. 26607 includes manipulation requiring percutaneous fixation.

26608Metacarpal fracturePercutaneous skeletal fixation

Both codes are in the metacarpal fixation family. Match the code to the full descriptor and the exact closed-treatment and fixation work documented.

26615Metacarpal fractureOpen treatment, each bone

26615 is for open treatment of a metacarpal fracture. 26607 describes closed manipulation with percutaneous skeletal fixation.

Codes related to 26607

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

Open CMS sourceHow we calculate rates