Wiki Multiple Metacarpal Fractures

[mwells2020]

I have a 2 yr old that has a R Hand injury with fractures of the third, fourth and fifth metacarpals. No manipulations were done, just a clam shell splint and wrapped with an ace wrap. Do I bill 26600 x 1 or do I bill this 3 times?

 

[SharonCollachi]

If the payer follows Medicare guidelines (multiple non-displ fx treated with a single immobilizing device), then you bill one instance of the code. If the payer does not follow Medicare guidelines, but follows the CPT book, you would bill x 3.

 

[mwells2020]

Ok. Thank You for your help! I appreciate it!