$316.27–$333.49
26600 describes closed treatment without manipulation. 26607 involves manipulation and percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
26607 Metacarpal fracture Medicare reimbursement rates in Maine
Report this service for a metacarpal fracture treated by closed manipulation and percutaneous skeletal fixation of the affected bone. Compare 26607 office and facility rates across CMS payment localities in Maine.
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.
What does Medicare pay for 26607 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$460.47–$480.76
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Maine, from the same CMS release.
$348.12–$366.59
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.
Compare 26607 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$460.47
Southern Maine →
Office / nonfacility
Unavailable
Facility
$480.76
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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