CPT code 26040: Palm contracture release, percutaneous technique2026 Medicare rate & RVUs in Utah

Percutaneous palmar cord release divides contracted fascia in a hand with Dupuytren’s contracture to improve finger extension without an open approach.

CMS RVU26DEffective Oct 1, 2026One payment locality5K Medicare services in 2024

In Utah, Medicare pays $295.99 for 26040 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$295.99Hospital or facility

Check a contract rate as a % of Medicare · 26040 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 26040 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 26040 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 26040 covers

The physician releases a contracted palmar fascial cord by dividing it through the skin, typically with a needle or similar percutaneous instrument. Hand surgeons commonly perform this treatment for Dupuytren’s contracture when a cord limits finger extension, in an office or outpatient surgical setting. The technique releases the cord rather than removing a segment of palmar fascia through an open incision.

Choose this code when the documented method is percutaneous; an open release or fasciectomy is a different service. The record should identify the treated hand and cord, the contracture and its effect on motion, and the technique used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures reported with modifier 50, payment is 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Utah compares for 26040

Across 109 of 109 payment localities, the facility rate for 26040 runs from $273.86 in Arkansas to $388.90 in San Benito County, CA. Utah pays $295.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

26040 in Utah vs other payment areas
  1. Utah · this page$295.99
  2. Los Angeles, CA · California$338.37+$42.38
  3. Washington, DC area · District of Columbia$348.26+$52.27
  4. Miami, FL · Florida$347.48+$51.49
  5. Chicago, IL · Illinois$337.11+$41.12
  6. Manhattan, NY · New York$356.37+$60.38
  7. Alaska · Alaska$367.00+$71.01

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

26040 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$277.72
ArkansasArkansas—$273.86
ArizonaArizona—$300.21
Bakersfield, CACalifornia—$319.50
Chico, CACalifornia—$317.76
El Centro, CACalifornia—$317.87
Fresno, CACalifornia—$317.76
Hanford, CACalifornia—$317.76

26040 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
26040 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 26040 in every payment locality

How the 26040 rate is calculated

Each of 26040’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 26040

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.37

3.37 RVUs× 1.000 GPCI

Practice expense5.25

5.25 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

9.2400

Conversion factor

$33.4009

Medicare rate

$308.62

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,535

Code
26040
Physician work
3.37
Practice expense
5.25
Malpractice
0.62

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 26040 in Utah
ComponentRVULocality factorAdjusted
Physician work3.37× 1.0003.3700
Practice expense5.25× 0.9404.9350
Malpractice0.62× 0.8980.5568
Total RVUs8.8618
Conversion factor× 33.4009

Facility rate, Utah$295.99

Facility: (3.37 × 1 + 5.25 × 0.94 + 0.62 × 0.898) × $33.4009 = $295.99

Open 26040 in the RVU calculator

Payment rules and modifiers for 26040

26040 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26040

Palm contracture release, percutaneous technique

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26040

Palm contracture release, percutaneous technique

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

26040 without 50 · national facility

$308.62

Palm contracture release, percutaneous technique

26040-50 · Bilateral: 150%

$462.93

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 26040 has changed in Utah

26040 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$295.99RVU26D
2026-07-01Not available in this setting$295.99RVU26C
2026-04-01Not available in this setting$295.99RVU26B
2026-01-01Not available in this setting$295.99RVU26A
2025-10-01Not available in this setting$305.31RVU25D
2025-07-01Not available in this setting$305.31RVU25C
2025-04-01Not available in this setting$305.31RVU25B
2025-01-01Not available in this setting$305.31RVU25A
2024-10-01Not available in this setting$310.77RVU24D
2024-07-01Not available in this setting$310.77RVU24C
2024-04-01Not available in this setting$310.77RVU24B
2024-03-09Not available in this setting$310.77RVU24AR
2024-01-01Not available in this setting$305.70RVU24A
2023-10-01Not available in this setting$309.85RVU23D
2023-07-01Not available in this setting$309.85RVU23C
2023-04-01Not available in this setting$309.85RVU23B
2023-01-01Not available in this setting$309.85RVU23A
2022-10-01Not available in this setting$307.03RVU22D
2022-07-01Not available in this setting$307.03RVU22C
2022-04-01Not available in this setting$307.03RVU22B
2022-01-01Not available in this setting$307.03RVU22A
2021-10-01Not available in this setting$307.01RVU21D
2021-07-01Not available in this setting$307.01RVU21C
2021-04-01Not available in this setting$307.01RVU21B
2021-01-01Not available in this setting$307.01RVU21A
2020-10-01Not available in this setting$310.69RVU20D
2020-07-01Not available in this setting$310.69RVU20C
2020-04-01Not available in this setting$310.69RVU20B
2020-01-01Not available in this setting$310.69RVU20A
2019-10-01Not available in this setting$313.67RVU19D
2019-07-01Not available in this setting$313.67RVU19C
2019-04-01Not available in this setting$313.67RVU19B
2019-01-01Not available in this setting$313.67RVU19A
2018-10-01Not available in this setting$313.00RVU18D
2018-07-01Not available in this setting$313.00RVU18C
2018-04-01Not available in this setting$313.00RVU18B
2018-01-01Not available in this setting$313.00RVU18AR1
2017-10-01Not available in this setting$310.48RVU17D
2017-07-01Not available in this setting$310.48RVU17C
2017-04-01Not available in this setting$310.48RVU17B
2017-01-01Not available in this setting$310.48RVU17A
2016-10-01Not available in this setting$308.62RVU16D
2016-07-01Not available in this setting$308.62RVU16C
2016-04-01Not available in this setting$308.62RVU16B
2016-01-01Not available in this setting$308.62RVU16A
2015-10-01Not available in this setting$309.40RVU15D
2015-07-01Not available in this setting$309.40RVU15C
2015-04-01Not available in this setting$307.86RVU15B
2015-01-01Not available in this setting$307.86RVU15A
2014-10-01Not available in this setting$302.63RVU14D
2014-07-01Not available in this setting$302.63RVU14C
2014-04-01Not available in this setting$302.63RVU14B
2014-01-01Not available in this setting$302.63RVU14A
2013-10-01Not available in this setting$301.09RVU13D
2013-07-01Not available in this setting$301.09RVU13C
2013-04-01Not available in this setting$301.09RVU13B
2013-01-01Not available in this setting$301.09RVU13AR

Price 26040 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

26040 billing questions

How does 26040 differ from 26045?

26040 is for a percutaneous cord release. Use 26045 when the palmar release is performed through an open approach.

When is a percutaneous release appropriate to report?

Report it when the physician divides a contracted palmar fascial cord through the skin, such as for Dupuytren’s contracture limiting finger extension. The documentation should support the percutaneous method.

Can an open fasciectomy be reported as 26040?

No. Removal of palmar fascia through an open approach is a different service; distinguish it from percutaneous division of a cord.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is a bilateral procedure paid?

CMS pays bilateral procedures reported with modifier 50 at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 26040PPRRVU2026_Oct_nonQPP.csv, line 2,535 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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