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Wiki Multiple Metacarpal Fractures

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mwells2020

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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?
 
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.
 
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