CPT® Code 26600

The CPT® Code 26600 refers to the closed treatment of a single metacarpal fracture without manipulation. This procedure is specifically indicated for cases where the fracture is either nondisplaced or minimally displaced, meaning that the bone fragments have not moved significantly from their original position. During this treatment, the physician performs a thorough evaluation of the fracture, which includes obtaining radiographs to confirm the presence and nature of the fracture. A neurovascular examination is also conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there is no compromise to these critical structures. Following the evaluation, the affected hand is immobilized using a splint or cast to promote healing and prevent further injury. It is important to note that if multiple metacarpal fractures are present, each fracture must be reported separately, adhering to the coding guidelines for accurate billing and documentation. This code does not involve any manipulation of the fracture fragments, distinguishing it from other related codes that require such intervention.