CPT code 26605: Metacarpal fracture2026 Medicare rate & RVUs in Ohio
Report this service when a clinician reduces a metacarpal fracture by manipulation without opening the fracture site or using percutaneous fixation.
Medicare pays $354.19 for 26605 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 26605 covers
An orthopedic or hand surgeon, and sometimes an emergency physician, manipulates a fractured metacarpal to restore alignment without surgically exposing the fracture. The clinician typically confirms the reduction with imaging and immobilizes the hand in a splint or cast. Common clinical settings include an office, emergency department, or facility where the fracture can be reduced and stabilized without open surgery.
Select this code when the physician performs closed reduction; a fracture treated without manipulation belongs to a different code. Document the metacarpal treated, fracture findings, the reduction maneuver and resulting alignment, and immobilization. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and 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.
26605 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $354.19 | $295.33 |
How the 26605 rate is calculated
Each of 26605’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 · 26605
RVUs × geographic indexes × conversion factor
Work2.95
2.95 RVUs× 1.000 GPCI
Practice expense7.71
7.71 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
11.2700
Conversion factor
$33.4009
Medicare rate
$376.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26605
26605 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26605
Metacarpal fracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26605
Metacarpal fracture
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26605 without 51 · national office
$376.43
Metacarpal fracture
26605-51 · Second procedure: 50%
$188.22
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%).
26605 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 26600Metacarpal fracture care
- Choose 26600 when closed treatment does not involve manipulation; 26605 requires a reduction maneuver.
- 26607Metacarpal fracture
- Both concern metacarpal fractures, but 26607 represents a different treatment specification. Verify the method and circumstances documented before choosing between them.
- 26608Metacarpal fracture
- 26608 describes percutaneous skeletal fixation. Use 26605 for closed manipulation without that fixation approach.
- 26615Metacarpal fracture
- 26615 is for open fracture treatment. This code describes reduction without surgically exposing the fracture.
26605 billing questions
How does this differ from 26600?
Use 26605 when the physician manipulates the fracture to restore alignment. Code 26600 describes closed treatment without manipulation.
What documentation supports reporting 26605?
Record the metacarpal involved, the fracture and alignment findings, the reduction maneuver, and the post-reduction result. Include the immobilization used.
Is routine follow-up separately reported during the global period?
Related postoperative care is included in the 90-day global period, along with the day-before preoperative visit.
Can modifier 50 be used for fractures in both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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
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