CPT code 26340: Finger manipulation, under anesthesia, each joint2026 Medicare rate & RVUs in Colorado

Reports manual mobilization of a stiff finger joint under anesthesia, commonly to improve motion limited by post-traumatic or postoperative contracture.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Colorado, Medicare pays $379.32 for 26340 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$379.32Hospital or facility

Check a contract rate as a % of Medicare · 26340 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 26340 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 26340 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 26340 covers

This service involves manually moving a restricted finger joint while the patient is under anesthesia, with the goal of improving its range of motion. Hand surgeons and orthopedic surgeons commonly perform it for persistent stiffness after an injury or prior procedure, in an operating room or other procedural setting. It is directed at joint stiffness, rather than repair of a tendon or reduction of an acute dislocation. A palmar fascial cord treated after injection is a different service.

Report the service for each joint manipulated, and document the affected finger and joint, the reason motion is restricted, the procedure performed, and the resulting motion. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is statutorily restricted; 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 Colorado compares for 26340

Across 109 of 109 payment localities, the facility rate for 26340 runs from $321.00 in Arkansas to $481.51 in San Benito County, CA. Colorado pays $379.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

26340 in Colorado vs other payment areas
  1. Colorado · this page$379.32
  2. Los Angeles, CA · California$410.66+$31.34
  3. Washington, DC area · District of Columbia$418.06+$38.74
  4. Miami, FL · Florida$401.50+$22.18
  5. Chicago, IL · Illinois$388.96+$9.64
  6. Manhattan, NY · New York$422.75+$43.43
  7. Alaska · Alaska$420.24+$40.92

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

Every other payment area

26340 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$325.97
ArkansasArkansas—$321.00
ArizonaArizona—$355.02
Bakersfield, CACalifornia—$385.33
Chico, CACalifornia—$383.93
El Centro, CACalifornia—$384.01
Fresno, CACalifornia—$383.93
Hanford, CACalifornia—$383.93

26340 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
26340 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 26340 in every payment locality

How the 26340 rate is calculated

Each of 26340’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 · 26340

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.73

2.73 RVUs× 1.000 GPCI

Practice expense7.71

7.71 RVUs× 1.000 GPCI

Malpractice0.50

0.50 RVUs× 1.000 GPCI

Adjusted RVUs

10.9400

Conversion factor

$33.4009

Medicare rate

$365.41

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,573

Code
26340
Physician work
2.73
Practice expense
7.71
Malpractice
0.50

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 26340 in Colorado
ComponentRVULocality factorAdjusted
Physician work2.73× 1.0122.7628
Practice expense7.71× 1.0648.2034
Malpractice0.50× 0.7810.3905
Total RVUs11.3567
Conversion factor× 33.4009

Facility rate, Colorado$379.32

Facility: (2.73 × 1.012 + 7.71 × 1.064 + 0.5 × 0.781) × $33.4009 = $379.32

Open 26340 in the RVU calculator

Payment rules and modifiers for 26340

26340 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26340

Finger manipulation, under anesthesia, each joint

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 · 26340

Finger manipulation, under anesthesia, each joint

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

26340 without 50 · national facility

$365.41

Finger manipulation, under anesthesia, each joint

26340-50 · Bilateral: 150%

$548.12

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 26340 has changed in Colorado

26340 · 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$379.32RVU26D
2026-07-01Not available in this setting$379.32RVU26C
2026-04-01Not available in this setting$379.32RVU26B
2026-01-01Not available in this setting$379.32RVU26A
2025-10-01Not available in this setting$374.63RVU25D
2025-07-01Not available in this setting$374.63RVU25C
2025-04-01Not available in this setting$374.63RVU25B
2025-01-01Not available in this setting$374.63RVU25A
2024-10-01Not available in this setting$379.22RVU24D
2024-07-01Not available in this setting$379.22RVU24C
2024-04-01Not available in this setting$379.22RVU24B
2024-03-09Not available in this setting$379.22RVU24AR
2024-01-01Not available in this setting$373.03RVU24A
2023-10-01Not available in this setting$375.99RVU23D
2023-07-01Not available in this setting$375.99RVU23C
2023-04-01Not available in this setting$375.99RVU23B
2023-01-01Not available in this setting$375.99RVU23A
2022-10-01Not available in this setting$372.03RVU22D
2022-07-01Not available in this setting$372.03RVU22C
2022-04-01Not available in this setting$372.03RVU22B
2022-01-01Not available in this setting$372.03RVU22A
2021-10-01Not available in this setting$366.74RVU21D
2021-07-01Not available in this setting$366.74RVU21C
2021-04-01Not available in this setting$366.74RVU21B
2021-01-01Not available in this setting$366.74RVU21A
2020-10-01Not available in this setting$359.42RVU20D
2020-07-01Not available in this setting$359.42RVU20C
2020-04-01Not available in this setting$359.42RVU20B
2020-01-01Not available in this setting$359.42RVU20A
2019-10-01Not available in this setting$353.38RVU19D
2019-07-01Not available in this setting$353.38RVU19C
2019-04-01Not available in this setting$353.38RVU19B
2019-01-01Not available in this setting$353.38RVU19A
2018-10-01Not available in this setting$348.60RVU18D
2018-07-01Not available in this setting$348.60RVU18C
2018-04-01Not available in this setting$348.60RVU18B
2018-01-01Not available in this setting$348.60RVU18AR1
2017-10-01Not available in this setting$345.87RVU17D
2017-07-01Not available in this setting$345.87RVU17C
2017-04-01Not available in this setting$345.87RVU17B
2017-01-01Not available in this setting$345.87RVU17A
2016-10-01Not available in this setting$344.61RVU16D
2016-07-01Not available in this setting$344.61RVU16C
2016-04-01Not available in this setting$344.61RVU16B
2016-01-01Not available in this setting$344.61RVU16A
2015-10-01Not available in this setting$345.10RVU15D
2015-07-01Not available in this setting$345.10RVU15C
2015-04-01Not available in this setting$343.38RVU15B
2015-01-01Not available in this setting$343.38RVU15A
2014-10-01Not available in this setting$338.14RVU14D
2014-07-01Not available in this setting$338.14RVU14C
2014-04-01Not available in this setting$338.14RVU14B
2014-01-01Not available in this setting$338.14RVU14A
2013-10-01Not available in this setting$342.29RVU13D
2013-07-01Not available in this setting$342.29RVU13C
2013-04-01Not available in this setting$342.29RVU13B
2013-01-01Not available in this setting$342.29RVU13AR

Price 26340 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

26340 billing questions

When is 26340 appropriate instead of 26341?

Use 26340 for manipulation of a stiff finger joint under anesthesia. Code 26341 describes manipulation of a palmar fascial cord after injection, such as treatment for Dupuytren contracture.

How many units should be reported?

The service is reported for each finger joint manipulated. Document the specific joint or joints treated; do not count multiple digits as a single joint.

How does this differ from closed treatment of a finger dislocation?

Code 26340 addresses restricted joint motion, such as persistent stiffness. For an acute interphalangeal joint dislocation treated with manipulation, consider the applicable closed-treatment code, such as 26775.

What documentation supports the service?

Record the finger and joint, the cause of restricted motion, the need for manipulation under anesthesia, the maneuver performed, and the post-manipulation range of motion.

What payment rules affect multiple or bilateral procedures?

In the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%.

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 26340PPRRVU2026_Oct_nonQPP.csv, line 2,573 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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