CPT code 26706: Knuckle dislocation, percutaneous fixation2026 Medicare rate & RVUs in Montana
Percutaneous fixation of a metacarpophalangeal joint dislocation is reported when a pin is used to maintain reduction of the affected knuckle.
In Montana, Medicare pays $418.12 for 26706 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26706 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Montana compares for 26706
Across 109 of 109 payment localities, the facility rate for 26706 runs from $373.39 in Arkansas to $518.64 in San Benito County, CA. Montana pays $418.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$418.12
- Los Angeles, CA · California$454.71+$36.59
- Washington, DC area · District of Columbia$469.23+$51.11
- Miami, FL · Florida$472.46+$54.34
- Chicago, IL · Illinois$458.96+$40.84
- Manhattan, NY · New York$481.57+$63.45
- Alaska · Alaska$505.34+$87.22
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $378.35 |
| ArkansasArkansas | — | $373.39 |
| ArizonaArizona | — | $407.22 |
| Bakersfield, CACalifornia | — | $430.53 |
| Chico, CACalifornia | — | $428.01 |
| El Centro, CACalifornia | — | $428.16 |
| Fresno, CACalifornia | — | $428.01 |
| Hanford, CACalifornia | — | $428.01 |
| Madera, CACalifornia | — | $428.01 |
| Merced, CACalifornia | — | $428.01 |
| Modesto, CACalifornia | — | $428.01 |
| Napa, CACalifornia | — | $482.96 |
| Oxnard, CACalifornia | — | $451.03 |
| Redding, CACalifornia | — | $428.01 |
| Rest of CaliforniaCalifornia | — | $428.01 |
| Riverside, CACalifornia | — | $437.61 |
| Sacramento, CACalifornia | — | $445.73 |
| Salinas, CACalifornia | — | $444.00 |
| San Diego, CACalifornia | — | $451.98 |
| Marin County, CACalifornia | — | $506.86 |
| San Francisco, CACalifornia | — | $505.85 |
| San Benito County, CACalifornia | — | $518.64 |
| Santa Clara County, CACalifornia | — | $514.51 |
| San Luis Obispo, CACalifornia | — | $437.27 |
| Santa Cruz, CACalifornia | — | $454.34 |
| Santa Maria, CACalifornia | — | $444.99 |
| Santa Rosa, CACalifornia | — | $458.70 |
| Stockton, CACalifornia | — | $428.01 |
| Vallejo, CACalifornia | — | $481.51 |
| Visalia, CACalifornia | — | $428.01 |
| Yuba City, CACalifornia | — | $428.01 |
| ColoradoColorado | — | $427.53 |
| ConnecticutConnecticut | — | $444.47 |
| DelawareDelaware | — | $413.46 |
| Fort Lauderdale, FLFlorida | — | $445.00 |
| Rest of FloridaFlorida | — | $423.65 |
| Atlanta, GAGeorgia | — | $428.12 |
| Rest of GeorgiaGeorgia | — | $400.62 |
| Hawaii, Guam, HIHawaii | — | $435.18 |
| IowaIowa | — | $381.94 |
| IdahoIdaho | — | $385.28 |
| East St. Louis, ILIllinois | — | $431.09 |
| Rest of IllinoisIllinois | — | $416.17 |
| Suburban Chicago, ILIllinois | — | $448.16 |
| IndianaIndiana | — | $387.17 |
| KansasKansas | — | $382.75 |
| KentuckyKentucky | — | $391.74 |
| New Orleans, LALouisiana | — | $409.51 |
| Rest of LouisianaLouisiana | — | $392.16 |
| Metropolitan Boston, MAMassachusetts | — | $463.80 |
| Rest of MassachusettsMassachusetts | — | $426.33 |
| Baltimore area, MDMaryland | — | $443.72 |
| Rest of MarylandMaryland | — | $420.06 |
| Rest of MaineMaine | — | $389.71 |
| Southern Maine, MEMaine | — | $405.27 |
| Detroit, MIMichigan | — | $431.03 |
| Rest of MichiganMichigan | — | $403.27 |
| MinnesotaMinnesota | — | $403.50 |
| Metropolitan Kansas City, MOMissouri | — | $404.35 |
| Metropolitan St. Louis, MOMissouri | — | $407.90 |
| Rest of MissouriMissouri | — | $387.68 |
| MississippiMississippi | — | $380.47 |
| North CarolinaNorth Carolina | — | $393.01 |
| North DakotaNorth Dakota | — | $400.52 |
| NebraskaNebraska | — | $383.10 |
| New HampshireNew Hampshire | — | $423.30 |
| Northern New JerseyNew Jersey | — | $465.57 |
| Rest of New JerseyNew Jersey | — | $447.80 |
| New MexicoNew Mexico | — | $406.27 |
| NevadaNevada | — | $413.43 |
| NYC suburbs and Long Island, NYNew York | — | $495.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $452.67 |
| Queens, NYNew York | — | $481.60 |
| Rest of New YorkNew York | — | $398.58 |
| OhioOhio | — | $399.67 |
| OklahomaOklahoma | — | $388.50 |
| Portland, OROregon | — | $437.25 |
| Rest of OregonOregon | — | $408.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $435.86 |
| Rest of PennsylvaniaPennsylvania | — | $398.88 |
| Puerto RicoPuerto Rico | — | $420.10 |
| Rhode IslandRhode Island | — | $425.37 |
| South CarolinaSouth Carolina | — | $397.35 |
| South DakotaSouth Dakota | — | $398.44 |
| TennesseeTennessee | — | $384.81 |
| Austin, TXTexas | — | $427.63 |
| Beaumont, TXTexas | — | $396.68 |
| Brazoria, TXTexas | — | $411.08 |
| Dallas, TXTexas | — | $414.65 |
| Fort Worth, TXTexas | — | $412.89 |
| Galveston, TXTexas | — | $412.94 |
| Houston, TXTexas | — | $429.23 |
| Rest of TexasTexas | — | $404.31 |
| UtahUtah | — | $402.22 |
| VirginiaVirginia | — | $405.78 |
| Virgin Islands, VIUnited States Virgin Islands | — | $420.10 |
| VermontVermont | — | $401.34 |
| Rest of WashingtonWashington | — | $424.74 |
| King County, WAWashington | — | $470.29 |
| WisconsinWisconsin | — | $388.56 |
| West VirginiaWest Virginia | — | $402.77 |
| WyomingWyoming | — | $410.45 |
26706 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,674
- Code
- 26706
- Physician work
- 5.18
- Practice expense
- 6.45
- Malpractice
- 0.89
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.18 | × 1.000 | 5.1800 |
| Practice expense | 6.45 | × 1.000 | 6.4500 |
| Malpractice | 0.89 | × 0.998 | 0.8882 |
| Total RVUs | 12.5182 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$418.12
Facility: (5.18 × 1 + 6.45 × 1 + 0.89 × 0.998) × $33.4009 = $418.12
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%).
How 26706 has changed in Montana
26706 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $418.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $418.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $418.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $418.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $450.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $450.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $450.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $450.28 | RVU25A |
| 2024-10-01 | Not available in this setting | $458.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $458.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $458.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $458.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $450.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $460.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $460.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $460.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $460.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $461.89 | RVU22D |
| 2022-07-01 | Not available in this setting | $461.89 | RVU22C |
| 2022-04-01 | Not available in this setting | $461.89 | RVU22B |
| 2022-01-01 | Not available in this setting | $461.89 | RVU22A |
| 2021-10-01 | Not available in this setting | $460.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $460.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $460.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $460.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $469.23 | RVU20D |
| 2020-07-01 | Not available in this setting | $469.23 | RVU20C |
| 2020-04-01 | Not available in this setting | $469.23 | RVU20B |
| 2020-01-01 | Not available in this setting | $469.23 | RVU20A |
| 2019-10-01 | Not available in this setting | $478.67 | RVU19D |
| 2019-07-01 | Not available in this setting | $478.67 | RVU19C |
| 2019-04-01 | Not available in this setting | $478.67 | RVU19B |
| 2019-01-01 | Not available in this setting | $478.67 | RVU19A |
| 2018-10-01 | Not available in this setting | $475.17 | RVU18D |
| 2018-07-01 | Not available in this setting | $475.17 | RVU18C |
| 2018-04-01 | Not available in this setting | $475.17 | RVU18B |
| 2018-01-01 | Not available in this setting | $475.17 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $466.21 | RVU17D |
| 2017-07-01 | Not available in this setting | $466.21 | RVU17C |
| 2017-04-01 | Not available in this setting | $466.21 | RVU17B |
| 2017-01-01 | Not available in this setting | $466.21 | RVU17A |
| 2016-10-01 | Not available in this setting | $457.99 | RVU16D |
| 2016-07-01 | Not available in this setting | $457.99 | RVU16C |
| 2016-04-01 | Not available in this setting | $457.99 | RVU16B |
| 2016-01-01 | Not available in this setting | $457.99 | RVU16A |
| 2015-10-01 | Not available in this setting | $453.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $453.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $451.41 | RVU15B |
| 2015-01-01 | Not available in this setting | $451.41 | RVU15A |
| 2014-10-01 | Not available in this setting | $451.37 | RVU14D |
| 2014-07-01 | Not available in this setting | $451.37 | RVU14C |
| 2014-04-01 | Not available in this setting | $451.37 | RVU14B |
| 2014-01-01 | Not available in this setting | $451.37 | RVU14A |
| 2013-10-01 | Not available in this setting | $449.37 | RVU13D |
| 2013-07-01 | Not available in this setting | $449.37 | RVU13C |
| 2013-04-01 | Not available in this setting | $449.37 | RVU13B |
| 2013-01-01 | Not available in this setting | $449.37 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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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