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

In Vermont, Medicare pays $470.48 for 26705 in the office and $379.22 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $470.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26705 rates by state

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

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.

Payment rules and modifiers for 26705

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

What modifiers do to the payment

When to use modifier 51

Codes related to 26705

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

How 26705 has changed in Vermont

Price 26705 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates