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CPT 26608: Percutaneous Fixation of Metacarpal Fracture
CPT code 26608 denotes percutaneous fixation of a fractured metacarpal using percutaneous insertion of wires or pins. This procedure is a common operative approach for stabilizing hand fractures and has national relevance due to the frequency of hand injuries and the need for standardized billing and clinical documentation to support appropriate surgical care. The code captures a discrete operative intervention that influences facility resource use, surgical throughput, and post-procedure follow-up.
Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. These payers represent major commercial and federal coverage programs that collectively shape reimbursement practices and prior authorization requirements for hand surgery services.
Readers will find a concise overview of clinical context for percutaneous metacarpal fixation, how CPT code 26608 is used in claims, and what to expect in settings where the procedure is performed (ambulatory surgical centers and hospital outpatient departments). The publication summarizes common modifiers associated with surgical claims, highlights typical sites of service, and outlines the practical billing elements that clinicians and billing teams need to document. Data not available in the input.
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Billing Code Overview
CPT code 26608 describes a procedure in which the provider inserts wires or pins directly through the skin into a fractured metacarpal bone in the hand to hold it in place as it heals. This is a percutaneous fixation technique for metacarpal fractures.
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Service type: Percutaneous skeletal fixation of a fractured metacarpal
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an operating room when indicated