CPT code 26320: Implant removal, hand2026 Medicare rate & RVUs in Connecticut

Reports operative removal of an implanted device from the hand, such as fixation hardware that is painful, prominent, or no longer needed.

CMS RVU26DEffective Oct 1, 2026One payment locality492 Medicare services in 2024

In Connecticut, Medicare pays $359.53 for 26320 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$359.53Hospital or facility

Check a contract rate as a % of Medicare · 26320 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 26320 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 26320 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 26320 covers

A hand surgeon or orthopedic surgeon uses this service to remove an implanted device from the hand, often after a fracture has healed or when hardware causes pain, prominence, or other problems. Examples include a buried wire, pin, screw, or plate. Removal involves operative access to the implant; it is not simply removal of an external splint or dressing. The procedure may take place in a hospital or ambulatory surgery setting.

Select the code for an implant in the hand, rather than a general implant-removal code for another site or a foreign-body removal code. The operative report should identify the implant, its hand location, and the work performed to remove it. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 Connecticut compares for 26320

Across 109 of 109 payment localities, the facility rate for 26320 runs from $299.95 in Arkansas to $418.98 in San Benito County, CA. Connecticut pays $359.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

26320 in Connecticut vs other payment areas
  1. Connecticut · this page$359.53
  2. Los Angeles, CA · California$366.99+$7.46
  3. Washington, DC area · District of Columbia$379.53+$20.00
  4. Miami, FL · Florida$384.82+$25.29
  5. Chicago, IL · Illinois$373.25+$13.72
  6. Manhattan, NY · New York$390.34+$30.81
  7. Alaska · Alaska$404.36+$44.83

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

Every other payment area

26320 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$304.12
ArkansasArkansas—$299.95
ArizonaArizona—$328.41
Bakersfield, CACalifornia—$347.13
Chico, CACalifornia—$344.96
El Centro, CACalifornia—$345.09
Fresno, CACalifornia—$344.96
Hanford, CACalifornia—$344.96

26320 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
26320 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 26320 in every payment locality

How the 26320 rate is calculated

Each of 26320’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 · 26320

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.00

4.00 RVUs× 1.000 GPCI

Practice expense5.33

5.33 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

10.1100

Conversion factor

$33.4009

Medicare rate

$337.68

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,572

Code
26320
Physician work
4.00
Practice expense
5.33
Malpractice
0.78

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 26320 in Connecticut
ComponentRVULocality factorAdjusted
Physician work4.00× 1.0204.0800
Practice expense5.33× 1.0775.7404
Malpractice0.78× 1.2100.9438
Total RVUs10.7642
Conversion factor× 33.4009

Facility rate, Connecticut$359.53

Facility: (4 × 1.02 + 5.33 × 1.077 + 0.78 × 1.21) × $33.4009 = $359.53

Open 26320 in the RVU calculator

Payment rules and modifiers for 26320

26320 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26320

Implant removal, hand

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)0The 150% bilateral adjustment doesn’t apply.
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 · 26320

Implant removal, hand

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 51 · payment effect

With and without the modifier

26320 without 51 · national facility

$337.68

Implant removal, hand

26320-51 · Second procedure: 50%

$168.84

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%).

When to use modifier 51

How 26320 has changed in Connecticut

26320 · 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$359.53RVU26D
2026-07-01Not available in this setting$359.53RVU26C
2026-04-01Not available in this setting$359.53RVU26B
2026-01-01Not available in this setting$359.53RVU26A
2025-10-01Not available in this setting$377.34RVU25D
2025-07-01Not available in this setting$377.34RVU25C
2025-04-01Not available in this setting$377.34RVU25B
2025-01-01Not available in this setting$377.34RVU25A
2024-10-01Not available in this setting$383.56RVU24D
2024-07-01Not available in this setting$383.56RVU24C
2024-04-01Not available in this setting$383.56RVU24B
2024-03-09Not available in this setting$383.56RVU24AR
2024-01-01Not available in this setting$377.30RVU24A
2023-10-01Not available in this setting$386.15RVU23D
2023-07-01Not available in this setting$386.15RVU23C
2023-04-01Not available in this setting$386.15RVU23B
2023-01-01Not available in this setting$386.15RVU23A
2022-10-01Not available in this setting$387.59RVU22D
2022-07-01Not available in this setting$387.59RVU22C
2022-04-01Not available in this setting$387.59RVU22B
2022-01-01Not available in this setting$387.59RVU22A
2021-10-01Not available in this setting$386.65RVU21D
2021-07-01Not available in this setting$386.65RVU21C
2021-04-01Not available in this setting$386.65RVU21B
2021-01-01Not available in this setting$386.65RVU21A
2020-10-01Not available in this setting$389.15RVU20D
2020-07-01Not available in this setting$389.15RVU20C
2020-04-01Not available in this setting$389.15RVU20B
2020-01-01Not available in this setting$389.15RVU20A
2019-10-01Not available in this setting$390.32RVU19D
2019-07-01Not available in this setting$390.32RVU19C
2019-04-01Not available in this setting$390.32RVU19B
2019-01-01Not available in this setting$390.32RVU19A
2018-10-01Not available in this setting$388.69RVU18D
2018-07-01Not available in this setting$388.69RVU18C
2018-04-01Not available in this setting$388.69RVU18B
2018-01-01Not available in this setting$388.69RVU18AR1
2017-10-01Not available in this setting$386.76RVU17D
2017-07-01Not available in this setting$386.76RVU17C
2017-04-01Not available in this setting$386.76RVU17B
2017-01-01Not available in this setting$386.76RVU17A
2016-10-01Not available in this setting$386.50RVU16D
2016-07-01Not available in this setting$386.50RVU16C
2016-04-01Not available in this setting$386.50RVU16B
2016-01-01Not available in this setting$386.50RVU16A
2015-10-01Not available in this setting$387.04RVU15D
2015-07-01Not available in this setting$387.04RVU15C
2015-04-01Not available in this setting$385.12RVU15B
2015-01-01Not available in this setting$385.12RVU15A
2014-10-01Not available in this setting$380.35RVU14D
2014-07-01Not available in this setting$380.35RVU14C
2014-04-01Not available in this setting$380.35RVU14B
2014-01-01Not available in this setting$380.35RVU14A
2013-10-01Not available in this setting$379.25RVU13D
2013-07-01Not available in this setting$379.25RVU13C
2013-04-01Not available in this setting$379.25RVU13B
2013-01-01Not available in this setting$379.25RVU13AR

Price 26320 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

26320 billing questions

When should I report 26320 instead of a general implant-removal code?

Use 26320 for operative removal of an implant located in the hand. General implant-removal codes are relevant to other sites or circumstances, such as a superficial implant addressed by 20670 or a deep implant addressed by 20680.

Is removal of a retained foreign body the same service?

No. An implanted device, such as fixation hardware, is different from an unintentional retained foreign body; code 20525 may describe removal of a deep foreign body in the appropriate circumstances.

Should modifier 50 be appended when both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

What postoperative care is included?

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

Can an assistant surgeon 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 26320PPRRVU2026_Oct_nonQPP.csv, line 2,572 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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