CPT code 26700: MCP dislocation, without manipulation2026 Medicare rate & RVUs in North Dakota

Reports closed treatment of a metacarpophalangeal joint dislocation when the provider manages the dislocation without manipulating or reducing the joint.

CMS RVU26DEffective Oct 1, 2026One payment locality467 Medicare services in 2024

In North Dakota, Medicare pays $390.36 for 26700 in the office and $331.90 when it’s performed in a hospital or facility.

$390.36Office (non-facility)
$331.90Hospital or facility
−4.0%vs the national office rate ($406.82)

Check a contract rate as a % of Medicare · 26700 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 26700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 26700 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 26700 covers

This code describes closed management of a dislocated metacarpophalangeal (MCP) joint in a finger, without manipulation. It may be used when the joint is already aligned, such as after spontaneous reduction, and the provider proceeds with closed treatment and immobilization. Orthopedic and hand surgeons commonly provide this care; emergency physicians may also manage acute hand injuries. The code is for an MCP joint, not a proximal or distal interphalangeal joint.

Report one unit for each MCP joint treated. Documentation should identify the affected joint, establish the dislocation, and show that closed treatment was provided without manipulation. If the provider manipulates the joint to reduce it, consider 26705 instead. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code; assistant-at-surgery payment is restricted, and 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 North Dakota compares for 26700

Across 109 of 109 payment localities, the office rate for 26700 runs from $357.49 in Arkansas to $520.16 in San Benito County, CA. North Dakota pays $390.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

26700 in North Dakota vs other payment areas
  1. North Dakota · this page$390.36
  2. Los Angeles, CA · California$449.19+$58.83
  3. Washington, DC area · District of Columbia$461.99+$71.63
  4. Miami, FL · Florida$459.65+$69.29
  5. Chicago, IL · Illinois$444.87+$54.51
  6. Manhattan, NY · New York$472.27+$81.91
  7. Alaska · Alaska$473.21+$82.85

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

Every other payment area

26700 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$362.98$311.83
ArkansasArkansas$357.49$307.28
ArizonaArizona$394.94$338.30
Bakersfield, CACalifornia$422.78$358.72
Chico, CACalifornia$420.51$356.45
El Centro, CACalifornia$420.65$356.59
Fresno, CACalifornia$420.51$356.45
Hanford, CACalifornia$420.51$356.45

26700 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.

$357.49

$473.21

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

View every state and territory as a table
26700 office rate range by state
State / territoryOffice rate rangeLocalities
AK$473.211
AL$362.981
AR$357.491
AZ$394.941
CA$420.51–$520.1629
CO$418.541
CT$434.731
DC$461.991
DE$401.591
FL$409.57–$459.653
GA$384.66–$416.842
GU$430.021
HI$430.021
IA$368.471
ID$371.851
IL$400.29–$444.874
IN$373.991
KS$368.641
KY$376.221
LA$376.39–$395.582
MA$416.68–$458.262
MD$408.85–$461.993
ME$375.98–$394.302
MI$388.26–$416.932
MN$394.691
MO$370.98–$394.663
MS$364.211
MT$406.771
NC$379.761
ND$390.361
NE$369.981
NH$413.791
NJ$437.91–$457.282
NM$391.271
NV$402.451
NY$385.86–$486.665
OH$384.901
OK$373.411
OR$397.57–$429.972
PA$384.43–$424.852
PR$409.211
RI$414.601
SC$383.321
SD$388.421
TN$370.831
TX$381.95–$418.678
UT$388.721
VA$394.35–$461.992
VI$409.211
VT$390.581
WA$415.31–$465.752
WI$376.951
WV$385.431
WY$399.621

See 26700 in every payment locality

How the 26700 rate is calculated

Each of 26700’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 · 26700

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.73

3.73 RVUs× 1.000 GPCI

Practice expense7.62

7.62 RVUs× 1.000 GPCI

Malpractice0.83

0.83 RVUs× 1.000 GPCI

Adjusted RVUs

12.1800

Conversion factor

$33.4009

Medicare rate

$406.82

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,672

Code
26700
Physician work
3.73
Practice expense
7.62
Malpractice
0.83

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 26700 in North Dakota
ComponentRVULocality factorAdjusted
Physician work3.73× 1.0003.7300
Practice expense7.62× 1.0007.6200
Malpractice0.83× 0.4060.3370
Total RVUs11.6870
Conversion factor× 33.4009

Office rate, North Dakota$390.36

Office: (3.73 × 1 + 7.62 × 1 + 0.83 × 0.406) × $33.4009 = $390.36

Facility: (3.73 × 1 + 5.87 × 1 + 0.83 × 0.406) × $33.4009 = $331.90

Open 26700 in the RVU calculator

Payment rules and modifiers for 26700

26700 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26700

MCP dislocation, without manipulation

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)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)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26700

MCP dislocation, without manipulation

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

26700 without 51 · national office

$406.82

MCP dislocation, without manipulation

26700-51 · Second procedure: 50%

$203.41

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 26700 has changed in North Dakota

26700 · Office / nonfacility

$390.36

Effective 2026-10-01

The base rate is $53.86 higher than on 2025-10-01, moving from $336.50 to $390.36 (16.0%).

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

    $336.50changed to$390.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.83 changed to 3.73
    • Practice expense RVU 6.18 changed to 7.62
    • Malpractice RVU 0.76 changed to 0.83
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $341.96changed to$336.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.05 changed to 6.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $336.38changed to$341.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $341.77changed to$336.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.90 changed to 6.05
    • Malpractice RVU 0.75 changed to 0.76
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $337.67changed to$341.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.60 changed to 5.90
    • Malpractice RVU 0.76 changed to 0.75
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $332.49changed to$337.67

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.38 changed to 5.60
    • Malpractice RVU 0.74 changed to 0.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $331.09changed to$332.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.99 changed to 5.38
    • Malpractice RVU 0.73 changed to 0.74
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $328.60changed to$331.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.98 changed to 4.99
    • Malpractice RVU 0.57 changed to 0.73
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $323.92changed to$328.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.86 changed to 4.98

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $320.03changed to$323.92

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.77 changed to 4.86
    • Malpractice RVU 0.58 changed to 0.57
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $318.35changed to$320.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.74 changed to 4.77
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $318.98changed to$318.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.72 changed to 4.74
    • Malpractice RVU 0.59 changed to 0.58

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $317.39changed to$318.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $319.98changed to$317.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.77 changed to 4.72
    • Malpractice RVU 0.62 changed to 0.59
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $320.70changed to$319.98

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.26 changed to 4.77
    • Malpractice RVU 0.65 changed to 0.62
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $320.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$390.36$331.90RVU26D
2026-07-01$390.36$331.90RVU26C
2026-04-01$390.36$331.90RVU26B
2026-01-01$390.36$331.90RVU26A
2025-10-01$336.50$309.00RVU25D
2025-07-01$336.50$309.00RVU25C
2025-04-01$336.50$309.00RVU25B
2025-01-01$336.50$309.00RVU25A
2024-10-01$341.96$314.00RVU24D
2024-07-01$341.96$314.00RVU24C
2024-04-01$341.96$314.00RVU24B
2024-03-09$341.96$314.00RVU24AR
2024-01-01$336.38$308.87RVU24A
2023-10-01$341.77$313.30RVU23D
2023-07-01$341.77$313.30RVU23C
2023-04-01$341.77$313.30RVU23B
2023-01-01$341.77$313.30RVU23A
2022-10-01$337.67$309.29RVU22D
2022-07-01$337.67$309.29RVU22C
2022-04-01$337.67$309.29RVU22B
2022-01-01$337.67$309.29RVU22A
2021-10-01$332.49$305.63RVU21D
2021-07-01$332.49$305.63RVU21C
2021-04-01$332.49$305.63RVU21B
2021-01-01$332.49$305.63RVU21A
2020-10-01$331.09$306.19RVU20D
2020-07-01$331.09$306.19RVU20C
2020-04-01$331.09$306.19RVU20B
2020-01-01$331.09$306.19RVU20A
2019-10-01$328.60$305.17RVU19D
2019-07-01$328.60$305.17RVU19C
2019-04-01$328.60$305.17RVU19B
2019-01-01$328.60$305.17RVU19A
2018-10-01$323.92$302.32RVU18D
2018-07-01$323.92$302.32RVU18C
2018-04-01$323.92$302.32RVU18B
2018-01-01$323.92$302.32RVU18AR1
2017-10-01$320.03$300.29RVU17D
2017-07-01$320.03$300.29RVU17C
2017-04-01$320.03$300.29RVU17B
2017-01-01$320.03$300.29RVU17A
2016-10-01$318.35$298.66RVU16D
2016-07-01$318.35$298.66RVU16C
2016-04-01$318.35$298.66RVU16B
2016-01-01$318.35$298.66RVU16A
2015-10-01$318.98$298.49RVU15D
2015-07-01$318.98$298.49RVU15C
2015-04-01$317.39$297.01RVU15B
2015-01-01$317.39$297.01RVU15A
2014-10-01$319.98$299.92RVU14D
2014-07-01$319.98$299.92RVU14C
2014-04-01$319.98$299.92RVU14B
2014-01-01$319.98$299.92RVU14A
2013-10-01$320.70$299.61RVU13D
2013-07-01$320.70$299.61RVU13C
2013-04-01$320.70$299.61RVU13B
2013-01-01$320.70$299.61RVU13AR

Price 26700 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

26700 billing questions

When should 26700 be used instead of 26705?

Use 26700 for closed treatment without manipulation. If the provider manipulates the MCP joint to reduce the dislocation, 26705 is the relevant code.

How many units should be reported?

Report one unit for each MCP joint treated. The documentation should identify each affected joint and the treatment provided.

Can modifier 50 be used for dislocations on both hands?

No. Modifier 50 is inappropriate for this code based on its descriptor and anatomy.

Is routine related postoperative care included?

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

How are other same-session procedures handled?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

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 26700PPRRVU2026_Oct_nonQPP.csv, line 2,672 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 26700 pays in North Dakota?

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 26700 and the rest of your codes on one sheet

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

Join the waitlist