CPT code 26608: Metacarpal fracture, percutaneous skeletal fixation2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $458.59 for 26608 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26608 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 26608 covers

This service treats a metacarpal fracture by manipulating the bone into alignment and stabilizing it with percutaneous skeletal fixation, such as pins placed through the skin. An orthopedic or hand surgeon typically performs the reduction and fixation in an operating room or other procedural setting. The fracture is treated without open exposure of the fracture site; when the surgeon exposes and treats the fracture directly, a different code family member is used.

Report this code for each metacarpal bone treated when both manipulation and percutaneous skeletal fixation are performed. The record should identify the fractured bone, describe the reduction and fixation method, and support the need for stabilization. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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. Assistant-at-surgery payment requires documented medical necessity; 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 Delaware compares for 26608

Across 109 of 109 payment localities, the facility rate for 26608 runs from $411.99 in Arkansas to $577.11 in San Benito County, CA. Delaware pays $458.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26608 rates by state

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

See 26608 in every payment locality

How the 26608 rate is calculated

Each of 26608’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 26608

26608 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 26608

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

How 26608 has changed in Delaware

Price 26608 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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