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CPT code 26055: Trigger finger release, finger tendon sheath2026 Medicare rate & RVUs in Utah

Reports surgical release of a finger’s constricting tendon sheath for symptomatic triggering, catching, or locking that is treated operatively.

CMS RVU26DEffective Oct 1, 2026One payment locality153.6K Medicare services in 2024

In Utah, Medicare pays $597.09 for 26055 in the office and $275.59 when it’s performed in a hospital or facility.

$597.09Office (non-facility)
$275.59Hospital or facility
−5.2%vs the national office rate ($629.61)

Check a contract rate as a % of Medicare · 26055 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 26055 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 26055 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 26055 covers

This operation treats stenosing tenosynovitis, commonly called trigger finger. The surgeon makes an incision over the affected finger’s flexor tendon sheath and releases the constriction so the tendon can glide more freely. It is typically performed by a hand surgeon, orthopedic surgeon, or plastic surgeon in an operating room or outpatient procedure setting. Patients commonly have painful catching or locking of a finger during flexion and extension.

Report the service when the operative record supports release of the finger tendon sheath, rather than injection or treatment directed at the tendon itself. Document the affected digit, the triggering symptoms, and the release performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this code.

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 26055

Across 109 of 109 payment localities, the office rate for 26055 runs from $548.44 in Arkansas to $856.74 in San Benito County, CA. Utah pays $597.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

26055 in Utah vs other payment areas
  1. Utah · this page$597.09
  2. Los Angeles, CA · California$720.40+$123.31
  3. Washington, DC area · District of Columbia$727.87+$130.78
  4. Miami, FL · Florida$680.10+$83.01
  5. Chicago, IL · Illinois$657.95+$60.86
  6. Manhattan, NY · New York$729.90+$132.81
  7. Alaska · Alaska$704.60+$107.51

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

Every other payment area

26055 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$557.57$258.30
ArkansasArkansas$548.44$254.64
ArizonaArizona$611.04$279.61
Bakersfield, CACalifornia$672.82$297.96
Chico, CACalifornia$671.21$296.35
El Centro, CACalifornia$671.30$296.44
Fresno, CACalifornia$671.21$296.35
Hanford, CACalifornia$671.21$296.35

26055 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$548.44

$763.98

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
26055 office rate range by state
State / territoryOffice rate rangeLocalities
AK$704.601
AL$557.571
AR$548.441
AZ$611.041
CA$671.21–$856.7429
CO$659.161
CT$674.891
DC$727.871
DE$622.051
FL$616.95–$680.103
GA$578.35–$641.952
GU$691.191
HI$691.191
IA$574.661
ID$578.681
IL$596.23–$659.014
IN$582.491
KS$571.131
KY$571.461
LA$570.25–$602.212
MA$654.27–$730.382
MD$635.14–$727.873
ME$581.56–$617.882
MI$587.82–$625.082
MN$630.731
MO$558.86–$605.213
MS$553.801
MT$629.571
NC$588.511
ND$618.101
NE$578.361
NH$648.061
NJ$682.37–$718.742
NM$591.251
NV$626.881
NY$598.40–$748.895
OH$585.481
OK$570.821
OR$621.82–$682.772
PA$586.80–$656.042
PR$634.921
RI$646.241
SC$588.011
SD$616.741
TN$574.321
TX$582.42–$657.128
UT$597.091
VA$615.26–$727.872
VI$634.921
VT$614.951
WA$653.27–$746.672
WI$594.821
WV$571.271
WY$624.571

See 26055 in every payment locality

How the 26055 rate is calculated

Each of 26055’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 · 26055

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.03

3.03 RVUs× 1.000 GPCI

Practice expense15.24

15.24 RVUs× 1.000 GPCI

Malpractice0.58

0.58 RVUs× 1.000 GPCI

Adjusted RVUs

18.8500

Conversion factor

$33.4009

Medicare rate

$629.61

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

2,537

Code
26055
Physician work
3.03
Practice expense
15.24
Malpractice
0.58

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 26055 in Utah
ComponentRVULocality factorAdjusted
Physician work3.03× 1.0003.0300
Practice expense15.24× 0.94014.3256
Malpractice0.58× 0.8980.5208
Total RVUs17.8764
Conversion factor× 33.4009

Office rate, Utah$597.09

Office: (3.03 × 1 + 15.24 × 0.94 + 0.58 × 0.898) × $33.4009 = $597.09

Facility: (3.03 × 1 + 5 × 0.94 + 0.58 × 0.898) × $33.4009 = $275.59

Open 26055 in the RVU calculator

Payment rules and modifiers for 26055

26055 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26055

Trigger finger release, finger tendon sheath

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)0The 150% bilateral adjustment doesn’t apply.
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 · 26055

Trigger finger release, finger tendon sheath

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 51 · payment effect

With and without the modifier

26055 without 51 · national office

$629.61

Trigger finger release, finger tendon sheath

26055-51 · Second procedure: 50%

$314.81

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 26055

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 26055
CodeHow it relatesOffice range, Utah
Used instead
20550Tendon sheath injection, single tendon sheath, ligament, or aponeurosisTendon-sheath injection may be used for trigger finger instead of operative release.$58.16
26160Tendon sheath excision, hand or finger lesionExcision may be appropriate when a tendon-sheath lesion, rather than stenosis, causes the symptoms.$624.25

How 26055 has changed in Utah

26055 · Office / nonfacility

$597.09

Effective 2026-10-01

The base rate is $58.95 higher than on 2025-10-01, moving from $538.14 to $597.09 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $538.14changed to$597.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.11 changed to 3.03
    • Practice expense RVU 13.90 changed to 15.24
    • Malpractice RVU 0.60 changed to 0.58
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $560.01changed to$538.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.11 changed to 13.90
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $550.87changed to$560.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $568.92changed to$550.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.23 changed to 14.11
    • Malpractice RVU 0.58 changed to 0.59
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $577.09changed to$568.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.24 changed to 14.23
    • Malpractice RVU 0.60 changed to 0.58
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $567.21changed to$577.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.80 changed to 14.24
    • Malpractice RVU 0.58 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $530.15changed to$567.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.95 changed to 13.80
    • Malpractice RVU 0.56 changed to 0.58
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $553.70changed to$530.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.49 changed to 11.95
    • Malpractice RVU 0.58 changed to 0.56
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $546.09changed to$553.70

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.28 changed to 12.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $539.67changed to$546.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.15 changed to 12.28
    • Malpractice RVU 0.59 changed to 0.58
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $536.48changed to$539.67

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.13 changed to 12.15
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $539.41changed to$536.48

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.16 changed to 12.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $536.72changed to$539.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $527.78changed to$536.72

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.98 changed to 12.16
    • Malpractice RVU 0.54 changed to 0.59
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $542.55changed to$527.78

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.34 changed to 11.98
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $542.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$597.09$275.59RVU26D
2026-07-01$597.09$275.59RVU26C
2026-04-01$597.09$275.59RVU26B
2026-01-01$597.09$275.59RVU26A
2025-10-01$538.14$281.31RVU25D
2025-07-01$538.14$281.31RVU25C
2025-04-01$538.14$281.31RVU25B
2025-01-01$538.14$281.31RVU25A
2024-10-01$560.01$285.77RVU24D
2024-07-01$560.01$285.77RVU24C
2024-04-01$560.01$285.77RVU24B
2024-03-09$560.01$285.77RVU24AR
2024-01-01$550.87$281.11RVU24A
2023-10-01$568.92$284.62RVU23D
2023-07-01$568.92$284.62RVU23C
2023-04-01$568.92$284.62RVU23B
2023-01-01$568.92$284.62RVU23A
2022-10-01$577.09$282.59RVU22D
2022-07-01$577.09$282.59RVU22C
2022-04-01$577.09$282.59RVU22B
2022-01-01$577.09$282.59RVU22A
2021-10-01$567.21$282.78RVU21D
2021-07-01$567.21$282.78RVU21C
2021-04-01$567.21$282.78RVU21B
2021-01-01$567.21$282.78RVU21A
2020-10-01$530.15$286.65RVU20D
2020-07-01$530.15$286.65RVU20C
2020-04-01$530.15$286.65RVU20B
2020-01-01$530.15$286.65RVU20A
2019-10-01$553.70$310.82RVU19D
2019-07-01$553.70$310.82RVU19C
2019-04-01$553.70$310.82RVU19B
2019-01-01$553.70$310.82RVU19A
2018-10-01$546.09$310.15RVU18D
2018-07-01$546.09$310.15RVU18C
2018-04-01$546.09$310.15RVU18B
2018-01-01$546.09$310.15RVU18AR1
2017-10-01$539.67$307.62RVU17D
2017-07-01$539.67$307.62RVU17C
2017-04-01$539.67$307.62RVU17B
2017-01-01$539.67$307.62RVU17A
2016-10-01$536.48$306.06RVU16D
2016-07-01$536.48$306.06RVU16C
2016-04-01$536.48$306.06RVU16B
2016-01-01$536.48$306.06RVU16A
2015-10-01$539.41$307.16RVU15D
2015-07-01$539.41$307.16RVU15C
2015-04-01$536.72$305.63RVU15B
2015-01-01$536.72$305.63RVU15A
2014-10-01$527.78$301.28RVU14D
2014-07-01$527.78$301.28RVU14C
2014-04-01$527.78$301.28RVU14B
2014-01-01$527.78$301.28RVU14A
2013-10-01$542.55$301.96RVU13D
2013-07-01$542.55$301.96RVU13C
2013-04-01$542.55$301.96RVU13B
2013-01-01$542.55$301.96RVU13AR

Price 26055 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

26055 billing questions

When is this code appropriate instead of a tendon-sheath injection?

Use this code for operative release of a constricting finger tendon sheath. Code 20550 describes injection treatment, not surgical release.

Does the global period include routine postoperative visits?

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

Can modifier 50 be used when both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple procedure reduction.

Is an assistant surgeon payable?

No. CMS lists a statutory restriction on assistant-at-surgery payment for this code.

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 26055PPRRVU2026_Oct_nonQPP.csv, line 2,537 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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