$369.55
26605 covers manipulation without percutaneous skeletal fixation. Choose 26608 when fixation is also performed through the skin.
On this page
CMS RVU26D · Effective 2026-10-01
26608 Metacarpal fracture Medicare reimbursement rates in Minnesota
Closed treatment of a metacarpal fracture with manipulation and percutaneous skeletal fixation, reported for each metacarpal bone treated. Compare 26608 office and facility rates across CMS payment localities in Minnesota.
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 26608 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$446.30
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 fracture care
About 26608: Metacarpal fracture fixation with manipulation
Closed treatment of a metacarpal fracture with manipulation and percutaneous skeletal fixation, reported for each metacarpal bone treated.
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.
CMS billing rules for 26608
- 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 RVU5.41 · 39%
- Practice expense (office) RVU7.42 · 53%
- Malpractice RVU1.07 · 8%
1.1K
Medicare services in 2024 · #2891 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.
26608 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Both include manipulation and fixation, but 26607 uses external fixation; 26608 uses percutaneous skeletal fixation.
No office rate
26615 is for open treatment of the metacarpal fracture. Choose 26608 when treatment uses manipulation and percutaneous fixation without open exposure.
Compare 26608 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$446.30
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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 26608 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,661
- Code
- 26608
- Physician work
- 5.41
- Practice expense
- 7.42
- Malpractice
- 1.07
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.41 | × 1.000 | 5.4100 |
| Practice expense | 7.42 | × 1.029 | 7.6352 |
| Malpractice | 1.07 | × 0.296 | 0.3167 |
| Total RVUs | 13.3619 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$446.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.41 | 1 |
| Practice expense | 7.42 | 1.029 |
| Malpractice | 1.07 | 0.296 |
(5.41 × 1 + 7.42 × 1.029 + 1.07 × 0.296) × $33.4009 = $446.30
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.
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 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.
2,65826600,,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
2,66426645,,Treat thumb fracture,A,,4.47,9.05,,6.30,,0.96,14.48,11.73,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002