CPT® Code 26605

The CPT® Code 26605 refers to the closed treatment of a single metacarpal fracture that requires manipulation. A metacarpal fracture involves a break in one of the five long bones in the hand that connect the wrist to the fingers. The term "closed treatment" indicates that the fracture is treated without surgical exposure, meaning that no incisions are made to access the bone directly. Instead, the physician uses manual techniques to realign the fractured bone fragments. This procedure is specifically indicated for displaced fractures, where the bone fragments are not in their normal anatomical position and require manipulation to restore proper alignment. Following the manipulation, the physician will apply a splint or cast to immobilize the hand, ensuring that the bone heals correctly. It is important to note that if multiple metacarpal fractures are present, each fracture must be reported separately. Additionally, radiographs (X-rays) are obtained to confirm the presence of the fracture and to verify that the manipulation has successfully restored the bone to its proper alignment.