CPT code 26340: Finger manipulation, under anesthesia, each joint2026 Medicare rate & RVUs in Texas
Reports manual mobilization of a stiff finger joint under anesthesia, commonly to improve motion limited by post-traumatic or postoperative contracture.
CMS doesn’t publish an office rate for 26340 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 26340 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $378.62 |
| Beaumont, TX | Unavailable | $341.04 |
| Brazoria, TX | Unavailable | $360.14 |
| Dallas, TX | Unavailable | $362.82 |
| Fort Worth, TX | Unavailable | $360.47 |
| Galveston, TX | Unavailable | $361.46 |
| Houston, TX | Unavailable | $370.61 |
| Rest of Texas | Unavailable | $350.65 |
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.
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).
26340 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 26341Cord manipulationAfter enzyme injection
- 26340 addresses a stiff finger joint manipulated under anesthesia. 26341 is for a palmar fascial cord manipulated after injection, including treatment associated with Dupuytren contracture.
- 26525Contracture releaseFinger interphalangeal joint
- 26340 is manual joint mobilization under anesthesia; 26525 represents surgical release of the interphalangeal joint capsule.
- 26775Finger dislocationClosed reduction with anesthesia
- Use 26775 for closed treatment with manipulation of an acute interphalangeal joint dislocation. Use 26340 for stiffness rather than dislocation reduction.
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
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