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See a sample rate comparisonCPT 26615 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgical Repair Of Broken Hand, Surgery To Repair A Broken Hand (Metacarpal) Bone. Pins Wires Or Screws May Be Used To Hold The Bone In Place.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26615 |
| Medicaid Fee Schedule | View Medicaid rates for 26615 |
National average reimbursement for CPT 26615 by major payers:
$729.55
$750.35
$819.42
$933.95
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CPT 26615
5 of 25 sample ratesHigher to lower in this preview
Meridian Medical Group PC, Meridian Endoscopy Center
$10,360.00Published rateTemple University Hospital, Inc
Temple University Hospital Inc
$6,189.00Published rateRockville Surgical Suites, LLC
Rockville Surgical Suites LLC
$3,850.00Published rateShelby Baptist Ambulatory Surgery Center, LLC, Shelby Ambulatory Surgery At The Physicians Center
Shelby Baptist Ambulatory Surgery Center, LLC
$2,703.00Published rateCataract & Laser Center, Inc.
The Cataract And Laser Center, I
$805.00Published rate
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See a sample payer proposalCPT 26615 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26615 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 26615 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 26600-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withoutmanipulation Each Bone Closed Treatment Ofmetacarpal Fracture Single Without |
| 26605-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withmanipulation Each Bone Closed Treatment Of Metacarpal Fracture Single With |
| 26607-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture With Manipulation With Internal Or External Fixation Eachbone Closed Treatment Of Metacarpal Fracture Wi Th Manipulation |
| 26615-CPT | Moderate | Surgical Repair Of Broken Hand, Surgery To Repair A Broken Hand (Metacarpal) Bone. Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26615 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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