CPT code 26548: Finger joint reconstruction, local tissue technique2026 Medicare rate & RVUs in Visalia, CA

Reports local-tissue reconstruction of a finger interphalangeal collateral ligament to stabilize a chronically unstable joint when direct repair is inadequate.

CMS RVU26DEffective Oct 1, 2026One payment locality393 Medicare services in 2024

In Visalia, CA, Medicare pays $789.65 for 26548 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$789.65Hospital or facility

Check a contract rate as a % of Medicare · 26548 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 26548 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Visalia, CA
  2. What 26548 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 26548 covers

Code 26548 describes operative reconstruction of a finger interphalangeal joint’s collateral ligament using local tissue, such as advancing or tightening available ligament or capsular tissue to restore stability. A hand surgeon typically performs the procedure for chronic joint instability after ligament injury when direct repair is inadequate and usable local tissue can provide support. It is an open operation, usually performed in an operating room.

The operative report should identify the finger and interphalangeal joint, describe the ligament deficiency and instability, and document the local-tissue reconstruction. Distinguish this technique from a tendon-graft reconstruction or a direct ligament repair. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented 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 Visalia, CA compares for 26548

Across 109 of 109 payment localities, the facility rate for 26548 runs from $678.04 in Arkansas to $969.28 in San Benito County, CA. Visalia, CA pays $789.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

26548 in Visalia, CA vs other payment areas
  1. Visalia, CA · this page$789.65
  2. Bakersfield, CA · California$793.92+$4.27
  3. Chico, CA · California$789.65
  4. El Centro, CA · California$789.91+$0.26
  5. Fresno, CA · California$789.65
  6. Hanford, CA · California$789.65
  7. Los Angeles, CA · California$841.53+$51.88

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

Every other payment area

26548 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$789.65
Merced, CACalifornia—$789.65
Modesto, CACalifornia—$789.65
Napa, CACalifornia—$899.82
Oxnard, CACalifornia—$835.51
Redding, CACalifornia—$789.65
Rest of CaliforniaCalifornia—$789.65
Riverside, CACalifornia—$806.12

26548 rates by state

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

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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
26548 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 26548 in every payment locality

How the 26548 rate is calculated

Each of 26548’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 · 26548

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.01

8.01 RVUs× 1.000 GPCI

Practice expense13.39

13.39 RVUs× 1.000 GPCI

Malpractice1.53

1.53 RVUs× 1.000 GPCI

Adjusted RVUs

22.9300

Conversion factor

$33.4009

Medicare rate

$765.88

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

The exact Visalia, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,639

Code
26548
Physician work
8.01
Practice expense
13.39
Malpractice
1.53

GPCI2026.csv

34

Locality
Visalia, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 26548 in Visalia, CA
ComponentRVULocality factorAdjusted
Physician work8.01× 1.0178.1462
Practice expense13.39× 1.09614.6754
Malpractice1.53× 0.5360.8201
Total RVUs23.6417
Conversion factor× 33.4009

Facility rate, Visalia, CA$789.65

Facility: (8.01 × 1.017 + 13.39 × 1.096 + 1.53 × 0.536) × $33.4009 = $789.65

Open 26548 in the RVU calculator

Payment rules and modifiers for 26548

26548 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26548

Finger joint reconstruction, local tissue technique

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26548

Finger joint reconstruction, local tissue technique

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

26548 without 51 · national facility

$765.88

Finger joint reconstruction, local tissue technique

26548-51 · Second procedure: 50%

$382.94

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 26548 has changed in Visalia, CA

26548 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$789.65RVU26D
2026-07-01Not available in this setting$789.65RVU26C
2026-04-01Not available in this setting$789.65RVU26B
2026-01-01Not available in this setting$789.65RVU26A
2025-10-01Not available in this setting$811.04RVU25D
2025-07-01Not available in this setting$811.04RVU25C
2025-04-01Not available in this setting$811.04RVU25B
2025-01-01Not available in this setting$811.04RVU25A
2024-10-01Not available in this setting$835.18RVU24D
2024-07-01Not available in this setting$835.18RVU24C
2024-04-01Not available in this setting$835.18RVU24B
2024-03-09Not available in this setting$835.18RVU24AR
2024-01-01Not available in this setting$821.55RVU24A
2023-10-01Not available in this setting$847.73RVU23D
2023-07-01Not available in this setting$847.73RVU23C
2023-04-01Not available in this setting$847.73RVU23B
2023-01-01Not available in this setting$847.73RVU23A
2022-10-01Not available in this setting$855.00RVU22D
2022-07-01Not available in this setting$855.00RVU22C
2022-04-01Not available in this setting$855.00RVU22B
2022-01-01Not available in this setting$855.00RVU22A
2021-10-01Not available in this setting$846.60RVU21D
2021-07-01Not available in this setting$846.60RVU21C
2021-04-01Not available in this setting$846.60RVU21B
2021-01-01Not available in this setting$846.60RVU21A
2020-10-01Not available in this setting$818.58RVU20D
2020-07-01Not available in this setting$818.58RVU20C
2020-04-01Not available in this setting$818.58RVU20B
2020-01-01Not available in this setting$818.58RVU20A
2019-10-01Not available in this setting$786.68RVU19D
2019-07-01Not available in this setting$786.68RVU19C
2019-04-01Not available in this setting$786.68RVU19B
2019-01-01Not available in this setting$786.68RVU19A
2018-10-01Not available in this setting$791.84RVU18D
2018-07-01Not available in this setting$791.84RVU18C
2018-04-01Not available in this setting$791.84RVU18B
2018-01-01Not available in this setting$791.84RVU18AR1
2017-10-01Not available in this setting$788.01RVU17D
2017-07-01Not available in this setting$788.01RVU17C
2017-04-01Not available in this setting$788.01RVU17B
2017-01-01Not available in this setting$788.01RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 26548 for an earlier date of service

Where the Visalia, CA rate applies

Visalia, CA is a Medicare payment area, not a city. Our Census mapping connects it to 70 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Visalia
  • Allensworth
  • Alpaugh
  • California Hot Springs
  • Camp Nelson
  • Cedar Slope
  • Cutler
  • Delft Colony

Browse all communities in California

26548 billing questions

How does this differ from code 26542?

Code 26548 describes reconstruction using local tissue. Code 26542 is the related interphalangeal-joint reconstruction using a tendon graft.

When is this code more appropriate than 26540?

Use 26548 for reconstruction with local tissue when direct repair is inadequate. Code 26540 describes repair of a collateral ligament rather than this local-tissue reconstruction.

What should the operative note identify?

Document the affected finger and interphalangeal joint, the ligament instability or deficiency, and how local tissue was used to reconstruct it.

Can modifier 50 be reported for bilateral procedures?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 26548PPRRVU2026_Oct_nonQPP.csv, line 2,639 (RVU26D)
Geographic factors for Visalia, CAGPCI2026.csv, line 34 (RVU26D)

Open CMS sourceHow we calculate rates

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