CPT code 26125: Palmar fasciectomy, each additional digit2026 Medicare rate & RVUs in Iowa
Reports fasciectomy and contracture release in each additional finger affected by Dupuytren disease, after the first digit is treated with the primary procedure.
In Iowa, Medicare pays $206.61 for 26125 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26125 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 26125 covers
This add-on describes extending an open fasciectomy and contracture release to an additional digit affected by Dupuytren disease. A hand surgeon typically removes diseased palmar and digital fascia that is restricting finger extension. It is used when more than one digit requires treatment during the operative session, beyond the first digit addressed by the primary procedure.
Report 26125 with 26123 for the first digit treated; it is not reported as a standalone service. Documentation should identify each additional digit treated and support fascial excision and contracture release at those sites. CMS classifies this as an add-on code: it must be billed with a primary procedure, and its payment falls within that procedure’s global period.
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 Iowa compares for 26125
Across 109 of 109 payment localities, the facility rate for 26125 runs from $206.17 in Wisconsin to $293.43 in Alaska. Iowa pays $206.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$206.61
- Los Angeles, CA · California$233.67+$27.06
- Washington, DC area · District of Columbia$248.27+$41.66
- Miami, FL · Florida$274.08+$67.47
- Chicago, IL · Illinois$266.62+$60.01
- Manhattan, NY · New York$262.57+$55.96
- Alaska · Alaska$293.43+$86.82
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $209.48 |
| ArkansasArkansas | — | $207.23 |
| ArizonaArizona | — | $222.46 |
| Bakersfield, CACalifornia | — | $224.49 |
| Chico, CACalifornia | — | $222.09 |
| El Centro, CACalifornia | — | $222.24 |
| Fresno, CACalifornia | — | $222.09 |
| Hanford, CACalifornia | — | $222.09 |
| Madera, CACalifornia | — | $222.09 |
| Merced, CACalifornia | — | $222.09 |
| Modesto, CACalifornia | — | $222.09 |
| Napa, CACalifornia | — | $239.16 |
| Oxnard, CACalifornia | — | $230.49 |
| Redding, CACalifornia | — | $222.09 |
| Rest of CaliforniaCalifornia | — | $222.09 |
| Riverside, CACalifornia | — | $231.35 |
| Sacramento, CACalifornia | — | $228.26 |
| Salinas, CACalifornia | — | $227.31 |
| San Diego, CACalifornia | — | $229.16 |
| Marin County, CACalifornia | — | $247.10 |
| San Francisco, CACalifornia | — | $246.13 |
| San Benito County, CACalifornia | — | $253.15 |
| Santa Clara County, CACalifornia | — | $249.15 |
| San Luis Obispo, CACalifornia | — | $224.22 |
| Santa Cruz, CACalifornia | — | $228.58 |
| Santa Maria, CACalifornia | — | $227.20 |
| Santa Rosa, CACalifornia | — | $230.57 |
| Stockton, CACalifornia | — | $222.09 |
| Vallejo, CACalifornia | — | $237.76 |
| Visalia, CACalifornia | — | $222.09 |
| Yuba City, CACalifornia | — | $222.09 |
| ColoradoColorado | — | $226.80 |
| ConnecticutConnecticut | — | $240.97 |
| DelawareDelaware | — | $225.38 |
| Fort Lauderdale, FLFlorida | — | $251.98 |
| Rest of FloridaFlorida | — | $240.40 |
| Atlanta, GAGeorgia | — | $235.14 |
| Rest of GeorgiaGeorgia | — | $228.30 |
| Hawaii, Guam, HIHawaii | — | $222.81 |
| IdahoIdaho | — | $209.04 |
| East St. Louis, ILIllinois | — | $253.30 |
| Rest of IllinoisIllinois | — | $240.00 |
| Suburban Chicago, ILIllinois | — | $252.69 |
| IndianaIndiana | — | $209.75 |
| KansasKansas | — | $209.14 |
| KentuckyKentucky | — | $220.20 |
| New Orleans, LALouisiana | — | $229.12 |
| Rest of LouisianaLouisiana | — | $221.24 |
| Metropolitan Boston, MAMassachusetts | — | $240.71 |
| Rest of MassachusettsMassachusetts | — | $227.32 |
| Baltimore area, MDMaryland | — | $240.94 |
| Rest of MarylandMaryland | — | $227.87 |
| Rest of MaineMaine | — | $213.32 |
| Southern Maine, MEMaine | — | $217.08 |
| Detroit, MIMichigan | — | $246.10 |
| Rest of MichiganMichigan | — | $227.53 |
| MinnesotaMinnesota | — | $209.34 |
| Metropolitan Kansas City, MOMissouri | — | $224.45 |
| Metropolitan St. Louis, MOMissouri | — | $225.81 |
| Rest of MissouriMissouri | — | $220.56 |
| MississippiMississippi | — | $213.76 |
| MontanaMontana | — | $228.07 |
| North CarolinaNorth Carolina | — | $214.45 |
| North DakotaNorth Dakota | — | $211.07 |
| NebraskaNebraska | — | $206.45 |
| New HampshireNew Hampshire | — | $226.56 |
| Northern New JerseyNew Jersey | — | $247.44 |
| Rest of New JerseyNew Jersey | — | $241.46 |
| New MexicoNew Mexico | — | $229.80 |
| NevadaNevada | — | $223.38 |
| NYC suburbs and Long Island, NYNew York | — | $271.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $245.61 |
| Queens, NYNew York | — | $259.42 |
| Rest of New YorkNew York | — | $217.13 |
| OhioOhio | — | $224.06 |
| OklahomaOklahoma | — | $216.43 |
| Portland, OROregon | — | $228.66 |
| Rest of OregonOregon | — | $219.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $238.40 |
| Rest of PennsylvaniaPennsylvania | — | $222.49 |
| Puerto RicoPuerto Rico | — | $228.24 |
| Rhode IslandRhode Island | — | $229.51 |
| South CarolinaSouth Carolina | — | $220.06 |
| South DakotaSouth Dakota | — | $209.05 |
| TennesseeTennessee | — | $210.33 |
| Austin, TXTexas | — | $228.02 |
| Beaumont, TXTexas | — | $221.64 |
| Brazoria, TXTexas | — | $222.56 |
| Dallas, TXTexas | — | $225.20 |
| Fort Worth, TXTexas | — | $225.08 |
| Galveston, TXTexas | — | $224.04 |
| Houston, TXTexas | — | $239.78 |
| Rest of TexasTexas | — | $222.82 |
| UtahUtah | — | $222.23 |
| VirginiaVirginia | — | $218.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $228.24 |
| VermontVermont | — | $213.44 |
| Rest of WashingtonWashington | — | $225.83 |
| King County, WAWashington | — | $241.59 |
| WisconsinWisconsin | — | $206.17 |
| West VirginiaWest Virginia | — | $234.03 |
| WyomingWyoming | — | $220.66 |
26125 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 26125 rate is calculated
Each of 26125’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 · 26125
RVUs × geographic indexes × conversion factor
Work4.49
4.49 RVUs× 1.000 GPCI
Practice expense1.48
1.48 RVUs× 1.000 GPCI
Malpractice0.86
0.86 RVUs× 1.000 GPCI
Adjusted RVUs
6.8300
Conversion factor
$33.4009
Medicare rate
$228.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,553
- Code
- 26125
- Physician work
- 4.49
- Practice expense
- 1.48
- Malpractice
- 0.86
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.000 | 4.4900 |
| Practice expense | 1.48 | × 0.915 | 1.3542 |
| Malpractice | 0.86 | × 0.397 | 0.3414 |
| Total RVUs | 6.1856 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$206.61
Facility: (4.49 × 1 + 1.48 × 0.915 + 0.86 × 0.397) × $33.4009 = $206.61
Payment rules and modifiers for 26125
The CMS indicators that decide how 26125 is paid alongside other services.
CMS payment indicators · 26125
Palmar fasciectomy, each additional digit
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 26125 has changed in Iowa
26125 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $206.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $206.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $206.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $206.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $238.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $238.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $238.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $238.44 | RVU25A |
| 2024-10-01 | Not available in this setting | $243.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $243.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $243.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $243.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $239.28 | RVU24A |
| 2023-10-01 | Not available in this setting | $246.76 | RVU23D |
| 2023-07-01 | Not available in this setting | $246.76 | RVU23C |
| 2023-04-01 | Not available in this setting | $246.76 | RVU23B |
| 2023-01-01 | Not available in this setting | $246.76 | RVU23A |
| 2022-10-01 | Not available in this setting | $249.37 | RVU22D |
| 2022-07-01 | Not available in this setting | $249.37 | RVU22C |
| 2022-04-01 | Not available in this setting | $249.37 | RVU22B |
| 2022-01-01 | Not available in this setting | $249.37 | RVU22A |
| 2021-10-01 | Not available in this setting | $251.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $251.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $251.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $251.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $258.76 | RVU20D |
| 2020-07-01 | Not available in this setting | $258.76 | RVU20C |
| 2020-04-01 | Not available in this setting | $258.76 | RVU20B |
| 2020-01-01 | Not available in this setting | $258.76 | RVU20A |
| 2019-10-01 | Not available in this setting | $258.84 | RVU19D |
| 2019-07-01 | Not available in this setting | $258.84 | RVU19C |
| 2019-04-01 | Not available in this setting | $258.84 | RVU19B |
| 2019-01-01 | Not available in this setting | $258.84 | RVU19A |
| 2018-10-01 | Not available in this setting | $259.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $259.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $259.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $259.54 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $259.18 | RVU17D |
| 2017-07-01 | Not available in this setting | $259.18 | RVU17C |
| 2017-04-01 | Not available in this setting | $259.18 | RVU17B |
| 2017-01-01 | Not available in this setting | $259.18 | RVU17A |
| 2016-10-01 | Not available in this setting | $258.62 | RVU16D |
| 2016-07-01 | Not available in this setting | $258.62 | RVU16C |
| 2016-04-01 | Not available in this setting | $258.62 | RVU16B |
| 2016-01-01 | Not available in this setting | $258.62 | RVU16A |
| 2015-10-01 | Not available in this setting | $259.70 | RVU15D |
| 2015-07-01 | Not available in this setting | $259.70 | RVU15C |
| 2015-04-01 | Not available in this setting | $258.41 | RVU15B |
| 2015-01-01 | Not available in this setting | $258.41 | RVU15A |
| 2014-10-01 | Not available in this setting | $256.66 | RVU14D |
| 2014-07-01 | Not available in this setting | $256.66 | RVU14C |
| 2014-04-01 | Not available in this setting | $256.66 | RVU14B |
| 2014-01-01 | Not available in this setting | $256.66 | RVU14A |
| 2013-10-01 | Not available in this setting | $247.69 | RVU13D |
| 2013-07-01 | Not available in this setting | $247.69 | RVU13C |
| 2013-04-01 | Not available in this setting | $247.69 | RVU13B |
| 2013-01-01 | Not available in this setting | $247.69 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
26125 billing questions
What primary code is reported with 26125?
Report 26125 with 26123, which covers the first digit treated with fasciectomy and contracture release. Do not report 26125 by itself.
When is 26125 used instead of 26121?
26125 is for each additional digit treated after the first digit under 26123. 26121 describes fasciectomy limited to the palm, without the palm-and-finger treatment represented by this code family’s digit services.
How should the additional digits be documented?
Identify each additional digit treated and document the diseased fascia excised and the contracture release performed. The record should distinguish those digits from the first digit reported with 26123.
Is 26125 an add-on code?
Yes. It must be billed with a primary procedure, and CMS payment is within that procedure’s global period.
Can 26125 be reported for multiple additional digits?
The code represents each additional digit. The operative documentation should support the number of additional digits treated.
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
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