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

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, 2026One payment locality16.5K Medicare services in 2024

In Montana, Medicare pays $781.11 for 26123 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$781.11Hospital or facility

Check a contract rate as a % of Medicare · 26123 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 26123 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 26123 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 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.

How Montana compares for 26123

Across 109 of 109 payment localities, the facility rate for 26123 runs from $697.85 in Arkansas to $951.51 in Alaska. Montana pays $781.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

26123 in Montana vs other payment areas
  1. Montana · this page$781.11
  2. Los Angeles, CA · California$838.88+$57.77
  3. Washington, DC area · District of Columbia$871.98+$90.87
  4. Miami, FL · Florida$899.14+$118.03
  5. Chicago, IL · Illinois$872.90+$91.79
  6. Manhattan, NY · New York$901.69+$120.58
  7. Alaska · Alaska$951.51+$170.40

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

Every other payment area

26123 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$707.04
ArkansasArkansas—$697.85
ArizonaArizona—$760.39
Bakersfield, CACalifornia—$796.10
Chico, CACalifornia—$790.47
El Centro, CACalifornia—$790.80
Fresno, CACalifornia—$790.47
Hanford, CACalifornia—$790.47

26123 rates by state

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

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.

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

See 26123 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,552

Code
26123
Physician work
10.61
Practice expense
10.76
Malpractice
2.02

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 26123 in Montana
ComponentRVULocality factorAdjusted
Physician work10.61× 1.00010.6100
Practice expense10.76× 1.00010.7600
Malpractice2.02× 0.9982.0160
Total RVUs23.3860
Conversion factor× 33.4009

Facility rate, Montana$781.11

Facility: (10.61 × 1 + 10.76 × 1 + 2.02 × 0.998) × $33.4009 = $781.11

Open 26123 in the RVU calculator

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

How 26123 has changed in Montana

26123 · 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$781.11RVU26D
2026-07-01Not available in this setting$781.11RVU26C
2026-04-01Not available in this setting$781.11RVU26B
2026-01-01Not available in this setting$781.11RVU26A
2025-10-01Not available in this setting$833.43RVU25D
2025-07-01Not available in this setting$833.43RVU25C
2025-04-01Not available in this setting$833.43RVU25B
2025-01-01Not available in this setting$833.43RVU25A
2024-10-01Not available in this setting$848.66RVU24D
2024-07-01Not available in this setting$848.66RVU24C
2024-04-01Not available in this setting$848.66RVU24B
2024-03-09Not available in this setting$848.66RVU24AR
2024-01-01Not available in this setting$834.81RVU24A
2023-10-01Not available in this setting$855.51RVU23D
2023-07-01Not available in this setting$855.51RVU23C
2023-04-01Not available in this setting$855.51RVU23B
2023-01-01Not available in this setting$855.51RVU23A
2022-10-01Not available in this setting$858.71RVU22D
2022-07-01Not available in this setting$858.71RVU22C
2022-04-01Not available in this setting$858.71RVU22B
2022-01-01Not available in this setting$858.71RVU22A
2021-10-01Not available in this setting$858.57RVU21D
2021-07-01Not available in this setting$858.57RVU21C
2021-04-01Not available in this setting$858.57RVU21B
2021-01-01Not available in this setting$858.57RVU21A
2020-10-01Not available in this setting$888.99RVU20D
2020-07-01Not available in this setting$888.99RVU20C
2020-04-01Not available in this setting$888.99RVU20B
2020-01-01Not available in this setting$888.99RVU20A
2019-10-01Not available in this setting$910.19RVU19D
2019-07-01Not available in this setting$910.19RVU19C
2019-04-01Not available in this setting$910.19RVU19B
2019-01-01Not available in this setting$910.19RVU19A
2018-10-01Not available in this setting$908.61RVU18D
2018-07-01Not available in this setting$908.61RVU18C
2018-04-01Not available in this setting$908.61RVU18B
2018-01-01Not available in this setting$908.61RVU18AR1
2017-10-01Not available in this setting$889.61RVU17D
2017-07-01Not available in this setting$889.61RVU17C
2017-04-01Not available in this setting$889.61RVU17B
2017-01-01Not available in this setting$889.61RVU17A
2016-10-01Not available in this setting$871.35RVU16D
2016-07-01Not available in this setting$871.35RVU16C
2016-04-01Not available in this setting$871.35RVU16B
2016-01-01Not available in this setting$871.35RVU16A
2015-10-01Not available in this setting$873.70RVU15D
2015-07-01Not available in this setting$873.70RVU15C
2015-04-01Not available in this setting$869.35RVU15B
2015-01-01Not available in this setting$869.35RVU15A
2014-10-01Not available in this setting$857.01RVU14D
2014-07-01Not available in this setting$857.01RVU14C
2014-04-01Not available in this setting$857.01RVU14B
2014-01-01Not available in this setting$857.01RVU14A
2013-10-01Not available in this setting$846.08RVU13D
2013-07-01Not available in this setting$846.08RVU13C
2013-04-01Not available in this setting$846.08RVU13B
2013-01-01Not available in this setting$846.08RVU13AR

Price 26123 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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