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CPT code 26123: Dupuytren release, palm and one digit2026 Medicare rate & RVUs

Reports removal of contracted palmar fascia extending into one finger, with release to improve extension in a patient with Dupuytren contracture.

CMS RVU26DEffective Oct 1, 2026109 payment localities16.5K Medicare services in 2024

Medicare pays $781.25 for 26123 nationally in a facility.

Medicare rate · 26123

Dupuytren release, palm and one digit

Office or facility?

Work RVUs
10.61
Total RVUs
23.39
Global days
090

National rate · 2026

$781.25

Facility setting, before claim adjustments.

See every locality for 26123 →Billed by an NP, PA or therapist? →

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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 26123 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 26123 covers

A hand surgeon removes diseased palmar fascia when a Dupuytren contracture extends from the palm into one finger. The release includes treatment of the affected digit through the proximal interphalangeal joint. Local tissue rearrangement or skin grafting, including graft harvest, may be part of the operation. These procedures are commonly performed in an operating room or ambulatory surgery setting when the contracture limits finger extension or hand function.

Report this code for the palm and one digit; document the affected hand and finger, the contracted fascia treated, and the extent of the release. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 26123 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

26123 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$707.04
AlaskaUnavailable$951.51
ArizonaUnavailable$760.39
ArkansasUnavailable$697.85
Atlanta, GAUnavailable$801.62
Austin, TXUnavailable$795.11
Bakersfield, CAUnavailable$796.10
Baltimore area, MDUnavailable$829.14
Beaumont, TXUnavailable$744.11
Brazoria, TXUnavailable$766.00

26123 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
26123 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

How the 26123 rate is calculated

Each of 26123’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 · 26123

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.61

10.61 RVUs× 1.000 GPCI

Practice expense10.76

10.76 RVUs× 1.000 GPCI

Malpractice2.02

2.02 RVUs× 1.000 GPCI

Adjusted RVUs

23.3900

Conversion factor

$33.4009

Medicare rate

$781.25

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

Payment rules and modifiers for 26123

26123 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26123

Dupuytren release, palm and one digit

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 · 26123

Dupuytren release, palm and one digit

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

26123 without 50 · national facility

$781.25

Dupuytren release, palm and one digit

26123-50 · Bilateral: 150%

$1,171.88

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

26123 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 26123

    Dupuytren release, palm and one digit10.61 wRVU

    Not priced

  • 26121

    Palmar fasciectomy, palm only7.54 wRVU

    Not priced

  • 26125

    Palmar fasciectomy, each additional digit4.49 wRVU

    Not priced

  • 26145

    Tenosynovectomy, palm or finger, each tendon6.33 wRVU

    Not priced

How to choose

26121Palmar fasciectomyPalm only
Choose 26121 when the fasciectomy is confined to the palm. Choose 26123 when the contracture extends into and requires release of one finger.
26125Palmar fasciectomyEach additional digit
26125 is for each additional digit treated beyond the first digit covered by 26123; it does not replace the primary procedure.
26145TenosynovectomyPalm or finger, each tendon
26145 describes excision of a tendon in the palm or finger. This code addresses contracted palmar fascia extending into a finger, not tendon excision.

Codes related to 26123

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

Codes related to 26123
CodeHow it relatesNational office range
Same family
26121Palmar fasciectomy, palm onlyPalmar fasciectomy limited to the palm, without release of a digit.No office rate
Add-on codes
26125Palmar fasciectomy, each additional digitAdditional-digit release reported with the primary procedure when more than one digit is treated.No office rate

26123 billing questions

How does this differ from 26121?

26121 treats contracted fascia in the palm only. Use 26123 when the operation also releases one finger.

How is a second affected finger reported?

26125 represents release of each additional digit and is reported with the primary single-digit procedure when applicable. Document each digit treated.

Is skin grafting separately reported?

Skin grafting and local tissue rearrangement may be part of this fasciectomy, and graft harvest is included. Do not report those steps separately as though they were separate services.

What supports choosing this code?

The operative report should identify the palmar fascia removed, the finger released, and the extent of correction, including whether the release reached the proximal interphalangeal joint.

What does the 90-day global period include?

The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery 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 26123PPRRVU2026_Oct_nonQPP.csv, line 2,552 (RVU26D)

Open CMS sourceHow we calculate rates

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