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CPT code 26341: Cord manipulation, after enzyme injection2026 Medicare rate & RVUs in Iowa

Reports manipulation of a Dupuytren palmar cord after enzyme injection to improve contracture in a treated finger.

CMS RVU26DEffective Oct 1, 2026One payment locality7.8K Medicare services in 2024

In Iowa, Medicare pays $113.28 for 26341 in the office and $66.52 when it’s performed in a hospital or facility.

$113.28Office (non-facility)
$66.52Hospital or facility
−8.8%vs the national office rate ($124.25)

Check a contract rate as a % of Medicare · 26341 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 26341 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 26341 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 26341 covers

A hand surgeon or other qualified physician manipulates the treated finger and palmar tissue to disrupt a Dupuytren cord after an enzyme injection, such as collagenase. The service is directed at the contracture caused by the injected cord, rather than a stiff finger joint unrelated to enzyme treatment. It is commonly performed in an office or other procedural setting as the follow-up treatment to the injection.

Report this code for one treated digit in a hand; manipulation may address multiple cords in that hand. Documentation should identify the treated hand and digit, the prior enzyme injection, and the manipulation performed. The related postoperative visits are included for 10 days. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is 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 Iowa compares for 26341

Across 109 of 109 payment localities, the office rate for 26341 runs from $108.97 in Arkansas to $164.16 in San Benito County, CA. Iowa pays $113.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

26341 in Iowa vs other payment areas
  1. Iowa · this page$113.28
  2. Los Angeles, CA · California$139.82+$26.54
  3. Washington, DC area · District of Columbia$142.31+$29.03
  4. Miami, FL · Florida$136.58+$23.30
  5. Chicago, IL · Illinois$132.26+$18.98
  6. Manhattan, NY · New York$143.87+$30.59
  7. Alaska · Alaska$142.34+$29.06

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

Every other payment area

26341 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$110.68$65.97
ArkansasArkansas$108.97$65.07
ArizonaArizona$120.68$71.16
Bakersfield, CACalifornia$131.13$75.12
Chico, CACalifornia$130.65$74.64
El Centro, CACalifornia$130.68$74.67
Fresno, CACalifornia$130.65$74.64
Hanford, CACalifornia$130.65$74.64

26341 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$108.97

$147.41

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
26341 office rate range by state
State / territoryOffice rate rangeLocalities
AK$142.341
AL$110.681
AR$108.971
AZ$120.681
CA$130.65–$164.1629
CO$129.051
CT$132.881
DC$142.311
DE$122.761
FL$123.20–$136.583
GA$115.75–$126.902
GU$134.031
HI$134.031
IA$113.281
ID$114.151
IL$119.72–$132.264
IN$114.851
KS$112.911
KY$113.911
LA$113.80–$119.782
MA$128.28–$142.082
MD$125.15–$142.313
ME$115.00–$121.362
MI$117.25–$125.042
MN$122.831
MO$111.84–$120.003
MS$110.421
MT$124.241
NC$116.251
ND$120.881
NE$113.881
NH$127.181
NJ$134.17–$140.732
NM$118.021
NV$123.391
NY$118.12–$147.815
OH$116.571
OK$113.481
OR$122.21–$133.142
PA$116.65–$129.532
PR$125.141
RI$127.131
SC$116.651
SD$120.481
TN$113.541
TX$115.85–$128.828
UT$118.341
VA$121.07–$142.312
VI$125.141
VT$120.561
WA$127.99–$144.872
WI$116.591
WV$115.061
WY$122.781

See 26341 in every payment locality

How the 26341 rate is calculated

Each of 26341’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 · 26341

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.89

0.89 RVUs× 1.000 GPCI

Practice expense2.66

2.66 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

3.7200

Conversion factor

$33.4009

Medicare rate

$124.25

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,574

Code
26341
Physician work
0.89
Practice expense
2.66
Malpractice
0.17

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 26341 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.89× 1.0000.8900
Practice expense2.66× 0.9152.4339
Malpractice0.17× 0.3970.0675
Total RVUs3.3914
Conversion factor× 33.4009

Office rate, Iowa$113.28

Office: (0.89 × 1 + 2.66 × 0.915 + 0.17 × 0.397) × $33.4009 = $113.28

Facility: (0.89 × 1 + 1.13 × 0.915 + 0.17 × 0.397) × $33.4009 = $66.52

Open 26341 in the RVU calculator

Payment rules and modifiers for 26341

26341 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26341

Cord manipulation, after enzyme injection

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26341

Cord manipulation, after enzyme injection

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

26341 without 50 · national office

$124.25

Cord manipulation, after enzyme injection

26341-50 · Bilateral: 150%

$186.38

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

Codes related to 26341

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 26341
CodeHow it relatesOffice range, Iowa
Used instead
26340Finger manipulation, under anesthesia, each jointFor finger-joint manipulation under anesthesia rather than post-enzyme manipulation of a palmar cord.No office rate
26123Dupuytren release, palm and one digitSurgical palmar fasciectomy is a different treatment approach for Dupuytren contracture.No office rate
26125Palmar fasciectomy, each additional digitAdditional-digit fasciectomy code when surgical treatment addresses another digit.No office rate

How 26341 has changed in Iowa

26341 · Office / nonfacility

$113.28

Effective 2026-10-01

The base rate is $7.94 higher than on 2025-10-01, moving from $105.34 to $113.28 (7.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $105.34changed to$113.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.91 changed to 0.89
    • Practice expense RVU 2.49 changed to 2.66
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $108.25changed to$105.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.48 changed to 2.49
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $106.48changed to$108.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $109.39changed to$106.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.46 changed to 2.48
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $109.78changed to$109.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.41 changed to 2.46
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $105.97changed to$109.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.27 changed to 2.41
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $100.10changed to$105.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.98 changed to 2.27
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $94.88changed to$100.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.82 changed to 1.98
    • Malpractice RVU 0.17 changed to 0.16
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $92.82changed to$94.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.76 changed to 1.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $91.46changed to$92.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.73 changed to 1.76
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $91.08changed to$91.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $91.73changed to$91.08

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.74 changed to 1.73

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $91.28changed to$91.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $89.45changed to$91.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.71 changed to 1.74
    • Malpractice RVU 0.13 changed to 0.17
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $90.17changed to$89.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.89 changed to 1.71
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $90.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$113.28$66.52RVU26D
2026-07-01$113.28$66.52RVU26C
2026-04-01$113.28$66.52RVU26B
2026-01-01$113.28$66.52RVU26A
2025-10-01$105.34$70.78RVU25D
2025-07-01$105.34$70.78RVU25C
2025-04-01$105.34$70.78RVU25B
2025-01-01$105.34$70.78RVU25A
2024-10-01$108.25$72.39RVU24D
2024-07-01$108.25$72.39RVU24C
2024-04-01$108.25$72.39RVU24B
2024-03-09$108.25$72.39RVU24AR
2024-01-01$106.48$71.21RVU24A
2023-10-01$109.39$72.69RVU23D
2023-07-01$109.39$72.69RVU23C
2023-04-01$109.39$72.69RVU23B
2023-01-01$109.39$72.69RVU23A
2022-10-01$109.78$73.06RVU22D
2022-07-01$109.78$73.06RVU22C
2022-04-01$109.78$73.06RVU22B
2022-01-01$109.78$73.06RVU22A
2021-10-01$105.97$72.42RVU21D
2021-07-01$105.97$72.42RVU21C
2021-04-01$105.97$72.42RVU21B
2021-01-01$105.97$72.42RVU21A
2020-10-01$100.10$71.95RVU20D
2020-07-01$100.10$71.95RVU20C
2020-04-01$100.10$71.95RVU20B
2020-01-01$100.10$71.95RVU20A
2019-10-01$94.88$71.02RVU19D
2019-07-01$94.88$71.02RVU19C
2019-04-01$94.88$71.02RVU19B
2019-01-01$94.88$71.02RVU19A
2018-10-01$92.82$70.29RVU18D
2018-07-01$92.82$70.29RVU18C
2018-04-01$92.82$70.29RVU18B
2018-01-01$92.82$70.29RVU18AR1
2017-10-01$91.46$70.09RVU17D
2017-07-01$91.46$70.09RVU17C
2017-04-01$91.46$70.09RVU17B
2017-01-01$91.46$70.09RVU17A
2016-10-01$91.08$69.59RVU16D
2016-07-01$91.08$69.59RVU16C
2016-04-01$91.08$69.59RVU16B
2016-01-01$91.08$69.59RVU16A
2015-10-01$91.73$70.16RVU15D
2015-07-01$91.73$70.16RVU15C
2015-04-01$91.28$69.81RVU15B
2015-01-01$91.28$69.81RVU15A
2014-10-01$89.45$68.36RVU14D
2014-07-01$89.45$68.36RVU14C
2014-04-01$89.45$68.36RVU14B
2014-01-01$89.45$68.36RVU14A
2013-10-01$90.17$67.84RVU13D
2013-07-01$90.17$67.84RVU13C
2013-04-01$90.17$67.84RVU13B
2013-01-01$90.17$67.84RVU13AR

Price 26341 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

26341 billing questions

How does this differ from 26340?

Use 26341 for manipulation of a palmar Dupuytren cord after enzyme injection. Code 26340 describes manipulation of a finger joint under anesthesia, not post-injection cord disruption.

Is the enzyme injection included?

No. Code 26341 represents the subsequent manipulation; report the injection separately with 20527 when performed and otherwise reportable.

What documentation supports the code?

Document the enzyme-treated Dupuytren cord, the hand and digit treated, and the manipulation performed. Identify multiple cords if they were addressed in the same hand.

How is bilateral treatment handled?

For treatment of both hands, CMS pays modifier 50 at 150%. The service is described per hand, for a single digit, including multiple cords.

How are other procedures in the same session paid?

CMS pays the highest-valued procedure in full and other procedures at 50%. Related postoperative visits are included during the 10-day global period.

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 26341PPRRVU2026_Oct_nonQPP.csv, line 2,574 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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