CPT code 26508: Thumb contracture release, thumb soft-tissue contracture2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $624.20 for 26508 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26508 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 26508 covers

This service surgically releases shortened tissue that holds the thumb in a restricted position, such as a scar-related limitation of thumb opening or opposition. It is typically performed by a hand, orthopedic, or plastic surgeon when the restriction causes functional impairment and needs operative correction. The operative report should identify the affected thumb, the contracture and its effect on motion or function, and the tissue released.

Report the code for the thumb contracture release itself, distinguishing it from a finger or knuckle contracture release and from a tendon transfer. The major-surgery global period includes 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Virginia compares for 26508

Across 109 of 109 payment localities, the facility rate for 26508 runs from $567.32 in Arkansas to $826.41 in San Benito County, CA. Virginia pays $624.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26508 rates by state

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

See 26508 in every payment locality

How the 26508 rate is calculated

Each of 26508’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.

Payment rules and modifiers for 26508

26508 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 26508

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

How 26508 has changed in Virginia

Price 26508 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates