$340.36–$364.11
Both concern treatment of a single metacarpal fracture; 26605 is selected when the fracture is manipulated, while 26600 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
26600 Metacarpal fracture care Medicare reimbursement rates in Missouri
Closed treatment of one metacarpal fracture without manipulation, typically used when the treating clinician immobilizes the fracture without repositioning it. Compare 26600 office and facility rates across CMS payment localities in Missouri.
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 26600 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$308.08–$330.18
3 of 3 localities have a supported rate.
Facility setting
$272.66–$291.07
3 of 3 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.
Where 26600 pays more and less in Missouri
3 payment localities
$308.08 to $330.18
Orthopedic fracture care
About 26600: Single metacarpal fracture treatment without manipulation
Closed treatment of one metacarpal fracture without manipulation, typically used when the treating clinician immobilizes the fracture without repositioning it.
This code describes closed care for a fracture of one metacarpal when the clinician does not manipulate the bone to reduce or reposition it. Orthopedic and hand surgeons commonly provide this care, as may other clinicians who manage acute hand fractures, in an office, emergency department, or facility setting. Treatment may include stabilizing the hand with an appropriate splint or cast and arranging fracture follow-up.
Select this code when documentation supports treatment of one metacarpal fracture without manipulation; use the multiple-fracture code family when more than one metacarpal is treated. Record the injured bone, fracture findings, treatment plan, and immobilization. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 26600
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.54 · 25%
- Practice expense (office) RVU7.20 · 70%
- Malpractice RVU0.49 · 5%
9.5K
Medicare services in 2024 · #1497 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.
26600 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
26607 is used for multiple metacarpal fractures treated without manipulation; 26600 is for a single metacarpal fracture.
No office rate
26608 addresses multiple metacarpal fractures treated with manipulation. 26600 is for a single fracture treated without manipulation.
No office rate
26615 describes open treatment of a metacarpal fracture. Choose 26600 for closed treatment of one bone without manipulation.
Compare 26600 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$326.65
Facility
$288.07
Metropolitan St. Louis →
Office / nonfacility
$330.18
Facility
$291.07
Rest Of Missouri →
Office / nonfacility
$308.08
Facility
$272.66
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26600 billing questions
When should 26600 be chosen over 26605?
Use 26600 when one metacarpal fracture is treated without manipulation. Use 26605 when the clinician manipulates the fracture.
How does 26600 differ from 26607?
26600 is for treatment of a single metacarpal fracture. The 26607 family addresses multiple metacarpal fractures treated without manipulation.
Can the initial cast or splint be billed separately?
Routine initial immobilization associated with the fracture treatment is generally included in the fracture-care service. Document the immobilization and treatment plan.
Can modifier 50 be used for fractures in both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What documentation supports reporting 26600?
Document the metacarpal involved, the fracture diagnosis and findings, that one bone is being treated, and that no manipulation was performed.
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.
2,65526591,,Repair muscles of hand,A,,3.30,10.82,NA,10.82,,0.62,14.74,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65626593,,Release muscles of hand,A,,5.36,12.63,NA,12.63,,1.04,19.03,19.03,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65726596,,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