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Wiki Metacarpal fractures without manipulation

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lmcreynolds@aoamail.net

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Our patient had 2 (4th & 5th) metacarpal fractures on the same hand. We treated the patient non-operative with a cast without manipulation. Our provider would like to charge CPT code 26600 x 2. We are thinking since the fractures are on the same hand and being treated with one cast, we should only charge one unit for the fracture code. Any thoughts or advice would be greatly appreciated.
 
CMS NCCI Surgical Policy Manuel answeres this question

If a single cast / splint treats multiple fractures without manipulation, the code can be only submitted once. The second fracture is considered "incidental".
 
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