CPT code 26170: Tendon excision, palm, each tendon2026 Medicare rate & RVUs in Mississippi
Reports surgical removal of a tendon in the palm, counted per tendon when the palmar tendon itself is the operative target.
In Mississippi, Medicare pays $355.82 for 26170 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26170 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 26170 covers
This procedure removes a tendon located in the palm. A hand, orthopedic, or plastic surgeon may perform it when the operative plan calls for removal of the tendon itself, rather than release of tendon adhesions, excision of a tendon-sheath lesion, or treatment of palmar fascia. The operative report should identify the tendon and its palmar location, explain the reason for removal, and document how many tendons were treated.
Report one service for each tendon excised. The documentation should make clear that the tendon—not a neighboring sheath, mass, or contracture—is the structure removed. This is major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate; follow the each-tendon descriptor. Assistant-at-surgery payment requires documentation of medical necessity. 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 Mississippi compares for 26170
Across 109 of 109 payment localities, the facility rate for 26170 runs from $348.54 in Arkansas to $484.01 in San Benito County, CA. Mississippi pays $355.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$355.82
- Los Angeles, CA · California$424.82+$69.00
- Washington, DC area · District of Columbia$439.70+$83.88
- Miami, FL · Florida$447.02+$91.20
- Chicago, IL · Illinois$433.71+$77.89
- Manhattan, NY · New York$452.61+$96.79
- Alaska · Alaska$471.06+$115.24
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $353.32 |
| ArkansasArkansas | — | $348.54 |
| ArizonaArizona | — | $381.13 |
| Bakersfield, CACalifornia | — | $402.12 |
| Chico, CACalifornia | — | $399.56 |
| El Centro, CACalifornia | — | $399.71 |
| Fresno, CACalifornia | — | $399.56 |
| Hanford, CACalifornia | — | $399.56 |
| Madera, CACalifornia | — | $399.56 |
| Merced, CACalifornia | — | $399.56 |
| Modesto, CACalifornia | — | $399.56 |
| Napa, CACalifornia | — | $450.69 |
| Oxnard, CACalifornia | — | $421.28 |
| Redding, CACalifornia | — | $399.56 |
| Rest of CaliforniaCalifornia | — | $399.56 |
| Riverside, CACalifornia | — | $409.46 |
| Sacramento, CACalifornia | — | $416.07 |
| Salinas, CACalifornia | — | $414.46 |
| San Diego, CACalifornia | — | $421.93 |
| Marin County, CACalifornia | — | $472.81 |
| San Francisco, CACalifornia | — | $471.76 |
| San Benito County, CACalifornia | — | $484.01 |
| Santa Clara County, CACalifornia | — | $479.74 |
| San Luis Obispo, CACalifornia | — | $408.20 |
| Santa Cruz, CACalifornia | — | $424.12 |
| Santa Maria, CACalifornia | — | $415.39 |
| Santa Rosa, CACalifornia | — | $428.18 |
| Stockton, CACalifornia | — | $399.56 |
| Vallejo, CACalifornia | — | $449.19 |
| Visalia, CACalifornia | — | $399.56 |
| Yuba City, CACalifornia | — | $399.56 |
| ColoradoColorado | — | $399.85 |
| ConnecticutConnecticut | — | $416.93 |
| DelawareDelaware | — | $387.08 |
| Fort Lauderdale, FLFlorida | — | $419.24 |
| Rest of FloridaFlorida | — | $398.40 |
| Atlanta, GAGeorgia | — | $401.67 |
| Rest of GeorgiaGeorgia | — | $375.98 |
| Hawaii, Guam, HIHawaii | — | $406.40 |
| IowaIowa | — | $356.17 |
| IdahoIdaho | — | $359.51 |
| East St. Louis, ILIllinois | — | $406.87 |
| Rest of IllinoisIllinois | — | $391.60 |
| Suburban Chicago, ILIllinois | — | $422.06 |
| IndianaIndiana | — | $361.32 |
| KansasKansas | — | $357.25 |
| KentuckyKentucky | — | $366.86 |
| New Orleans, LALouisiana | — | $384.11 |
| Rest of LouisianaLouisiana | — | $367.38 |
| Metropolitan Boston, MAMassachusetts | — | $433.98 |
| Rest of MassachusettsMassachusetts | — | $398.77 |
| Baltimore area, MDMaryland | — | $416.31 |
| Rest of MarylandMaryland | — | $393.29 |
| Rest of MaineMaine | — | $364.09 |
| Southern Maine, MEMaine | — | $378.64 |
| Detroit, MIMichigan | — | $405.83 |
| Rest of MichiganMichigan | — | $378.26 |
| MinnesotaMinnesota | — | $375.99 |
| Metropolitan Kansas City, MOMissouri | — | $378.82 |
| Metropolitan St. Louis, MOMissouri | — | $382.20 |
| Rest of MissouriMissouri | — | $363.25 |
| MontanaMontana | — | $391.73 |
| North CarolinaNorth Carolina | — | $367.23 |
| North DakotaNorth Dakota | — | $373.54 |
| NebraskaNebraska | — | $357.20 |
| New HampshireNew Hampshire | — | $396.20 |
| Northern New JerseyNew Jersey | — | $436.13 |
| Rest of New JerseyNew Jersey | — | $419.67 |
| New MexicoNew Mexico | — | $381.28 |
| NevadaNevada | — | $386.86 |
| NYC suburbs and Long Island, NYNew York | — | $466.37 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $424.55 |
| Queens, NYNew York | — | $452.21 |
| Rest of New YorkNew York | — | $372.61 |
| OhioOhio | — | $374.55 |
| OklahomaOklahoma | — | $363.43 |
| Portland, OROregon | — | $408.80 |
| Rest of OregonOregon | — | $381.86 |
| Metropolitan Philadelphia, PAPennsylvania | — | $408.85 |
| Rest of PennsylvaniaPennsylvania | — | $373.61 |
| Puerto RicoPuerto Rico | — | $393.54 |
| Rhode IslandRhode Island | — | $398.15 |
| South CarolinaSouth Carolina | — | $371.90 |
| South DakotaSouth Dakota | — | $371.39 |
| TennesseeTennessee | — | $359.27 |
| Austin, TXTexas | — | $400.27 |
| Beaumont, TXTexas | — | $371.51 |
| Brazoria, TXTexas | — | $384.50 |
| Dallas, TXTexas | — | $388.06 |
| Fort Worth, TXTexas | — | $386.45 |
| Galveston, TXTexas | — | $386.38 |
| Houston, TXTexas | — | $403.22 |
| Rest of TexasTexas | — | $378.56 |
| UtahUtah | — | $376.59 |
| VirginiaVirginia | — | $379.34 |
| Virgin Islands, VIUnited States Virgin Islands | — | $393.54 |
| VermontVermont | — | $374.60 |
| Rest of WashingtonWashington | — | $397.19 |
| King County, WAWashington | — | $439.81 |
| WisconsinWisconsin | — | $362.08 |
| West VirginiaWest Virginia | — | $378.70 |
| WyomingWyoming | — | $383.80 |
26170 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 26170 rate is calculated
Each of 26170’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 · 26170
RVUs × geographic indexes × conversion factor
Work4.79
4.79 RVUs× 1.000 GPCI
Practice expense6.02
6.02 RVUs× 1.000 GPCI
Malpractice0.92
0.92 RVUs× 1.000 GPCI
Adjusted RVUs
11.7300
Conversion factor
$33.4009
Medicare rate
$391.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,559
- Code
- 26170
- Physician work
- 4.79
- Practice expense
- 6.02
- Malpractice
- 0.92
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.79 | × 1.000 | 4.7900 |
| Practice expense | 6.02 | × 0.861 | 5.1832 |
| Malpractice | 0.92 | × 0.739 | 0.6799 |
| Total RVUs | 10.6531 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$355.82
Facility: (4.79 × 1 + 6.02 × 0.861 + 0.92 × 0.739) × $33.4009 = $355.82
Payment rules and modifiers for 26170
26170 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26170
Tendon excision, palm, each tendon
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 26170
Tendon excision, palm, each tendon
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
26170 without 51 · national facility
$391.79
Tendon excision, palm, each tendon
26170-51 · Second procedure: 50%
$195.90
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%).
How 26170 has changed in Mississippi
26170 · 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 | $355.82 | RVU26D |
| 2026-07-01 | Not available in this setting | $355.82 | RVU26C |
| 2026-04-01 | Not available in this setting | $355.82 | RVU26B |
| 2026-01-01 | Not available in this setting | $355.82 | RVU26A |
| 2025-10-01 | Not available in this setting | $369.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $369.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $369.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $369.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $377.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $377.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $377.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $377.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $371.66 | RVU24A |
| 2023-10-01 | Not available in this setting | $378.07 | RVU23D |
| 2023-07-01 | Not available in this setting | $378.07 | RVU23C |
| 2023-04-01 | Not available in this setting | $378.07 | RVU23B |
| 2023-01-01 | Not available in this setting | $378.07 | RVU23A |
| 2022-10-01 | Not available in this setting | $376.72 | RVU22D |
| 2022-07-01 | Not available in this setting | $376.72 | RVU22C |
| 2022-04-01 | Not available in this setting | $376.72 | RVU22B |
| 2022-01-01 | Not available in this setting | $376.72 | RVU22A |
| 2021-10-01 | Not available in this setting | $376.85 | RVU21D |
| 2021-07-01 | Not available in this setting | $376.85 | RVU21C |
| 2021-04-01 | Not available in this setting | $376.85 | RVU21B |
| 2021-01-01 | Not available in this setting | $376.85 | RVU21A |
| 2020-10-01 | Not available in this setting | $376.87 | RVU20D |
| 2020-07-01 | Not available in this setting | $376.87 | RVU20C |
| 2020-04-01 | Not available in this setting | $376.87 | RVU20B |
| 2020-01-01 | Not available in this setting | $376.87 | RVU20A |
| 2019-10-01 | Not available in this setting | $373.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $373.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $373.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $373.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $373.49 | RVU18D |
| 2018-07-01 | Not available in this setting | $373.49 | RVU18C |
| 2018-04-01 | Not available in this setting | $373.49 | RVU18B |
| 2018-01-01 | Not available in this setting | $373.49 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $373.25 | RVU17D |
| 2017-07-01 | Not available in this setting | $373.25 | RVU17C |
| 2017-04-01 | Not available in this setting | $373.25 | RVU17B |
| 2017-01-01 | Not available in this setting | $373.25 | RVU17A |
| 2016-10-01 | Not available in this setting | $373.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $373.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $373.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $373.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $376.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $376.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $374.51 | RVU15B |
| 2015-01-01 | Not available in this setting | $374.51 | RVU15A |
| 2014-10-01 | Not available in this setting | $374.55 | RVU14D |
| 2014-07-01 | Not available in this setting | $374.55 | RVU14C |
| 2014-04-01 | Not available in this setting | $374.55 | RVU14B |
| 2014-01-01 | Not available in this setting | $374.55 | RVU14A |
| 2013-10-01 | Not available in this setting | $374.06 | RVU13D |
| 2013-07-01 | Not available in this setting | $374.06 | RVU13C |
| 2013-04-01 | Not available in this setting | $374.06 | RVU13B |
| 2013-01-01 | Not available in this setting | $374.06 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
26170 billing questions
How does this differ from finger tendon excision?
This code is for a tendon in the palm. Code 26180 describes tendon excision in a finger.
Can this be reported for freeing a tendon from adhesions?
No. When the tendon is preserved and adhesions are released, consider tenolysis code 26145 rather than tendon excision.
What documentation supports reporting this code?
Document the tendon removed, its palmar location, the clinical reason for removal, and the number of tendons treated.
Should modifier 50 be used for work on both hands?
No. Modifier 50 is inappropriate for this code; report the service according to its each-tendon descriptor.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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
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