$358.63
26600 describes closed treatment without manipulation. 26607 involves manipulation and percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
26607 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$509.67
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hand surgery
About 26607: Closed metacarpal fracture treatment with fixation
Report this service for a metacarpal fracture treated by closed manipulation and percutaneous skeletal fixation of the affected bone.
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.
CMS billing rules for 26607
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.34 · 36%
- Practice expense (office) RVU8.41 · 56%
- Malpractice RVU1.14 · 8%
50
Medicare services in 2024 · #5351 by national volume
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.
26607 compared with similar codes
Office rates for Redding, from the same CMS release.
$393.37
26605 describes closed treatment with manipulation but without percutaneous skeletal fixation. 26607 includes manipulation requiring percutaneous fixation.
No office rate
Both codes are in the metacarpal fixation family. Match the code to the full descriptor and the exact closed-treatment and fixation work documented.
No office rate
26615 is for open treatment of a metacarpal fracture. 26607 describes closed manipulation with percutaneous skeletal fixation.
The same code, a different location
How does Redding compare?
26607 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Merced
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Modesto
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Napa
California · 26607
Office
Unavailable
Facility
$579.17
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26607
Office
Unavailable
Facility
$539.10
No comparable office rate is available.
Rest Of California
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26607
Office
Unavailable
Facility
$521.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26607
Office
Unavailable
Facility
$531.88
No comparable office rate is available.
Salinas
California · 26607
Office
Unavailable
Facility
$529.86
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26607
Office
Unavailable
Facility
$540.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26607
Office
Unavailable
Facility
$608.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26607
Office
Unavailable
Facility
$607.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26607
Office
Unavailable
Facility
$623.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26607
Office
Unavailable
Facility
$618.16
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26607
Office
Unavailable
Facility
$521.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26607
Office
Unavailable
Facility
$543.81
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26607
Office
Unavailable
Facility
$531.30
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26607
Office
Unavailable
Facility
$549.07
No comparable office rate is available.
Stockton
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Vallejo
California · 26607
Office
Unavailable
Facility
$577.30
No comparable office rate is available.
Visalia
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Yuba City
California · 26607
Office
Unavailable
Facility
$509.67
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 26607
Office
Unavailable
Facility
$561.27
No comparable office rate is available.
Miami
Florida · 26607
Office
Unavailable
Facility
$567.08
No comparable office rate is available.
Chicago
Illinois · 26607
Office
Unavailable
Facility
$549.30
No comparable office rate is available.
Manhattan
New York · 26607
Office
Unavailable
Facility
$576.57
No comparable office rate is available.
Alaska*
Alaska · 26607
Office
Unavailable
Facility
$587.68
No comparable office rate is available.
Alabama
Alabama · 26607
Office
Unavailable
Facility
$445.70
No comparable office rate is available.
Arkansas
Arkansas · 26607
Office
Unavailable
Facility
$439.26
No comparable office rate is available.
Arizona
Arizona · 26607
Office
Unavailable
Facility
$483.15
No comparable office rate is available.
Colorado
Colorado · 26607
Office
Unavailable
Facility
$509.12
No comparable office rate is available.
Connecticut
Connecticut · 26607
Office
Unavailable
Facility
$530.53
No comparable office rate is available.
Delaware
Delaware · 26607
Office
Unavailable
Facility
$491.01
No comparable office rate is available.
Fort Lauderdale
Florida · 26607
Office
Unavailable
Facility
$531.76
No comparable office rate is available.
Rest Of Florida
Florida · 26607
Office
Unavailable
Facility
$504.13
No comparable office rate is available.
Atlanta
Georgia · 26607
Office
Unavailable
Facility
$510.02
No comparable office rate is available.
Rest Of Georgia
Georgia · 26607
Office
Unavailable
Facility
$474.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26607
Office
Unavailable
Facility
$519.79
No comparable office rate is available.
Iowa
Iowa · 26607
Office
Unavailable
Facility
$450.50
No comparable office rate is available.
Idaho
Idaho · 26607
Office
Unavailable
Facility
$454.80
No comparable office rate is available.
East St. Louis
Illinois · 26607
Office
Unavailable
Facility
$513.48
No comparable office rate is available.
Rest Of Illinois
Illinois · 26607
Office
Unavailable
Facility
$494.34
No comparable office rate is available.
Suburban Chicago
Illinois · 26607
Office
Unavailable
Facility
$535.57
No comparable office rate is available.
Indiana
Indiana · 26607
Office
Unavailable
Facility
$457.26
No comparable office rate is available.
Kansas
Kansas · 26607
Office
Unavailable
Facility
$451.49
No comparable office rate is available.
Kentucky
Kentucky · 26607
Office
Unavailable
Facility
$462.92
No comparable office rate is available.
New Orleans
Louisiana · 26607
Office
Unavailable
Facility
$485.94
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26607
Office
Unavailable
Facility
$463.44
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26607
Office
Unavailable
Facility
$554.96
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26607
Office
Unavailable
Facility
$507.35
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26607
Office
Unavailable
Facility
$529.72
No comparable office rate is available.
Rest Of Maryland
Maryland · 26607
Office
Unavailable
Facility
$499.37
No comparable office rate is available.
Rest Of Maine
Maine · 26607
Office
Unavailable
Facility
$460.47
No comparable office rate is available.
Southern Maine
Maine · 26607
Office
Unavailable
Facility
$480.76
No comparable office rate is available.
Detroit
Michigan · 26607
Office
Unavailable
Facility
$513.63
No comparable office rate is available.
Rest Of Michigan
Michigan · 26607
Office
Unavailable
Facility
$477.81
No comparable office rate is available.
Minnesota
Minnesota · 26607
Office
Unavailable
Facility
$478.68
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26607
Office
Unavailable
Facility
$479.33
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26607
Office
Unavailable
Facility
$483.93
No comparable office rate is available.
Rest Of Missouri
Missouri · 26607
Office
Unavailable
Facility
$457.58
No comparable office rate is available.
Mississippi
Mississippi · 26607
Office
Unavailable
Facility
$448.36
No comparable office rate is available.
Montana**
Montana · 26607
Office
Unavailable
Facility
$497.26
No comparable office rate is available.
North Carolina
North Carolina · 26607
Office
Unavailable
Facility
$464.77
No comparable office rate is available.
North Dakota**
North Dakota · 26607
Office
Unavailable
Facility
$474.72
No comparable office rate is available.
Nebraska
Nebraska · 26607
Office
Unavailable
Facility
$452.03
No comparable office rate is available.
New Hampshire
New Hampshire · 26607
Office
Unavailable
Facility
$504.10
No comparable office rate is available.
Northern Nj
New Jersey · 26607
Office
Unavailable
Facility
$556.11
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26607
Office
Unavailable
Facility
$534.01
No comparable office rate is available.
New Mexico
New Mexico · 26607
Office
Unavailable
Facility
$481.68
No comparable office rate is available.
Nevada**
Nevada · 26607
Office
Unavailable
Facility
$491.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26607
Office
Unavailable
Facility
$594.48
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26607
Office
Unavailable
Facility
$540.05
No comparable office rate is available.
Queens
New York · 26607
Office
Unavailable
Facility
$576.71
No comparable office rate is available.
Rest Of New York
New York · 26607
Office
Unavailable
Facility
$471.99
No comparable office rate is available.
Ohio
Ohio · 26607
Office
Unavailable
Facility
$473.21
No comparable office rate is available.
Oklahoma
Oklahoma · 26607
Office
Unavailable
Facility
$458.79
No comparable office rate is available.
Portland
Oregon · 26607
Office
Unavailable
Facility
$521.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 26607
Office
Unavailable
Facility
$484.91
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26607
Office
Unavailable
Facility
$519.42
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26607
Office
Unavailable
Facility
$472.21
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26607
Office
Unavailable
Facility
$499.86
No comparable office rate is available.
Rhode Island
Rhode Island · 26607
Office
Unavailable
Facility
$505.89
No comparable office rate is available.
South Carolina
South Carolina · 26607
Office
Unavailable
Facility
$470.28
No comparable office rate is available.
South Dakota**
South Dakota · 26607
Office
Unavailable
Facility
$472.06
No comparable office rate is available.
Tennessee
Tennessee · 26607
Office
Unavailable
Facility
$454.15
No comparable office rate is available.
Austin
Texas · 26607
Office
Unavailable
Facility
$509.65
No comparable office rate is available.
Beaumont
Texas · 26607
Office
Unavailable
Facility
$469.35
No comparable office rate is available.
Brazoria
Texas · 26607
Office
Unavailable
Facility
$487.86
No comparable office rate is available.
Dallas
Texas · 26607
Office
Unavailable
Facility
$492.41
No comparable office rate is available.
Fort Worth
Texas · 26607
Office
Unavailable
Facility
$490.10
No comparable office rate is available.
Galveston
Texas · 26607
Office
Unavailable
Facility
$490.25
No comparable office rate is available.
Houston
Texas · 26607
Office
Unavailable
Facility
$511.12
No comparable office rate is available.
Rest Of Texas
Texas · 26607
Office
Unavailable
Facility
$479.32
No comparable office rate is available.
Utah
Utah · 26607
Office
Unavailable
Facility
$476.60
No comparable office rate is available.
Virginia
Virginia · 26607
Office
Unavailable
Facility
$481.37
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26607
Office
Unavailable
Facility
$499.86
No comparable office rate is available.
Vermont
Vermont · 26607
Office
Unavailable
Facility
$475.72
No comparable office rate is available.
Rest Of Washington
Washington · 26607
Office
Unavailable
Facility
$505.45
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26607
Office
Unavailable
Facility
$563.05
No comparable office rate is available.
Wisconsin
Wisconsin · 26607
Office
Unavailable
Facility
$459.19
No comparable office rate is available.
West Virginia
West Virginia · 26607
Office
Unavailable
Facility
$476.95
No comparable office rate is available.
Wyoming**
Wyoming · 26607
Office
Unavailable
Facility
$487.44
No comparable office rate is available.
See how rates vary across the country
26607 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 26607 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$560.64
$509.67 × 110% = $560.64
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26607 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,660
- Code
- 26607
- Physician work
- 5.34
- Practice expense
- 8.41
- Malpractice
- 1.14
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.34 | × 1.017 | 5.4308 |
| Practice expense | 8.41 | × 1.096 | 9.2174 |
| Malpractice | 1.14 | × 0.536 | 0.6110 |
| Total RVUs | 15.2592 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$509.67
Open 26607 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.34 | 1.017 |
| Practice expense | 8.41 | 1.096 |
| Malpractice | 1.14 | 0.536 |
(5.34 × 1.017 + 8.41 × 1.096 + 1.14 × 0.536) × $33.4009 = $509.67
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
26607 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $509.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $509.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $509.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $509.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $517.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $517.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $517.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $517.69 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,65726596,,Excision constricting tissue,A,,8.91,12.91,NA,12.91,,1.91,23.73,23.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65826600,,Treat metacarpal fracture,A,,2.54,7.20,,5.97,,0.49,10.23,9.00,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65926605,,Treat metacarpal fracture,A,,2.95,7.71,,5.78,,0.61,11.27,9.34,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66026607,,Treat metacarpal fracture,A,,5.34,8.41,NA,8.41,,1.14,14.89,14.89,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66126608,,Treat metacarpal fracture,A,,5.41,7.42,NA,7.42,,1.07,13.90,13.90,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66226615,,Treat metacarpal fracture,A,,6.89,8.18,NA,8.18,,1.33,16.40,16.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66326641,,Treat thumb dislocation,A,,4.03,9.16,,6.61,,0.86,14.05,11.50,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536