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CPT code 26706: Knuckle dislocation, percutaneous fixation2026 Medicare rate & RVUs

Percutaneous fixation of a metacarpophalangeal joint dislocation is reported when a pin is used to maintain reduction of the affected knuckle.

CMS RVU26DEffective Oct 1, 2026109 payment localities101 Medicare services in 2024

Medicare pays $418.18 for 26706 nationally in a facility.

Medicare rate · 26706

Knuckle dislocation, percutaneous fixation

Office or facility?

Work RVUs
5.18
Total RVUs
12.52
Global days
090

National rate · 2026

$418.18

Facility setting, before claim adjustments.

See every locality for 26706 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 26706 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 26706 covers

This procedure treats a dislocation of a metacarpophalangeal (MCP) joint—the knuckle where a finger meets the hand—by placing a pin through the skin to hold the joint reduced. It is typically performed by an orthopedic or hand surgeon when reduction needs percutaneous stabilization. The operative record should identify the affected digit and side, confirm the MCP dislocation, and describe the reduction and pin fixation performed.

Choose this code when percutaneous skeletal fixation is used, rather than a closed-treatment code or open treatment of the MCP dislocation. Report one service for the single dislocation, not one unit per pin. The 90-day global period includes 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 others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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.

Where 26706 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

26706 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$378.35
AlaskaUnavailable$505.34
ArizonaUnavailable$407.22
ArkansasUnavailable$373.39
Atlanta, GAUnavailable$428.12
Austin, TXUnavailable$427.63
Bakersfield, CAUnavailable$430.53
Baltimore area, MDUnavailable$443.72
Beaumont, TXUnavailable$396.68
Brazoria, TXUnavailable$411.08

26706 rates by state

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

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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
26706 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 26706 rate is calculated

Each of 26706’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 · 26706

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.18

5.18 RVUs× 1.000 GPCI

Practice expense6.45

6.45 RVUs× 1.000 GPCI

Malpractice0.89

0.89 RVUs× 1.000 GPCI

Adjusted RVUs

12.5200

Conversion factor

$33.4009

Medicare rate

$418.18

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

Payment rules and modifiers for 26706

26706 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26706

Knuckle dislocation, percutaneous fixation

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 · 26706

Knuckle dislocation, percutaneous fixation

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

26706 without 51 · national facility

$418.18

Knuckle dislocation, percutaneous fixation

26706-51 · Second procedure: 50%

$209.09

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

26706 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 26706

    Knuckle dislocation, percutaneous fixation5.18 wRVU

    Not priced

  • 26700

    MCP dislocation, without manipulation3.73 wRVU

    $406.82

  • 26705

    Knuckle reduction, manipulation requiring anesthesia4.27 wRVU

    $488.66

  • 26715

    Knuckle dislocation, open treatment, single joint6.85 wRVU

    Not priced

  • 26776

    Finger dislocation, percutaneous fixation4.87 wRVU

    Not priced

How to choose

26700MCP dislocationWithout manipulation
This code is for MCP dislocation treatment with percutaneous pin fixation. Code 26700 describes closed treatment without that fixation.
26705Knuckle reductionManipulation requiring anesthesia
Choose 26705 for the closed-treatment circumstance described by that code; choose this code when percutaneous skeletal fixation is performed.
26715Knuckle dislocationOpen treatment, single joint
Code 26715 is for open treatment of an MCP dislocation. This code is for percutaneous fixation.
26776Finger dislocationPercutaneous fixation
Both involve percutaneous fixation of a dislocation, but 26776 is for an interphalangeal joint; this code is for the MCP joint.

Codes related to 26706

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

Codes related to 26706
CodeHow it relatesNational office range
Same family
26700MCP dislocation, without manipulationClosed-treatment option for an MCP dislocation; distinguish by the treatment circumstances.$357.49–$520.16
26705Knuckle reduction, manipulation requiring anesthesiaAnother closed-treatment option for an MCP dislocation, with anesthesia circumstances distinguishing selection.$429.41–$629.75
26715Knuckle dislocation, open treatment, single jointOpen treatment of an MCP dislocation rather than percutaneous fixation.No office rate
Used instead
26776Finger dislocation, percutaneous fixationPercutaneous fixation for an interphalangeal dislocation, not an MCP dislocation.No office rate

26706 billing questions

How is this different from closed treatment of an MCP dislocation?

Use this code when a pin is placed percutaneously to stabilize the reduced MCP joint. Codes 26700 and 26705 describe closed-treatment options; select based on the treatment and anesthesia circumstances documented.

When should open treatment be reported instead?

Use code 26715 when the MCP dislocation is treated through an open approach. This code represents percutaneous fixation, not open exposure and treatment.

Can the closed reduction be billed separately?

Do not separately report closed treatment of the same dislocation as an additional service merely because reduction preceded pin placement in the same procedure.

Is the code reported per pin or per finger?

It describes treatment of a single MCP dislocation, not each pin used. Document the digit and side treated.

Does modifier 50 apply if both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. The code describes treatment of a single dislocation.

What postoperative care is included?

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

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 26706PPRRVU2026_Oct_nonQPP.csv, line 2,674 (RVU26D)

Open CMS sourceHow we calculate rates

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