CPT code 26113: Hand tumor excision, deep, 1.5 cm or larger2026 Medicare rate & RVUs in Missouri
Reports excision of a deep hand or finger soft-tissue tumor measuring at least 1.5 cm, including a subfascial or intramuscular mass.
CMS doesn’t publish an office rate for 26113 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $496.62 |
| Metropolitan St. Louis, MO | Unavailable | $500.79 |
| Rest of Missouri | Unavailable | $478.31 |
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.
How the rate is built · 26113
RVUs × geographic indexes × conversion factor
Work6.95
6.95 RVUs× 1.000 GPCI
Practice expense7.07
7.07 RVUs× 1.000 GPCI
Malpractice1.31
1.31 RVUs× 1.000 GPCI
Adjusted RVUs
15.3300
Conversion factor
$33.4009
Medicare rate
$512.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26113
26113 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26113
Hand tumor excision, deep, 1.5 cm or larger
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26113
Hand tumor excision, deep, 1.5 cm or larger
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26113 without 51 · national facility
$512.04
Hand tumor excision, deep, 1.5 cm or larger
26113-51 · Second procedure: 50%
$256.02
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%).
26113 compared with similar codes
Compare codes · National
5 codes, side by side
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.
26113 billing questions
How is this distinguished from 26111?
26113 is for a tumor beneath the fascia, such as an intramuscular mass, at least 1.5 cm in size. Code 26111 describes a subcutaneous hand lesion of that size.
When should 26116 be considered instead?
Use 26116 for a deep hand tumor smaller than 1.5 cm. The operative documentation should support the tumor’s depth and measured size.
Is this the right code for a tendon-sheath mass?
A lesion arising from a tendon sheath may be better represented by 26160. The operative report should establish the lesion’s origin and the procedure performed.
What documentation supports reporting 26113?
Document the hand or finger site, subfascial or intramuscular depth, tumor measurement of at least 1.5 cm, and the excision performed.
Can modifier 50 be used when tumors are removed from both hands?
Modifier 50 is not appropriate for this code. Report the procedures according to the documented services and applicable claim instructions.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and related postoperative care for 90 days are included in the surgical global period.
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
Fee sheets · Coming soon
Put 26113 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist