CPT code 26770: Finger dislocation, without anesthesia2026 Medicare rate & RVUs in South Dakota

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 South Dakota, Medicare pays $346.43 for 26770 in the office and $292.32 when it’s performed in a hospital or facility.

$346.43Office (non-facility)
$292.32Hospital or facility
−4.2%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 South Dakota
  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 South Dakota 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. South Dakota pays $346.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

26770 in South Dakota vs other payment areas
  1. South Dakota · this page$346.43
  2. Los Angeles, CA · California$401.41+$54.98
  3. Washington, DC area · District of Columbia$411.91+$65.48
  4. Miami, FL · Florida$406.65+$60.22
  5. Chicago, IL · Illinois$393.48+$47.05
  6. Manhattan, NY · New York$420.06+$73.63
  7. Alaska · Alaska$418.00+$71.57

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 26770 in South Dakota
ComponentRVULocality factorAdjusted
Physician work3.07× 1.0003.0700
Practice expense7.07× 1.0007.0700
Malpractice0.69× 0.3360.2318
Total RVUs10.3718
Conversion factor× 33.4009

Office rate, South Dakota$346.43

Office: (3.07 × 1 + 7.07 × 1 + 0.69 × 0.336) × $33.4009 = $346.43

Facility: (3.07 × 1 + 5.45 × 1 + 0.69 × 0.336) × $33.4009 = $292.32

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

How 26770 has changed in South Dakota

26770 · Office / nonfacility

$346.43

Effective 2026-10-01

The base rate is $61.76 higher than on 2025-10-01, moving from $284.67 to $346.43 (21.7%).

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

    $284.67changed to$346.43

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $289.50changed to$284.67

    • 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

    $284.77changed to$289.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $287.65changed to$284.77

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $283.83changed to$287.65

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $280.60changed to$283.83

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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $277.92changed to$280.60

    • 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 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $276.68changed to$277.92

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $274.72changed to$276.68

    • 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.

  10. January 1, 2018

    RVU18AR1

    $270.38changed to$274.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.21 changed to 4.31
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $269.61changed to$270.38

    • 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
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $270.72changed to$269.61

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

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $269.38changed to$270.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $269.26changed to$269.38

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $272.98changed to$269.26

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $272.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$346.43$292.32RVU26D
2026-07-01$346.43$292.32RVU26C
2026-04-01$346.43$292.32RVU26B
2026-01-01$346.43$292.32RVU26A
2025-10-01$284.67$257.82RVU25D
2025-07-01$284.67$257.82RVU25C
2025-04-01$284.67$257.82RVU25B
2025-01-01$284.67$257.82RVU25A
2024-10-01$289.50$261.87RVU24D
2024-07-01$289.50$261.87RVU24C
2024-04-01$289.50$261.87RVU24B
2024-03-09$289.50$261.87RVU24AR
2024-01-01$284.77$257.59RVU24A
2023-10-01$287.65$260.54RVU23D
2023-07-01$287.65$260.54RVU23C
2023-04-01$287.65$260.54RVU23B
2023-01-01$287.65$260.54RVU23A
2022-10-01$283.83$256.84RVU22D
2022-07-01$283.83$256.84RVU22C
2022-04-01$283.83$256.84RVU22B
2022-01-01$283.83$256.84RVU22A
2021-10-01$280.60$254.43RVU21D
2021-07-01$280.60$254.43RVU21C
2021-04-01$280.60$254.43RVU21B
2021-01-01$280.60$254.43RVU21A
2020-10-01$277.92$253.74RVU20D
2020-07-01$277.92$253.74RVU20C
2020-04-01$277.92$253.74RVU20B
2020-01-01$277.92$253.74RVU20A
2019-10-01$276.68$253.26RVU19D
2019-07-01$276.68$253.26RVU19C
2019-04-01$276.68$253.26RVU19B
2019-01-01$276.68$253.26RVU19A
2018-10-01$274.72$252.04RVU18D
2018-07-01$274.72$252.04RVU18C
2018-04-01$274.72$252.04RVU18B
2018-01-01$274.72$252.04RVU18AR1
2017-10-01$270.38$249.92RVU17D
2017-07-01$270.38$249.92RVU17C
2017-04-01$270.38$249.92RVU17B
2017-01-01$270.38$249.92RVU17A
2016-10-01$269.61$249.20RVU16D
2016-07-01$269.61$249.20RVU16C
2016-04-01$269.61$249.20RVU16B
2016-01-01$269.61$249.20RVU16A
2015-10-01$270.72$249.88RVU15D
2015-07-01$270.72$249.88RVU15C
2015-04-01$269.38$248.64RVU15B
2015-01-01$269.38$248.64RVU15A
2014-10-01$269.26$249.19RVU14D
2014-07-01$269.26$249.19RVU14C
2014-04-01$269.26$249.19RVU14B
2014-01-01$269.26$249.19RVU14A
2013-10-01$272.98$251.54RVU13D
2013-07-01$272.98$251.54RVU13C
2013-04-01$272.98$251.54RVU13B
2013-01-01$272.98$251.54RVU13AR

Price 26770 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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