CPT code 26568: Bone lengthening, metacarpal or phalanx2026 Medicare rate & RVUs in Ohio
Reports operative lengthening of a metacarpal or finger phalanx, such as correction of a congenitally short bone or acquired shortening.
In Ohio, Medicare pays $864.27 for 26568 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26568 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 26568 covers
A hand surgeon lengthens a metacarpal or phalanx when a bone is abnormally short and length restoration is part of the treatment plan. Typical situations include congenital shortening, such as brachymetacarpia, and shortening after injury. The procedure is generally performed in an operating room by an orthopedic or plastic surgeon with hand-surgery expertise; the operative approach may use an osteotomy and a method of gradual or immediate lengthening.
Choose this code for the lengthening procedure, not simply because an osteotomy is performed. The operative report should identify the bone treated, the reason for lengthening, the correction performed, and the method used. CMS assigns 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 are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 Ohio compares for 26568
Across 109 of 109 payment localities, the facility rate for 26568 runs from $803.21 in Arkansas to $1,155.57 in San Benito County, CA. Ohio pays $864.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$864.27
- Los Angeles, CA · California$1,001.76+$137.49
- Washington, DC area · District of Columbia$1,031.76+$167.49
- Miami, FL · Florida$1,031.58+$167.31
- Chicago, IL · Illinois$999.06+$134.79
- Manhattan, NY · New York$1,056.39+$192.12
- Alaska · Alaska$1,068.79+$204.52
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $815.21 |
| ArkansasArkansas | — | $803.21 |
| ArizonaArizona | — | $885.04 |
| Bakersfield, CACalifornia | — | $944.17 |
| Chico, CACalifornia | — | $938.88 |
| El Centro, CACalifornia | — | $939.20 |
| Fresno, CACalifornia | — | $938.88 |
| Hanford, CACalifornia | — | $938.88 |
| Madera, CACalifornia | — | $938.88 |
| Merced, CACalifornia | — | $938.88 |
| Modesto, CACalifornia | — | $938.88 |
| Napa, CACalifornia | — | $1,071.99 |
| Oxnard, CACalifornia | — | $994.66 |
| Redding, CACalifornia | — | $938.88 |
| Rest of CaliforniaCalifornia | — | $938.88 |
| Riverside, CACalifornia | — | $959.51 |
| Sacramento, CACalifornia | — | $981.14 |
| Salinas, CACalifornia | — | $977.45 |
| San Diego, CACalifornia | — | $997.70 |
| Marin County, CACalifornia | — | $1,128.66 |
| San Francisco, CACalifornia | — | $1,126.48 |
| San Benito County, CACalifornia | — | $1,155.57 |
| Santa Clara County, CACalifornia | — | $1,146.66 |
| San Luis Obispo, CACalifornia | — | $962.32 |
| Santa Cruz, CACalifornia | — | $1,004.96 |
| Santa Maria, CACalifornia | — | $980.36 |
| Santa Rosa, CACalifornia | — | $1,014.76 |
| Stockton, CACalifornia | — | $938.88 |
| Vallejo, CACalifornia | — | $1,068.85 |
| Visalia, CACalifornia | — | $938.88 |
| Yuba City, CACalifornia | — | $938.88 |
| ColoradoColorado | — | $935.64 |
| ConnecticutConnecticut | — | $972.66 |
| DelawareDelaware | — | $899.67 |
| Fort Lauderdale, FLFlorida | — | $970.08 |
| Rest of FloridaFlorida | — | $919.45 |
| Atlanta, GAGeorgia | — | $933.69 |
| Rest of GeorgiaGeorgia | — | $864.62 |
| Hawaii, Guam, HIHawaii | — | $958.86 |
| IowaIowa | — | $826.17 |
| IdahoIdaho | — | $833.77 |
| East St. Louis, ILIllinois | — | $932.60 |
| Rest of IllinoisIllinois | — | $899.86 |
| Suburban Chicago, ILIllinois | — | $977.52 |
| IndianaIndiana | — | $838.42 |
| KansasKansas | — | $827.04 |
| KentuckyKentucky | — | $845.22 |
| New Orleans, LALouisiana | — | $887.74 |
| Rest of LouisianaLouisiana | — | $845.80 |
| Metropolitan Boston, MAMassachusetts | — | $1,022.25 |
| Rest of MassachusettsMassachusetts | — | $931.88 |
| Baltimore area, MDMaryland | — | $971.00 |
| Rest of MarylandMaryland | — | $915.48 |
| Rest of MaineMaine | — | $843.33 |
| Southern Maine, MEMaine | — | $882.61 |
| Detroit, MIMichigan | — | $936.09 |
| Rest of MichiganMichigan | — | $872.03 |
| MinnesotaMinnesota | — | $881.84 |
| Metropolitan Kansas City, MOMissouri | — | $876.45 |
| Metropolitan St. Louis, MOMissouri | — | $885.14 |
| Rest of MissouriMissouri | — | $834.29 |
| MississippiMississippi | — | $818.67 |
| MontanaMontana | — | $911.05 |
| North CarolinaNorth Carolina | — | $851.50 |
| North DakotaNorth Dakota | — | $873.08 |
| NebraskaNebraska | — | $829.31 |
| New HampshireNew Hampshire | — | $925.51 |
| Northern New JerseyNew Jersey | — | $1,021.78 |
| Rest of New JerseyNew Jersey | — | $979.62 |
| New MexicoNew Mexico | — | $878.82 |
| NevadaNevada | — | $901.01 |
| NYC suburbs and Long Island, NYNew York | — | $1,088.48 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $990.02 |
| Queens, NYNew York | — | $1,058.06 |
| Rest of New YorkNew York | — | $864.87 |
| OklahomaOklahoma | — | $838.55 |
| Portland, OROregon | — | $960.10 |
| Rest of OregonOregon | — | $889.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $951.34 |
| Rest of PennsylvaniaPennsylvania | — | $862.95 |
| Puerto RicoPuerto Rico | — | $916.21 |
| Rhode IslandRhode Island | — | $927.98 |
| South CarolinaSouth Carolina | — | $860.13 |
| South DakotaSouth Dakota | — | $868.59 |
| TennesseeTennessee | — | $831.88 |
| Austin, TXTexas | — | $936.09 |
| Beaumont, TXTexas | — | $857.56 |
| Brazoria, TXTexas | — | $894.58 |
| Dallas, TXTexas | — | $902.61 |
| Fort Worth, TXTexas | — | $897.99 |
| Galveston, TXTexas | — | $898.75 |
| Houston, TXTexas | — | $933.89 |
| Rest of TexasTexas | — | $877.16 |
| UtahUtah | — | $871.93 |
| VirginiaVirginia | — | $883.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $916.21 |
| VermontVermont | — | $874.05 |
| Rest of WashingtonWashington | — | $928.67 |
| King County, WAWashington | — | $1,038.28 |
| WisconsinWisconsin | — | $843.90 |
| West VirginiaWest Virginia | — | $867.41 |
| WyomingWyoming | — | $894.50 |
26568 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 26568 rate is calculated
Each of 26568’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 · 26568
RVUs × geographic indexes × conversion factor
Work9.04
9.04 RVUs× 1.000 GPCI
Practice expense16.32
16.32 RVUs× 1.000 GPCI
Malpractice1.92
1.92 RVUs× 1.000 GPCI
Adjusted RVUs
27.2800
Conversion factor
$33.4009
Medicare rate
$911.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,651
- Code
- 26568
- Physician work
- 9.04
- Practice expense
- 16.32
- Malpractice
- 1.92
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.04 | × 1.000 | 9.0400 |
| Practice expense | 16.32 | × 0.913 | 14.9002 |
| Malpractice | 1.92 | × 1.008 | 1.9354 |
| Total RVUs | 25.8755 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$864.27
Facility: (9.04 × 1 + 16.32 × 0.913 + 1.92 × 1.008) × $33.4009 = $864.27
Payment rules and modifiers for 26568
26568 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26568
Bone lengthening, metacarpal or phalanx
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| 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 · 26568
Bone lengthening, metacarpal or phalanx
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 51 · payment effect
With and without the modifier
26568 without 51 · national facility
$911.18
Bone lengthening, metacarpal or phalanx
26568-51 · Second procedure: 50%
$455.59
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%).
How 26568 has changed in Ohio
26568 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $864.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $864.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $864.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $864.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $861.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $861.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $861.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $861.93 | RVU25A |
| 2024-10-01 | Not available in this setting | $890.95 | RVU24D |
| 2024-07-01 | Not available in this setting | $890.95 | RVU24C |
| 2024-04-01 | Not available in this setting | $890.95 | RVU24B |
| 2024-03-09 | Not available in this setting | $890.95 | RVU24AR |
| 2024-01-01 | Not available in this setting | $876.41 | RVU24A |
| 2023-10-01 | Not available in this setting | $911.88 | RVU23D |
| 2023-07-01 | Not available in this setting | $911.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $911.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $911.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $933.20 | RVU22D |
| 2022-07-01 | Not available in this setting | $933.20 | RVU22C |
| 2022-04-01 | Not available in this setting | $933.20 | RVU22B |
| 2022-01-01 | Not available in this setting | $933.20 | RVU22A |
| 2021-10-01 | Not available in this setting | $928.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $928.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $928.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $928.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $901.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $901.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $901.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $901.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $874.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $874.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $871.56 | RVU19B |
| 2019-01-01 | Not available in this setting | $871.56 | RVU19A |
| 2018-10-01 | Not available in this setting | $878.06 | RVU18D |
| 2018-07-01 | Not available in this setting | $878.06 | RVU18C |
| 2018-04-01 | Not available in this setting | $878.06 | RVU18B |
| 2018-01-01 | Not available in this setting | $878.06 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $869.75 | RVU17D |
| 2017-07-01 | Not available in this setting | $869.75 | RVU17C |
| 2017-04-01 | Not available in this setting | $869.75 | RVU17B |
| 2017-01-01 | Not available in this setting | $869.75 | RVU17A |
| 2016-10-01 | Not available in this setting | $868.05 | RVU16D |
| 2016-07-01 | Not available in this setting | $868.05 | RVU16C |
| 2016-04-01 | Not available in this setting | $868.05 | RVU16B |
| 2016-01-01 | Not available in this setting | $868.05 | RVU16A |
| 2015-10-01 | Not available in this setting | $875.03 | RVU15D |
| 2015-07-01 | Not available in this setting | $875.03 | RVU15C |
| 2015-04-01 | Not available in this setting | $870.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $870.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $870.56 | RVU14D |
| 2014-07-01 | Not available in this setting | $870.56 | RVU14C |
| 2014-04-01 | Not available in this setting | $870.56 | RVU14B |
| 2014-01-01 | Not available in this setting | $870.56 | RVU14A |
| 2013-10-01 | Not available in this setting | $885.45 | RVU13D |
| 2013-07-01 | Not available in this setting | $885.45 | RVU13C |
| 2013-04-01 | Not available in this setting | $885.45 | RVU13B |
| 2013-01-01 | Not available in this setting | $885.45 | RVU13AR |
Where the Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
26568 billing questions
When should I report 26568 instead of a shortening osteoplasty?
Report 26568 when the operation lengthens a metacarpal or phalanx. Codes 26565 and 26567 describe shortening procedures, not lengthening.
What operative documentation supports this code?
Document the bone treated, the cause of its short length, the lengthening performed, and the operative method. The record should make clear that length restoration—not only correction of alignment—was performed.
Can modifier 50 be used when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS treats 26568 as major surgery.
Can an assistant surgeon be paid for this procedure?
CMS permits assistant-at-surgery payment for 26568. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures performed in that session are subject to a 50% reduction.
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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