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

Report this service for a metacarpal fracture treated by closed manipulation and percutaneous skeletal fixation of the affected bone.

CMS RVU26DEffective Oct 1, 2026One payment locality50 Medicare services in 2024

In Connecticut, Medicare pays $530.53 for 26607 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$530.53Hospital or facility

Check a contract rate as a % of Medicare · 26607 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 26607 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 26607 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 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.

How Connecticut compares for 26607

Across 109 of 109 payment localities, the facility rate for 26607 runs from $439.26 in Arkansas to $623.45 in San Benito County, CA. Connecticut pays $530.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

26607 in Connecticut vs other payment areas
  1. Connecticut · this page$530.53
  2. Los Angeles, CA · California$543.26+$12.73
  3. Washington, DC area · District of Columbia$561.27+$30.74
  4. Miami, FL · Florida$567.08+$36.55
  5. Chicago, IL · Illinois$549.30+$18.77
  6. Manhattan, NY · New York$576.57+$46.04
  7. Alaska · Alaska$587.68+$57.15

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

Every other payment area

26607 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$445.70
ArkansasArkansas—$439.26
ArizonaArizona—$483.15
Bakersfield, CACalifornia—$512.81
Chico, CACalifornia—$509.67
El Centro, CACalifornia—$509.86
Fresno, CACalifornia—$509.67
Hanford, CACalifornia—$509.67

26607 rates by state

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

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.

View every state and territory as a table
26607 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 26607 in every payment locality

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.

How the rate is built · 26607

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.34

5.34 RVUs× 1.000 GPCI

Practice expense8.41

8.41 RVUs× 1.000 GPCI

Malpractice1.14

1.14 RVUs× 1.000 GPCI

Adjusted RVUs

14.8900

Conversion factor

$33.4009

Medicare rate

$497.34

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

2,660

Code
26607
Physician work
5.34
Practice expense
8.41
Malpractice
1.14

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 26607 in Connecticut
ComponentRVULocality factorAdjusted
Physician work5.34× 1.0205.4468
Practice expense8.41× 1.0779.0576
Malpractice1.14× 1.2101.3794
Total RVUs15.8838
Conversion factor× 33.4009

Facility rate, Connecticut$530.53

Facility: (5.34 × 1.02 + 8.41 × 1.077 + 1.14 × 1.21) × $33.4009 = $530.53

Open 26607 in the RVU calculator

Payment rules and modifiers for 26607

26607 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26607

Metacarpal fracture, manipulation with percutaneous fixation

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)0Not paid without supporting documentation.
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 · 26607

Metacarpal fracture, manipulation with percutaneous fixation

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

26607 without 51 · national facility

$497.34

Metacarpal fracture, manipulation with percutaneous fixation

26607-51 · Second procedure: 50%

$248.67

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

How 26607 has changed in Connecticut

26607 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$530.53RVU26D
2026-07-01Not available in this setting$530.53RVU26C
2026-04-01Not available in this setting$530.53RVU26B
2026-01-01Not available in this setting$530.53RVU26A
2025-10-01Not available in this setting$542.18RVU25D
2025-07-01Not available in this setting$542.18RVU25C
2025-04-01Not available in this setting$542.18RVU25B
2025-01-01Not available in this setting$542.18RVU25A
2024-10-01Not available in this setting$557.67RVU24D
2024-07-01Not available in this setting$557.67RVU24C
2024-04-01Not available in this setting$557.67RVU24B
2024-03-09Not available in this setting$557.67RVU24AR
2024-01-01Not available in this setting$548.57RVU24A
2023-10-01Not available in this setting$564.25RVU23D
2023-07-01Not available in this setting$564.25RVU23C
2023-04-01Not available in this setting$564.25RVU23B
2023-01-01Not available in this setting$564.25RVU23A
2022-10-01Not available in this setting$570.25RVU22D
2022-07-01Not available in this setting$570.25RVU22C
2022-04-01Not available in this setting$570.25RVU22B
2022-01-01Not available in this setting$570.25RVU22A
2021-10-01Not available in this setting$560.27RVU21D
2021-07-01Not available in this setting$560.27RVU21C
2021-04-01Not available in this setting$560.27RVU21B
2021-01-01Not available in this setting$560.27RVU21A
2020-10-01Not available in this setting$543.79RVU20D
2020-07-01Not available in this setting$543.79RVU20C
2020-04-01Not available in this setting$543.79RVU20B
2020-01-01Not available in this setting$543.79RVU20A
2019-10-01Not available in this setting$528.02RVU19D
2019-07-01Not available in this setting$528.02RVU19C
2019-04-01Not available in this setting$526.66RVU19B
2019-01-01Not available in this setting$526.66RVU19A
2018-10-01Not available in this setting$514.63RVU18D
2018-07-01Not available in this setting$514.63RVU18C
2018-04-01Not available in this setting$514.63RVU18B
2018-01-01Not available in this setting$514.63RVU18AR1
2017-10-01Not available in this setting$507.30RVU17D
2017-07-01Not available in this setting$507.30RVU17C
2017-04-01Not available in this setting$507.30RVU17B
2017-01-01Not available in this setting$507.30RVU17A
2016-10-01Not available in this setting$506.40RVU16D
2016-07-01Not available in this setting$506.40RVU16C
2016-04-01Not available in this setting$506.40RVU16B
2016-01-01Not available in this setting$506.40RVU16A
2015-10-01Not available in this setting$513.58RVU15D
2015-07-01Not available in this setting$513.58RVU15C
2015-04-01Not available in this setting$511.02RVU15B
2015-01-01Not available in this setting$511.02RVU15A
2014-10-01Not available in this setting$502.33RVU14D
2014-07-01Not available in this setting$502.33RVU14C
2014-04-01Not available in this setting$502.33RVU14B
2014-01-01Not available in this setting$502.33RVU14A
2013-10-01Not available in this setting$501.71RVU13D
2013-07-01Not available in this setting$501.71RVU13C
2013-04-01Not available in this setting$501.71RVU13B
2013-01-01Not available in this setting$501.71RVU13AR

Price 26607 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

26607 billing questions

How is 26607 different from 26605?

26607 describes closed manipulation with percutaneous skeletal fixation. Use 26605 when the metacarpal fracture is manipulated but does not require percutaneous skeletal fixation.

How is 26607 different from 26608?

26607 specifies closed treatment with manipulation requiring percutaneous skeletal fixation. Compare the documented procedure with the full descriptors for 26607 and 26608 to select the code matching the fixation service performed.

Is the code reported once per hand or once per bone?

The service is reported for each metacarpal bone treated. Identify the treated bone or bones in the operative documentation.

Are related postoperative visits separately reported during the global period?

The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.

Can modifier 50 be used when both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate for its descriptor or anatomy.

When can an assistant-at-surgery be paid?

Assistant-at-surgery payment requires documentation supporting medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 26607PPRRVU2026_Oct_nonQPP.csv, line 2,660 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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