CPT code 26706: Knuckle dislocation, percutaneous fixation2026 Medicare rate & RVUs in Florida
Percutaneous fixation of a metacarpophalangeal joint dislocation is reported when a pin is used to maintain reduction of the affected knuckle.
CMS doesn’t publish an office rate for 26706 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $445.00 |
| Miami, FL | Unavailable | $472.46 |
| Rest of Florida | Unavailable | $423.65 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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%).
26706 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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