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CPT code 26770: Finger dislocation, without anesthesia2026 Medicare rate & RVUs in Puerto Rico

Reports closed reduction of a single finger interphalangeal joint dislocation when the joint is reduced without anesthesia.

CMS RVU26DEffective Oct 1, 2026One payment locality5.6K Medicare services in 2024

In Puerto Rico, Medicare pays $363.98 for 26770 in the office and $309.28 when it’s performed in a hospital or facility.

$363.98Office (non-facility)
$309.28Hospital or facility
+0.6%vs the national office rate ($361.73)

Check a contract rate as a % of Medicare · 26770 nationwide

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

We’ll open 26770 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 26770 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Puerto Rico compares for 26770

Across 109 of 109 payment localities, the office rate for 26770 runs from $317.26 in Arkansas to $466.69 in San Benito County, CA. Puerto Rico pays $363.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

26770 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$363.98
  2. Los Angeles, CA · California$401.41+$37.43
  3. Washington, DC area · District of Columbia$411.91+$47.93
  4. Miami, FL · Florida$406.65+$42.67
  5. Chicago, IL · Illinois$393.48+$29.50
  6. Manhattan, NY · New York$420.06+$56.08
  7. Alaska · Alaska$418.00+$54.02

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

26770 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$322.21$274.87
ArkansasArkansas$317.26$270.78
ArizonaArizona$351.09$298.66
Bakersfield, CACalifornia$377.34$318.03
Chico, CACalifornia$375.45$316.15
El Centro, CACalifornia$375.57$316.26
Fresno, CACalifornia$375.45$316.15
Hanford, CACalifornia$375.45$316.15

26770 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$317.26

$421.07

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
26770 office rate range by state
State / territoryOffice rate rangeLocalities
AK$418.001
AL$322.211
AR$317.261
AZ$351.091
CA$375.45–$466.6929
CO$373.031
CT$386.811
DC$411.911
DE$357.081
FL$362.93–$406.653
GA$340.65–$370.452
GU$384.381
HI$384.381
IA$327.761
ID$330.691
IL$354.16–$393.484
IN$332.651
KS$327.631
KY$333.561
LA$333.61–$350.932
MA$371.21–$409.212
MD$363.70–$411.913
ME$334.13–$351.102
MI$344.16–$369.282
MN$352.361
MO$328.54–$350.443
MS$322.891
MT$361.691
NC$337.591
ND$348.041
NE$329.211
NH$368.531
NJ$389.79–$407.542
NM$346.761
NV$358.121
NY$343.08–$432.685
OH$341.371
OK$331.321
OR$353.94–$383.682
PA$341.10–$377.712
PR$363.981
RI$368.981
SC$340.331
SD$346.431
TN$329.571
TX$338.84–$373.018
UT$345.211
VA$350.94–$411.912
VI$363.981
VT$347.991
WA$370.07–$416.252
WI$335.871
WV$340.731
WY$355.741

See 26770 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,687

Code
26770
Physician work
3.07
Practice expense
7.07
Malpractice
0.69

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 26770 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work3.07× 1.0003.0700
Practice expense7.07× 1.0117.1478
Malpractice0.69× 0.9850.6796
Total RVUs10.8974
Conversion factor× 33.4009

Office rate, Puerto Rico$363.98

Office: (3.07 × 1 + 7.07 × 1.011 + 0.69 × 0.985) × $33.4009 = $363.98

Facility: (3.07 × 1 + 5.45 × 1.011 + 0.69 × 0.985) × $33.4009 = $309.28

Open 26770 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 26770

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

Codes related to 26770
CodeHow it relatesOffice range, Puerto Rico
Same family
26775Finger dislocation, closed reduction with anesthesiaClosed reduction of a finger interphalangeal dislocation when anesthesia is required.$442.00
Used instead
26776Finger dislocation, percutaneous fixationUsed when a finger interphalangeal dislocation is treated with percutaneous fixation.No office rate
26785Finger dislocation, open interphalangeal treatmentUsed for open treatment of a finger interphalangeal dislocation.No office rate
26700MCP dislocation, without manipulationClosed treatment for a metacarpophalangeal dislocation rather than an interphalangeal dislocation.$409.21
26705Knuckle reduction, manipulation requiring anesthesiaTreatment code for a metacarpophalangeal dislocation; distinguish the joint and treatment circumstances.$491.67

How 26770 has changed in Puerto Rico

26770 · Office / nonfacility

$363.98

Effective 2026-10-01

The base rate is $65.86 higher than on 2025-10-01, moving from $298.12 to $363.98 (22.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $298.12changed to$363.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.15 changed to 3.07
    • Practice expense RVU 5.41 changed to 7.07
    • Malpractice RVU 0.63 changed to 0.69
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $303.12changed to$298.12

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.31 changed to 5.41
    • Malpractice RVU 0.62 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $298.17changed to$303.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $301.64changed to$298.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.12 changed to 5.31
    • Malpractice RVU 0.60 changed to 0.62
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $300.58changed to$301.64

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $298.66changed to$300.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.84 changed to 5.12
    • Malpractice RVU 0.61 changed to 0.60
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $295.51changed to$298.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.68 changed to 4.84

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $292.59changed to$295.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.33 changed to 4.68
    • Malpractice RVU 0.60 changed to 0.61
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $287.10changed to$292.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.36 changed to 4.33
    • Malpractice RVU 0.43 changed to 0.60
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $285.32changed to$287.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.31 changed to 4.36
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $252.52changed to$285.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.21 changed to 4.31
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $223.52changed to$252.52

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.20 changed to 4.21
    • Malpractice RVU 0.45 changed to 0.44
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $224.43changed to$223.52

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.46 changed to 0.45

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $223.32changed to$224.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $220.77changed to$223.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.15 changed to 4.20
    • Malpractice RVU 0.52 changed to 0.46
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $218.78changed to$220.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.64 changed to 4.15
    • Malpractice RVU 0.54 changed to 0.52
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $218.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$363.98$309.28RVU26D
2026-07-01$363.98$309.28RVU26C
2026-04-01$363.98$309.28RVU26B
2026-01-01$363.98$309.28RVU26A
2025-10-01$298.12$271.09RVU25D
2025-07-01$298.12$271.09RVU25C
2025-04-01$298.12$271.09RVU25B
2025-01-01$298.12$271.09RVU25A
2024-10-01$303.12$275.29RVU24D
2024-07-01$303.12$275.29RVU24C
2024-04-01$303.12$275.29RVU24B
2024-03-09$303.12$275.29RVU24AR
2024-01-01$298.17$270.80RVU24A
2023-10-01$301.64$274.32RVU23D
2023-07-01$300.58$273.47RVU23C
2023-04-01$300.58$273.47RVU23B
2023-01-01$300.58$273.47RVU23A
2022-10-01$298.66$271.45RVU22D
2022-07-01$298.66$271.45RVU22C
2022-04-01$298.66$271.45RVU22B
2022-01-01$298.66$271.45RVU22A
2021-10-01$295.51$269.13RVU21D
2021-07-01$295.51$269.13RVU21C
2021-04-01$295.51$269.13RVU21B
2021-01-01$295.51$269.13RVU21A
2020-10-01$292.59$268.22RVU20D
2020-07-01$292.59$268.22RVU20C
2020-04-01$292.59$268.22RVU20B
2020-01-01$292.59$268.22RVU20A
2019-10-01$287.10$263.51RVU19D
2019-07-01$287.10$263.51RVU19C
2019-04-01$287.10$263.51RVU19B
2019-01-01$287.10$263.51RVU19A
2018-10-01$285.32$262.49RVU18D
2018-07-01$285.32$262.49RVU18C
2018-04-01$285.32$262.49RVU18B
2018-01-01$285.32$262.49RVU18AR1
2017-10-01$252.52$235.01RVU17D
2017-07-01$252.52$235.01RVU17C
2017-04-01$252.52$235.01RVU17B
2017-01-01$252.52$235.01RVU17A
2016-10-01$223.52$209.13RVU16D
2016-07-01$223.52$209.13RVU16C
2016-04-01$223.52$209.13RVU16B
2016-01-01$223.52$209.13RVU16A
2015-10-01$224.43$209.74RVU15D
2015-07-01$224.43$209.74RVU15C
2015-04-01$223.32$208.70RVU15B
2015-01-01$223.32$208.70RVU15A
2014-10-01$220.77$206.88RVU14D
2014-07-01$220.77$206.88RVU14C
2014-04-01$220.77$206.88RVU14B
2014-01-01$220.77$206.88RVU14A
2013-10-01$218.78$204.25RVU13D
2013-07-01$218.78$204.25RVU13C
2013-04-01$218.78$204.25RVU13B
2013-01-01$218.78$204.25RVU13AR

Price 26770 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 26770PPRRVU2026_Oct_nonQPP.csv, line 2,687 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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