CPT code 26770: Finger dislocation, without anesthesia2026 Medicare rate & RVUs in California
Reports closed reduction of a single finger interphalangeal joint dislocation when the joint is reduced without anesthesia.
Medicare pays $375.45–$466.69 for 26770 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
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 26770 covers
This service covers closed manipulation to restore alignment of a dislocated finger interphalangeal joint, such as a proximal or distal interphalangeal joint. An orthopedic or hand surgeon, emergency physician, or other qualified practitioner may perform the reduction in an office, emergency department, or hospital setting. The code describes treatment of the dislocation, not a finger fracture or a dislocation treated with pins or open surgery.
Select this code when documentation identifies the affected joint and shows that closed reduction was performed without anesthesia. If anesthesia was required, compare 26775. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 service; 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 26770 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$375.45 to $466.69
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $377.34 | $318.03 |
| Chico, CA | $375.45 | $316.15 |
| El Centro, CA | $375.57 | $316.26 |
| Fresno, CA | $375.45 | $316.15 |
| Hanford, CA | $375.45 | $316.15 |
| Los Angeles, CA | $401.41 | $337.40 |
| Madera, CA | $375.45 | $316.15 |
| Marin County, CA | $455.82 | $379.53 |
| Merced, CA | $375.45 | $316.15 |
| Modesto, CA | $375.45 | $316.15 |
| Napa, CA | $431.95 | $360.63 |
| Oxnard, CA | $398.89 | $334.94 |
| Redding, CA | $375.45 | $316.15 |
| Rest of California | $375.45 | $316.15 |
| Riverside, CA | $382.86 | $323.56 |
| Sacramento, CA | $393.22 | $330.29 |
| Salinas, CA | $391.76 | $329.05 |
| San Benito County, CA | $466.69 | $388.67 |
| San Diego, CA | $400.54 | $335.82 |
| San Francisco, CA | $455.04 | $378.75 |
| San Luis Obispo, CA | $385.61 | $323.97 |
| Santa Clara County, CA | $463.49 | $385.46 |
| Santa Cruz, CA | $403.96 | $338.22 |
| Santa Maria, CA | $393.11 | $330.02 |
| Santa Rosa, CA | $407.96 | $341.51 |
| Stockton, CA | $375.45 | $316.15 |
| Vallejo, CA | $430.82 | $359.50 |
| Visalia, CA | $375.45 | $316.15 |
| Yuba City, CA | $375.45 | $316.15 |
How the 26770 rate is calculated
Each of 26770’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 · 26770
RVUs × geographic indexes × conversion factor
Work3.07
3.07 RVUs× 1.000 GPCI
Practice expense7.07
7.07 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
10.8300
Conversion factor
$33.4009
Medicare rate
$361.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26770
26770 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26770
Finger dislocation, without anesthesia
| 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 · 26770
Finger dislocation, without 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26770 without 51 · national office
$361.73
Finger dislocation, without anesthesia
26770-51 · Second procedure: 50%
$180.87
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%).
26770 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 26775Finger dislocationClosed reduction with anesthesia
- Both address closed treatment of a finger interphalangeal dislocation. Choose 26770 when reduction is performed without anesthesia and 26775 when anesthesia is required.
- 26776Finger dislocationPercutaneous fixation
- 26770 describes closed reduction without anesthesia; 26776 is for treatment using percutaneous fixation.
- 26700MCP dislocationWithout manipulation
- 26700 concerns a metacarpophalangeal, or knuckle, dislocation. 26770 is for an interphalangeal joint dislocation.
- 26785Finger dislocationOpen interphalangeal treatment
- Use 26785 when the dislocation is treated with an open approach; 26770 describes closed reduction without anesthesia.
26770 billing questions
When should 26770 be chosen over 26775?
Use 26770 for closed reduction of a single finger interphalangeal joint dislocation without anesthesia. Use 26775 when the reduction requires anesthesia.
Does this code cover a dislocated knuckle?
No. This code is for an interphalangeal joint; a metacarpophalangeal, or knuckle, dislocation is represented by a different code family, including 26700 or 26705 depending on the treatment circumstances.
Can reduction and routine follow-up be billed separately?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The reduction is the service reported under this code.
Should modifier 50 be appended for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%.
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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