FeeBase
Log inGet started
Menu

CPT code 26705: Knuckle reduction, manipulation requiring anesthesia2026 Medicare rate & RVUs in Detroit, MI

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 Detroit, MI, Medicare pays $498.46 for 26705 in the office and $409.50 when it’s performed in a hospital or facility.

$498.46Office (non-facility)
$409.50Hospital or facility
+2.0%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 Detroit, MI
  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 Detroit, MI 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. Detroit, MI pays $498.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

26705 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$498.46
  2. Rest of Michigan · Michigan$465.12−$33.34
  3. Los Angeles, CA · California$542.05+$43.59
  4. Washington, DC area · District of Columbia$555.98+$57.52
  5. Miami, FL · Florida$548.07+$49.61
  6. Chicago, IL · Illinois$530.59+$32.13
  7. Manhattan, NY · New York$566.73+$68.27

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

Every other payment area

26705 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$566.84$468.66
AlabamaAlabama$436.01$355.35
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

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 Detroit, MI 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

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 26705 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work4.27× 1.0004.2700
Practice expense9.45× 0.9659.1192
Malpractice0.91× 1.6861.5343
Total RVUs14.9235
Conversion factor× 33.4009

Office rate, Detroit, MI$498.46

Office: (4.27 × 1 + 9.45 × 0.965 + 0.91 × 1.686) × $33.4009 = $498.46

Facility: (4.27 × 1 + 6.69 × 0.965 + 0.91 × 1.686) × $33.4009 = $409.50

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, Detroit, MI
Same family
26700MCP dislocation, without manipulationClosed treatment of an MCP dislocation without manipulation.$416.93
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.$369.28
26775Finger dislocation, closed reduction with anesthesiaManipulative treatment with anesthesia for an interphalangeal joint dislocation.$446.59

How 26705 has changed in Detroit, MI

26705 · Office / nonfacility

$498.46

Effective 2026-10-01

The base rate is $36.36 higher than on 2025-10-01, moving from $462.10 to $498.46 (7.9%).

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

    $462.10changed to$498.46

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $472.67changed to$462.10

    • 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

    $464.95changed to$472.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $473.77changed to$464.95

    • 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 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $457.45changed to$473.77

    • 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
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $456.02changed to$457.45

    • 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

    $453.67changed to$456.02

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.93 changed to 7.43
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $448.22changed to$453.67

    • 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
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $442.99changed to$448.22

    • 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

    $433.70changed to$442.99

    • 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
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $432.60changed to$433.70

    • 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
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $436.79changed to$432.60

    • 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

    $434.62changed to$436.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $438.04changed to$434.62

    • 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 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $453.51changed to$438.04

    • 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 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $453.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$498.46$409.50RVU26D
2026-07-01$498.46$409.50RVU26C
2026-04-01$498.46$409.50RVU26B
2026-01-01$498.46$409.50RVU26A
2025-10-01$462.10$420.96RVU25D
2025-07-01$462.10$420.96RVU25C
2025-04-01$462.10$420.96RVU25B
2025-01-01$462.10$420.96RVU25A
2024-10-01$472.67$430.00RVU24D
2024-07-01$472.67$430.00RVU24C
2024-04-01$472.67$430.00RVU24B
2024-03-09$472.67$430.00RVU24AR
2024-01-01$464.95$422.98RVU24A
2023-10-01$473.77$430.41RVU23D
2023-07-01$473.77$430.41RVU23C
2023-04-01$473.77$430.41RVU23B
2023-01-01$473.77$430.41RVU23A
2022-10-01$457.45$416.39RVU22D
2022-07-01$457.45$416.39RVU22C
2022-04-01$457.45$416.39RVU22B
2022-01-01$457.45$416.39RVU22A
2021-10-01$456.02$414.97RVU21D
2021-07-01$456.02$414.97RVU21C
2021-04-01$456.02$414.97RVU21B
2021-01-01$456.02$414.97RVU21A
2020-10-01$453.67$414.96RVU20D
2020-07-01$453.67$414.96RVU20C
2020-04-01$453.67$414.96RVU20B
2020-01-01$453.67$414.96RVU20A
2019-10-01$448.22$410.79RVU19D
2019-07-01$448.22$410.79RVU19C
2019-04-01$448.22$410.79RVU19B
2019-01-01$448.22$410.79RVU19A
2018-10-01$442.99$407.39RVU18D
2018-07-01$442.99$407.39RVU18C
2018-04-01$442.99$407.39RVU18B
2018-01-01$442.99$407.39RVU18AR1
2017-10-01$433.70$399.17RVU17D
2017-07-01$433.70$399.17RVU17C
2017-04-01$433.70$399.17RVU17B
2017-01-01$433.70$399.17RVU17A
2016-10-01$432.60$397.72RVU16D
2016-07-01$432.60$397.72RVU16C
2016-04-01$432.60$397.72RVU16B
2016-01-01$432.60$397.72RVU16A
2015-10-01$436.79$401.43RVU15D
2015-07-01$436.79$401.43RVU15C
2015-04-01$434.62$399.43RVU15B
2015-01-01$434.62$399.43RVU15A
2014-10-01$438.04$403.34RVU14D
2014-07-01$438.04$403.34RVU14C
2014-04-01$438.04$403.34RVU14B
2014-01-01$438.04$403.34RVU14A
2013-10-01$453.51$416.61RVU13D
2013-07-01$453.51$416.61RVU13C
2013-04-01$453.51$416.61RVU13B
2013-01-01$453.51$416.61RVU13AR

Price 26705 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

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 Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 26705 pays in Detroit, MI?

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 26705 and the rest of your codes on one sheet

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

Join the waitlist