If a patient receives treatment for a metacarpal fracture of one bone with manipulation and cast application, what code(s) should be reported?

The appropriate code for treating a metacarpal fracture with manipulation and cast application is indeed 26605. This code specifically addresses the situation where the treatment includes both manipulation and closed treatment for a single metacarpal fracture, as well as the application of a cast.

When coding for fractures, it is essential to identify the type of treatment provided. In this case, the inclusion of manipulation signifies a more complex treatment than just simple casting. The CPT coding system distinguishes between closed treatment without manipulation (which would be assigned a different code) and closed treatment with manipulation, which requires additional documentation and coding requirements.

By selecting this code, you are accurately reflecting the complexity of the procedure performed, covering both the closed treatment aspect and the manipulation involved, ensuring proper reimbursement and documentation for the patient's medical care.