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CPT code 26705: Knuckle reduction, manipulation requiring anesthesia2026 Medicare rate & RVUs in Washington, DC area

Reports closed reduction of a single metacarpophalangeal joint dislocation when manipulation is performed under anesthesia, rather than simple positioning or fixation.

CMS RVU26DEffective Oct 1, 2026One payment locality69 Medicare services in 2024

In Washington, DC area, Medicare pays $555.98 for 26705 in the office and $447.38 when it’s performed in a hospital or facility.

$555.98Office (non-facility)
$447.38Hospital or facility
+13.8%vs the national office rate ($488.66)

Check a contract rate as a % of Medicare · 26705 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 26705 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 26705 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 26705 covers

This service is a closed reduction of a dislocated metacarpophalangeal (MCP) joint—the knuckle where a finger meets the hand. The clinician manipulates the joint back into alignment without opening the joint or using percutaneous pins. It is typically performed by an orthopedic or hand surgeon, sometimes in an emergency or procedure setting, when reduction requires anesthesia. The code applies to one MCP joint; a dislocation at a finger’s interphalangeal joint is a different anatomic service.

The record should identify the affected MCP joint, document the dislocation, the manipulative reduction, and the use of anesthesia. This is a major procedure with 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 50% reduction. 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 Washington, DC area compares for 26705

Across 109 of 109 payment localities, the office rate for 26705 runs from $429.41 in Arkansas to $629.75 in San Benito County, CA. Washington, DC area pays $555.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

26705 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$555.98
  2. Los Angeles, CA · California$542.05−$13.93
  3. Miami, FL · Florida$548.07−$7.91
  4. Chicago, IL · Illinois$530.59−$25.39
  5. Manhattan, NY · New York$566.73+$10.75
  6. Alaska · Alaska$566.84+$10.86
  7. Alabama · Alabama$436.01−$119.97

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

26705 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$429.41$350.22
ArizonaArizona$474.49$385.16
Bakersfield, CACalifornia$509.78$408.75
Chico, CACalifornia$507.28$406.24
El Centro, CACalifornia$507.43$406.39
Fresno, CACalifornia$507.28$406.24
Hanford, CACalifornia$507.28$406.24
Madera, CACalifornia$507.28$406.24

26705 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.

$429.41

$568.52

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

View every state and territory as a table
26705 office rate range by state
State / territoryOffice rate rangeLocalities
AK$566.841
AL$436.011
AR$429.411
AZ$474.491
CA$507.28–$629.7529
CO$503.911
CT$522.191
DC$555.981
DE$482.511
FL$490.06–$548.073
GA$460.40–$500.242
GU$519.101
HI$519.101
IA$443.501
ID$447.391
IL$478.31–$530.594
IN$449.991
KS$443.281
KY$451.041
LA$451.08–$474.172
MA$501.50–$552.392
MD$491.38–$555.983
ME$451.91–$474.602
MI$465.12–$498.462
MN$476.411
MO$444.31–$473.573
MS$436.851
MT$488.591
NC$456.531
ND$470.601
NE$445.451
NH$497.801
NJ$526.35–$550.212
NM$468.571
NV$483.891
NY$463.85–$583.495
OH$461.441
OK$448.101
OR$478.37–$518.192
PA$461.10–$510.032
PR$491.671
RI$498.501
SC$460.111
SD$468.471
TN$445.861
TX$458.09–$503.788
UT$466.621
VA$474.35–$555.982
VI$491.671
VT$470.481
WA$499.97–$561.872
WI$454.371
WV$460.411
WY$480.751

See 26705 in every payment locality

How the 26705 rate is calculated

Each of 26705’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 · 26705

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.27

4.27 RVUs× 1.000 GPCI

Practice expense9.45

9.45 RVUs× 1.000 GPCI

Malpractice0.91

0.91 RVUs× 1.000 GPCI

Adjusted RVUs

14.6300

Conversion factor

$33.4009

Medicare rate

$488.66

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,673

Code
26705
Physician work
4.27
Practice expense
9.45
Malpractice
0.91

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 26705 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.27× 1.0544.5006
Practice expense9.45× 1.17811.1321
Malpractice0.91× 1.1131.0128
Total RVUs16.6455
Conversion factor× 33.4009

Office rate, Washington, DC area$555.98

Office: (4.27 × 1.054 + 9.45 × 1.178 + 0.91 × 1.113) × $33.4009 = $555.98

Facility: (4.27 × 1.054 + 6.69 × 1.178 + 0.91 × 1.113) × $33.4009 = $447.38

Open 26705 in the RVU calculator

Payment rules and modifiers for 26705

26705 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26705

Knuckle reduction, manipulation requiring anesthesia

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 · 26705

Knuckle reduction, manipulation requiring anesthesia

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

26705 without 51 · national office

$488.66

Knuckle reduction, manipulation requiring anesthesia

26705-51 · Second procedure: 50%

$244.33

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

Codes related to 26705

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

Codes related to 26705
CodeHow it relatesOffice range, Washington, DC area
Same family
26700MCP dislocation, without manipulationClosed treatment of an MCP dislocation without manipulation.$461.99
Used instead
26706Knuckle dislocation, percutaneous fixationConsider when percutaneous skeletal fixation is performed for the MCP dislocation.No office rate
26715Knuckle dislocation, open treatment, single jointOpen treatment of an MCP dislocation, rather than closed manipulative reduction.No office rate
26770Finger dislocation, without anesthesiaClosed treatment applies to an interphalangeal joint dislocation, not an MCP joint.$411.91
26775Finger dislocation, closed reduction with anesthesiaManipulative treatment with anesthesia for an interphalangeal joint dislocation.$500.01

How 26705 has changed in Washington, DC area

26705 · Office / nonfacility

$555.98

Effective 2026-10-01

The base rate is $45.24 higher than on 2025-10-01, moving from $510.74 to $555.98 (8.9%).

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

    $510.74changed to$555.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.38 changed to 4.27
    • Practice expense RVU 8.50 changed to 9.45
    • Malpractice RVU 0.88 changed to 0.91
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $521.20changed to$510.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.36 changed to 8.50
    • Malpractice RVU 0.91 changed to 0.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $512.70changed to$521.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $530.38changed to$512.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.18 changed to 8.36
    • Malpractice RVU 0.89 changed to 0.91
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $519.36changed to$530.38

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.58 changed to 8.18
    • Malpractice RVU 0.79 changed to 0.89
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $517.19changed to$519.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.43 changed to 7.58

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $507.60changed to$517.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.93 changed to 7.43
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $496.55changed to$507.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.83 changed to 6.93
    • Malpractice RVU 0.77 changed to 0.79
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $489.96changed to$496.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.68 changed to 6.83
    • Malpractice RVU 0.78 changed to 0.77

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $485.26changed to$489.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.61 changed to 6.68
    • Malpractice RVU 0.76 changed to 0.78
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $489.69changed to$485.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.68 changed to 6.61
    • Malpractice RVU 0.80 changed to 0.76
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $493.10changed to$489.69

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.58 changed to 6.68
    • Malpractice RVU 0.93 changed to 0.80

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $490.65changed to$493.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $479.16changed to$490.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.52 changed to 6.58
    • Malpractice RVU 0.78 changed to 0.93
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $481.32changed to$479.16

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.20 changed to 6.52
    • Malpractice RVU 0.82 changed to 0.78
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $481.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$555.98$447.38RVU26D
2026-07-01$555.98$447.38RVU26C
2026-04-01$555.98$447.38RVU26B
2026-01-01$555.98$447.38RVU26A
2025-10-01$510.74$461.00RVU25D
2025-07-01$510.74$461.00RVU25C
2025-04-01$510.74$461.00RVU25B
2025-01-01$510.74$461.00RVU25A
2024-10-01$521.20$469.62RVU24D
2024-07-01$521.20$469.62RVU24C
2024-04-01$521.20$469.62RVU24B
2024-03-09$521.20$469.62RVU24AR
2024-01-01$512.70$461.96RVU24A
2023-10-01$530.38$477.31RVU23D
2023-07-01$530.38$477.31RVU23C
2023-04-01$530.38$477.31RVU23B
2023-01-01$530.38$477.31RVU23A
2022-10-01$519.36$468.46RVU22D
2022-07-01$519.36$468.46RVU22C
2022-04-01$519.36$468.46RVU22B
2022-01-01$519.36$468.46RVU22A
2021-10-01$517.19$466.30RVU21D
2021-07-01$517.19$466.30RVU21C
2021-04-01$517.19$466.30RVU21B
2021-01-01$517.19$466.30RVU21A
2020-10-01$507.60$460.01RVU20D
2020-07-01$507.60$460.01RVU20C
2020-04-01$507.60$460.01RVU20B
2020-01-01$507.60$460.01RVU20A
2019-10-01$496.55$450.96RVU19D
2019-07-01$496.55$450.96RVU19C
2019-04-01$496.55$450.96RVU19B
2019-01-01$496.55$450.96RVU19A
2018-10-01$489.96$446.58RVU18D
2018-07-01$489.96$446.58RVU18C
2018-04-01$489.96$446.58RVU18B
2018-01-01$489.96$446.58RVU18AR1
2017-10-01$485.26$443.31RVU17D
2017-07-01$485.26$443.31RVU17C
2017-04-01$485.26$443.31RVU17B
2017-01-01$485.26$443.31RVU17A
2016-10-01$489.69$447.41RVU16D
2016-07-01$489.69$447.41RVU16C
2016-04-01$489.69$447.41RVU16B
2016-01-01$489.69$447.41RVU16A
2015-10-01$493.10$450.24RVU15D
2015-07-01$493.10$450.24RVU15C
2015-04-01$490.65$448.00RVU15B
2015-01-01$490.65$448.00RVU15A
2014-10-01$479.16$437.83RVU14D
2014-07-01$479.16$437.83RVU14C
2014-04-01$479.16$437.83RVU14B
2014-01-01$479.16$437.83RVU14A
2013-10-01$481.32$438.11RVU13D
2013-07-01$481.32$438.11RVU13C
2013-04-01$481.32$438.11RVU13B
2013-01-01$481.32$438.11RVU13AR

Price 26705 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

26705 billing questions

How does this differ from 26700?

26705 is for a single MCP dislocation reduced with manipulation requiring anesthesia. 26700 is the related code for closed treatment without manipulation.

When should 26706 be considered instead?

Use 26706 when percutaneous skeletal fixation is performed for the MCP dislocation. This code describes closed manipulative reduction without percutaneous fixation.

Can modifier 50 be used for dislocations on both hands?

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

What postoperative care is included?

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

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. 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 26705PPRRVU2026_Oct_nonQPP.csv, line 2,673 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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