CPT code 26113: Hand tumor excision, deep, 1.5 cm or larger2026 Medicare rate & RVUs

Medicare pays $512.04 for 26113 nationally in a facility.

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

What 26113 covers

This code describes removal of a soft-tissue mass in the hand or finger that lies beneath the fascia, including an intramuscular tumor, and measures 1.5 cm or more. A hand surgeon or other qualified surgeon typically performs the excision in an operating room, with the mass dissected from deeper tissue rather than removed as a superficial skin or subcutaneous lesion. The code identifies the depth and size of the excised tumor; it does not by itself specify the tumor’s pathology.

Choose this code when the operative report supports both the deep location and the size threshold. Document the site, depth, measured tumor size, and extent of excision. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate. An assistant at surgery may be paid; 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.

Where 26113 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

26113 rates by state

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

How the 26113 rate is calculated

Each of 26113’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.

Payment rules and modifiers for 26113

26113 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

26113 compared with similar codes

How to choose

26111Hand mass excisionSubcutaneous, 1.5 cm or larger

Use 26111 for a hand lesion at least 1.5 cm that is subcutaneous. Code 26113 requires a deep, subfascial or intramuscular location.

26116Hand tumor excisionDeep, under 1.5 cm

Both describe deep hand tumor excision; the size threshold separates them. Code 26116 is for tumors smaller than 1.5 cm.

26117Hand tumor resectionTumor under 3 cm

26117 describes radical resection of a hand tumor smaller than 3 cm. Select based on the documented resection approach, not size alone.

26160Tendon sheath excisionHand or finger lesion

26160 is for a lesion of a tendon sheath. Use 26113 for a deep hand soft-tissue tumor when the procedure and documented site support that code.

Codes related to 26113

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

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

Open CMS sourceHow we calculate rates