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.
In Colorado, Medicare pays $379.32 for 26340 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Colorado · this page$379.32
- Los Angeles, CA · California$410.66+$31.34
- Washington, DC area · District of Columbia$418.06+$38.74
- Miami, FL · Florida$401.50+$22.18
- Chicago, IL · Illinois$388.96+$9.64
- Manhattan, NY · New York$422.75+$43.43
- Alaska · Alaska$420.24+$40.92
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $383.93 |
| Merced, CACalifornia | — | $383.93 |
| Modesto, CACalifornia | — | $383.93 |
| Napa, CACalifornia | — | $444.83 |
| Oxnard, CACalifornia | — | $408.53 |
| Redding, CACalifornia | — | $383.93 |
| Rest of CaliforniaCalifornia | — | $383.93 |
| Riverside, CACalifornia | — | $389.31 |
| Sacramento, CACalifornia | — | $402.92 |
| Salinas, CACalifornia | — | $401.43 |
| San Diego, CACalifornia | — | $410.97 |
| Marin County, CACalifornia | — | $470.62 |
| San Francisco, CACalifornia | — | $470.05 |
| San Benito County, CACalifornia | — | $481.51 |
| Santa Clara County, CACalifornia | — | $479.19 |
| San Luis Obispo, CACalifornia | — | $395.00 |
| Santa Cruz, CACalifornia | — | $414.94 |
| Santa Maria, CACalifornia | — | $402.96 |
| Santa Rosa, CACalifornia | — | $419.11 |
| Stockton, CACalifornia | — | $383.93 |
| Vallejo, CACalifornia | — | $444.01 |
| Visalia, CACalifornia | — | $383.93 |
| Yuba City, CACalifornia | — | $383.93 |
| ConnecticutConnecticut | — | $390.57 |
| DelawareDelaware | — | $361.08 |
| Fort Lauderdale, FLFlorida | — | $382.25 |
| Rest of FloridaFlorida | — | $362.48 |
| Atlanta, GAGeorgia | — | $373.16 |
| Rest of GeorgiaGeorgia | — | $340.80 |
| Hawaii, Guam, HIHawaii | — | $393.66 |
| IowaIowa | — | $333.45 |
| IdahoIdaho | — | $336.00 |
| East St. Louis, ILIllinois | — | $361.74 |
| Rest of IllinoisIllinois | — | $352.40 |
| Suburban Chicago, ILIllinois | — | $385.89 |
| IndianaIndiana | — | $338.02 |
| KansasKansas | — | $332.40 |
| KentuckyKentucky | — | $335.40 |
| New Orleans, LALouisiana | — | $352.48 |
| Rest of LouisianaLouisiana | — | $335.09 |
| Metropolitan Boston, MAMassachusetts | — | $417.27 |
| Rest of MassachusettsMassachusetts | — | $377.12 |
| Baltimore area, MDMaryland | — | $389.62 |
| Rest of MarylandMaryland | — | $368.04 |
| Rest of MaineMaine | — | $338.49 |
| Southern Maine, MEMaine | — | $356.93 |
| Detroit, MIMichigan | — | $367.85 |
| Rest of MichiganMichigan | — | $345.16 |
| MinnesotaMinnesota | — | $361.12 |
| Metropolitan Kansas City, MOMissouri | — | $349.31 |
| Metropolitan St. Louis, MOMissouri | — | $353.08 |
| Rest of MissouriMissouri | — | $329.43 |
| MississippiMississippi | — | $325.25 |
| MontanaMontana | — | $365.37 |
| North CarolinaNorth Carolina | — | $342.12 |
| North DakotaNorth Dakota | — | $355.49 |
| NebraskaNebraska | — | $335.19 |
| New HampshireNew Hampshire | — | $373.88 |
| Northern New JerseyNew Jersey | — | $413.49 |
| Rest of New JerseyNew Jersey | — | $394.37 |
| New MexicoNew Mexico | — | $347.39 |
| NevadaNevada | — | $362.87 |
| NYC suburbs and Long Island, NYNew York | — | $434.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $397.48 |
| Queens, NYNew York | — | $425.49 |
| Rest of New YorkNew York | — | $347.57 |
| OhioOhio | — | $343.14 |
| OklahomaOklahoma | — | $334.13 |
| Portland, OROregon | — | $391.17 |
| Rest of OregonOregon | — | $359.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $380.83 |
| Rest of PennsylvaniaPennsylvania | — | $343.37 |
| Puerto RicoPuerto Rico | — | $367.99 |
| Rhode IslandRhode Island | — | $373.83 |
| South CarolinaSouth Carolina | — | $343.33 |
| South DakotaSouth Dakota | — | $354.32 |
| TennesseeTennessee | — | $334.24 |
| Austin, TXTexas | — | $378.62 |
| Beaumont, TXTexas | — | $341.04 |
| Brazoria, TXTexas | — | $360.14 |
| Dallas, TXTexas | — | $362.82 |
| Fort Worth, TXTexas | — | $360.47 |
| Galveston, TXTexas | — | $361.46 |
| Houston, TXTexas | — | $370.61 |
| Rest of TexasTexas | — | $350.65 |
| UtahUtah | — | $348.25 |
| VirginiaVirginia | — | $356.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $367.99 |
| VermontVermont | — | $354.58 |
| Rest of WashingtonWashington | — | $376.25 |
| King County, WAWashington | — | $425.37 |
| WisconsinWisconsin | — | $343.03 |
| West VirginiaWest Virginia | — | $338.87 |
| WyomingWyoming | — | $361.06 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.73 | × 1.012 | 2.7628 |
| Practice expense | 7.71 | × 1.064 | 8.2034 |
| Malpractice | 0.50 | × 0.781 | 0.3905 |
| Total RVUs | 11.3567 | ||
| 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
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
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| 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 · 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.
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).
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.
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 | $379.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $379.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $379.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $379.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $374.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $374.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $374.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $374.63 | RVU25A |
| 2024-10-01 | Not available in this setting | $379.22 | RVU24D |
| 2024-07-01 | Not available in this setting | $379.22 | RVU24C |
| 2024-04-01 | Not available in this setting | $379.22 | RVU24B |
| 2024-03-09 | Not available in this setting | $379.22 | RVU24AR |
| 2024-01-01 | Not available in this setting | $373.03 | RVU24A |
| 2023-10-01 | Not available in this setting | $375.99 | RVU23D |
| 2023-07-01 | Not available in this setting | $375.99 | RVU23C |
| 2023-04-01 | Not available in this setting | $375.99 | RVU23B |
| 2023-01-01 | Not available in this setting | $375.99 | RVU23A |
| 2022-10-01 | Not available in this setting | $372.03 | RVU22D |
| 2022-07-01 | Not available in this setting | $372.03 | RVU22C |
| 2022-04-01 | Not available in this setting | $372.03 | RVU22B |
| 2022-01-01 | Not available in this setting | $372.03 | RVU22A |
| 2021-10-01 | Not available in this setting | $366.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $366.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $366.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $366.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $359.42 | RVU20D |
| 2020-07-01 | Not available in this setting | $359.42 | RVU20C |
| 2020-04-01 | Not available in this setting | $359.42 | RVU20B |
| 2020-01-01 | Not available in this setting | $359.42 | RVU20A |
| 2019-10-01 | Not available in this setting | $353.38 | RVU19D |
| 2019-07-01 | Not available in this setting | $353.38 | RVU19C |
| 2019-04-01 | Not available in this setting | $353.38 | RVU19B |
| 2019-01-01 | Not available in this setting | $353.38 | RVU19A |
| 2018-10-01 | Not available in this setting | $348.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $348.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $348.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $348.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $345.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $345.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $345.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $345.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $344.61 | RVU16D |
| 2016-07-01 | Not available in this setting | $344.61 | RVU16C |
| 2016-04-01 | Not available in this setting | $344.61 | RVU16B |
| 2016-01-01 | Not available in this setting | $344.61 | RVU16A |
| 2015-10-01 | Not available in this setting | $345.10 | RVU15D |
| 2015-07-01 | Not available in this setting | $345.10 | RVU15C |
| 2015-04-01 | Not available in this setting | $343.38 | RVU15B |
| 2015-01-01 | Not available in this setting | $343.38 | RVU15A |
| 2014-10-01 | Not available in this setting | $338.14 | RVU14D |
| 2014-07-01 | Not available in this setting | $338.14 | RVU14C |
| 2014-04-01 | Not available in this setting | $338.14 | RVU14B |
| 2014-01-01 | Not available in this setting | $338.14 | RVU14A |
| 2013-10-01 | Not available in this setting | $342.29 | RVU13D |
| 2013-07-01 | Not available in this setting | $342.29 | RVU13C |
| 2013-04-01 | Not available in this setting | $342.29 | RVU13B |
| 2013-01-01 | Not available in this setting | $342.29 | RVU13AR |
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
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
Fee sheets · Coming soon
Put 26340 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist