FeeBase
Log inGet started
Menu

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

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 Puerto Rico, Medicare pays $125.14 for 26341 in the office and $73.48 when it’s performed in a hospital or facility.

$125.14Office (non-facility)
$73.48Hospital or facility
+0.7%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $125.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

26341 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$125.14
  2. Los Angeles, CA · California$139.82+$14.68
  3. Washington, DC area · District of Columbia$142.31+$17.17
  4. Miami, FL · Florida$136.58+$11.44
  5. Chicago, IL · Illinois$132.26+$7.12
  6. Manhattan, NY · New York$143.87+$18.73
  7. Alaska · Alaska$142.34+$17.20

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 26341 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.89× 1.0000.8900
Practice expense2.66× 1.0112.6893
Malpractice0.17× 0.9850.1675
Total RVUs3.7467
Conversion factor× 33.4009

Office rate, Puerto Rico$125.14

Office: (0.89 × 1 + 2.66 × 1.011 + 0.17 × 0.985) × $33.4009 = $125.14

Facility: (0.89 × 1 + 1.13 × 1.011 + 0.17 × 0.985) × $33.4009 = $73.48

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, Puerto Rico
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 Puerto Rico

26341 · Office / nonfacility

$125.14

Effective 2026-10-01

The base rate is $9.52 higher than on 2025-10-01, moving from $115.62 to $125.14 (8.2%).

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

    $115.62changed to$125.14

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $118.98changed to$115.62

    • 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

    $117.04changed to$118.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $120.87changed to$117.04

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $120.30changed to$120.87

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $121.70changed to$120.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.41 changed to 2.46
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $117.10changed to$121.70

    • 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.

  8. January 1, 2021

    RVU21A

    $110.58changed to$117.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.98 changed to 2.27
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $104.91changed to$110.58

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $102.62changed to$104.91

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $89.72changed to$102.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.73 changed to 1.76
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $78.03changed to$89.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $78.57changed to$78.03

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

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $78.18changed to$78.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $76.25changed to$78.18

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $75.74changed to$76.25

    • 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 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $75.74

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$125.14$73.48RVU26D
2026-07-01$125.14$73.48RVU26C
2026-04-01$125.14$73.48RVU26B
2026-01-01$125.14$73.48RVU26A
2025-10-01$115.62$77.51RVU25D
2025-07-01$115.62$77.51RVU25C
2025-04-01$115.62$77.51RVU25B
2025-01-01$115.62$77.51RVU25A
2024-10-01$118.98$79.43RVU24D
2024-07-01$118.98$79.43RVU24C
2024-04-01$118.98$79.43RVU24B
2024-03-09$118.98$79.43RVU24AR
2024-01-01$117.04$78.13RVU24A
2023-10-01$120.87$80.22RVU23D
2023-07-01$120.30$79.97RVU23C
2023-04-01$120.30$79.97RVU23B
2023-01-01$120.30$79.97RVU23A
2022-10-01$121.70$80.89RVU22D
2022-07-01$121.70$80.89RVU22C
2022-04-01$121.70$80.89RVU22B
2022-01-01$121.70$80.89RVU22A
2021-10-01$117.10$79.82RVU21D
2021-07-01$117.10$79.82RVU21C
2021-04-01$117.10$79.82RVU21B
2021-01-01$117.10$79.82RVU21A
2020-10-01$110.58$79.29RVU20D
2020-07-01$110.58$79.29RVU20C
2020-04-01$110.58$79.29RVU20B
2020-01-01$110.58$79.29RVU20A
2019-10-01$104.91$78.42RVU19D
2019-07-01$104.91$78.42RVU19C
2019-04-01$104.91$78.42RVU19B
2019-01-01$104.91$78.42RVU19A
2018-10-01$102.62$77.61RVU18D
2018-07-01$102.62$77.61RVU18C
2018-04-01$102.62$77.61RVU18B
2018-01-01$102.62$77.61RVU18AR1
2017-10-01$89.72$69.45RVU17D
2017-07-01$89.72$69.45RVU17C
2017-04-01$89.72$69.45RVU17B
2017-01-01$89.72$69.45RVU17A
2016-10-01$78.03$61.12RVU16D
2016-07-01$78.03$61.12RVU16C
2016-04-01$78.03$61.12RVU16B
2016-01-01$78.03$61.12RVU16A
2015-10-01$78.57$61.60RVU15D
2015-07-01$78.57$61.60RVU15C
2015-04-01$78.18$61.29RVU15B
2015-01-01$78.18$61.29RVU15A
2014-10-01$76.25$59.89RVU14D
2014-07-01$76.25$59.89RVU14C
2014-04-01$76.25$59.89RVU14B
2014-01-01$76.25$59.89RVU14A
2013-10-01$75.74$58.67RVU13D
2013-07-01$75.74$58.67RVU13C
2013-04-01$75.74$58.67RVU13B
2013-01-01$75.74$58.67RVU13AR

Price 26341 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 26341 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 26341 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist