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

Closed treatment of a metacarpal fracture with manipulation and percutaneous skeletal fixation, reported for each metacarpal bone treated.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Kansas, Medicare pays $422.75 for 26608 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$422.75Hospital or facility

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.

We’ll open 26608 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 26608 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 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 Kansas 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. Kansas pays $422.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

26608 in Kansas vs other payment areas
  1. Kansas · this page$422.75
  2. Los Angeles, CA · California$505.03+$82.28
  3. Washington, DC area · District of Columbia$522.18+$99.43
  4. Miami, FL · Florida$529.08+$106.33
  5. Chicago, IL · Illinois$513.06+$90.31
  6. Manhattan, NY · New York$536.93+$114.18
  7. Alaska · Alaska$554.68+$131.93

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

Every other payment area

26608 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$417.78
ArkansasArkansas—$411.99
ArizonaArizona—$451.44
Bakersfield, CACalifornia—$477.52
Chico, CACalifornia—$474.55
El Centro, CACalifornia—$474.73
Fresno, CACalifornia—$474.55
Hanford, CACalifornia—$474.55

26608 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
26608 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 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.

How the rate is built · 26608

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.41

5.41 RVUs× 1.000 GPCI

Practice expense7.42

7.42 RVUs× 1.000 GPCI

Malpractice1.07

1.07 RVUs× 1.000 GPCI

Adjusted RVUs

13.9000

Conversion factor

$33.4009

Medicare rate

$464.27

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,661

Code
26608
Physician work
5.41
Practice expense
7.42
Malpractice
1.07

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Facility calculation for 26608 in Kansas
ComponentRVULocality factorAdjusted
Physician work5.41× 1.0005.4100
Practice expense7.42× 0.9046.7077
Malpractice1.07× 0.5040.5393
Total RVUs12.6570
Conversion factor× 33.4009

Facility rate, Kansas$422.75

Facility: (5.41 × 1 + 7.42 × 0.904 + 1.07 × 0.504) × $33.4009 = $422.75

Open 26608 in the RVU calculator

Payment rules and modifiers for 26608

26608 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26608

Metacarpal fracture, percutaneous skeletal 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 · 26608

Metacarpal fracture, percutaneous skeletal 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

26608 without 51 · national facility

$464.27

Metacarpal fracture, percutaneous skeletal fixation

26608-51 · Second procedure: 50%

$232.14

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 26608 has changed in Kansas

26608 · 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$422.75RVU26D
2026-07-01Not available in this setting$422.75RVU26C
2026-04-01Not available in this setting$422.75RVU26B
2026-01-01Not available in this setting$422.75RVU26A
2025-10-01Not available in this setting$442.39RVU25D
2025-07-01Not available in this setting$442.39RVU25C
2025-04-01Not available in this setting$442.39RVU25B
2025-01-01Not available in this setting$442.39RVU25A
2024-10-01Not available in this setting$451.64RVU24D
2024-07-01Not available in this setting$451.64RVU24C
2024-04-01Not available in this setting$451.64RVU24B
2024-03-09Not available in this setting$451.64RVU24AR
2024-01-01Not available in this setting$444.27RVU24A
2023-10-01Not available in this setting$453.73RVU23D
2023-07-01Not available in this setting$453.73RVU23C
2023-04-01Not available in this setting$453.73RVU23B
2023-01-01Not available in this setting$453.73RVU23A
2022-10-01Not available in this setting$454.43RVU22D
2022-07-01Not available in this setting$454.43RVU22C
2022-04-01Not available in this setting$454.43RVU22B
2022-01-01Not available in this setting$454.43RVU22A
2021-10-01Not available in this setting$454.71RVU21D
2021-07-01Not available in this setting$454.71RVU21C
2021-04-01Not available in this setting$454.71RVU21B
2021-01-01Not available in this setting$454.71RVU21A
2020-10-01Not available in this setting$457.47RVU20D
2020-07-01Not available in this setting$457.47RVU20C
2020-04-01Not available in this setting$457.47RVU20B
2020-01-01Not available in this setting$457.47RVU20A
2019-10-01Not available in this setting$457.37RVU19D
2019-07-01Not available in this setting$457.37RVU19C
2019-04-01Not available in this setting$457.37RVU19B
2019-01-01Not available in this setting$457.37RVU19A
2018-10-01Not available in this setting$454.35RVU18D
2018-07-01Not available in this setting$454.35RVU18C
2018-04-01Not available in this setting$454.35RVU18B
2018-01-01Not available in this setting$454.35RVU18AR1
2017-10-01Not available in this setting$451.41RVU17D
2017-07-01Not available in this setting$451.41RVU17C
2017-04-01Not available in this setting$451.41RVU17B
2017-01-01Not available in this setting$451.41RVU17A
2016-10-01Not available in this setting$450.33RVU16D
2016-07-01Not available in this setting$450.33RVU16C
2016-04-01Not available in this setting$450.33RVU16B
2016-01-01Not available in this setting$450.33RVU16A
2015-10-01Not available in this setting$451.63RVU15D
2015-07-01Not available in this setting$451.63RVU15C
2015-04-01Not available in this setting$449.38RVU15B
2015-01-01Not available in this setting$449.38RVU15A
2014-10-01Not available in this setting$451.69RVU14D
2014-07-01Not available in this setting$451.69RVU14C
2014-04-01Not available in this setting$451.69RVU14B
2014-01-01Not available in this setting$451.69RVU14A
2013-10-01Not available in this setting$454.44RVU13D
2013-07-01Not available in this setting$454.44RVU13C
2013-04-01Not available in this setting$454.44RVU13B
2013-01-01Not available in this setting$454.44RVU13AR

Price 26608 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

26608 billing questions

When should 26608 be selected instead of 26605?

Use 26608 when the metacarpal fracture is manipulated and stabilized with percutaneous skeletal fixation. Use 26605 for manipulation without that fixation.

How is this code different from 26607?

Both include manipulation and fixation, but 26608 represents percutaneous skeletal fixation. Code 26607 is for treatment using external fixation.

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

Report it for each metacarpal bone treated. The operative documentation should identify each bone receiving manipulation and percutaneous fixation.

Can modifier 50 be used for fractures in both hands?

No. Modifier 50 is inappropriate for this code under the CMS bilateral adjustment facts.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 26608PPRRVU2026_Oct_nonQPP.csv, line 2,661 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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