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CPT code 26775: Finger dislocation, closed reduction with anesthesia2026 Medicare rate & RVUs in Delaware

Reports closed reduction of a finger interphalangeal joint dislocation when manipulation requires anesthesia, such as reduction of a dislocated PIP joint.

CMS RVU26DEffective Oct 1, 2026One payment locality350 Medicare services in 2024

In Delaware, Medicare pays $433.85 for 26775 in the office and $353.00 when it’s performed in a hospital or facility.

$433.85Office (non-facility)
$353.00Hospital or facility
−1.2%vs the national office rate ($439.22)

Check a contract rate as a % of Medicare · 26775 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 26775 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 26775 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 26775 covers

This service is a closed reduction of a dislocated interphalangeal joint in a finger. The clinician manipulates the joint back into alignment without an open incision; the distinguishing feature is that anesthesia is required for the reduction. Orthopedic and hand surgeons may perform it, including in an emergency department or an operating room. A dislocated proximal interphalangeal (PIP) joint is a typical clinical situation when closed manipulation under anesthesia is needed.

Select the code based on the involved joint and the treatment performed: it is for an interphalangeal joint treated by closed manipulation requiring anesthesia, not a metacarpophalangeal joint or a dislocation treated with pin fixation or open surgery. Documentation should identify the joint, the dislocation, the closed reduction and manipulation, and the anesthesia requirement. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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 Delaware compares for 26775

Across 109 of 109 payment localities, the office rate for 26775 runs from $386.46 in Arkansas to $568.22 in San Benito County, CA. Delaware pays $433.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

26775 in Delaware vs other payment areas
  1. Delaware · this page$433.85
  2. Los Angeles, CA · California$488.40+$54.55
  3. Washington, DC area · District of Columbia$500.01+$66.16
  4. Miami, FL · Florida$489.80+$55.95
  5. Chicago, IL · Illinois$474.42+$40.57
  6. Manhattan, NY · New York$508.70+$74.85
  7. Alaska · Alaska$509.94+$76.09

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

Every other payment area

26775 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$392.34$320.74
ArkansasArkansas$386.46$316.16
ArizonaArizona$426.67$347.38
Bakersfield, CACalifornia$459.25$369.56
Chico, CACalifornia$457.14$367.46
El Centro, CACalifornia$457.27$367.58
Fresno, CACalifornia$457.14$367.46
Hanford, CACalifornia$457.14$367.46

26775 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.

$386.46

$512.68

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

View every state and territory as a table
26775 office rate range by state
State / territoryOffice rate rangeLocalities
AK$509.941
AL$392.341
AR$386.461
AZ$426.671
CA$457.14–$568.2229
CO$453.551
CT$469.181
DC$500.011
DE$433.851
FL$439.37–$489.803
GA$413.11–$449.302
GU$467.841
HI$467.841
IA$399.531
ID$402.891
IL$428.55–$474.424
IN$405.231
KS$399.091
KY$405.221
LA$405.16–$425.752
MA$451.31–$497.292
MD$441.85–$500.013
ME$406.67–$427.272
MI$417.53–$446.592
MN$429.671
MO$398.97–$425.503
MS$392.721
MT$439.171
NC$410.831
ND$424.141
NE$401.341
NH$447.811
NJ$473.16–$494.852
NM$420.511
NV$435.271
NY$417.34–$523.335
OH$414.461
OK$402.861
OR$430.53–$466.602
PA$414.30–$458.172
PR$442.001
RI$448.361
SC$413.611
SD$422.371
TN$401.361
TX$411.60–$453.228
UT$419.421
VA$426.88–$500.012
VI$442.001
VT$423.811
WA$450.01–$506.052
WI$409.611
WV$412.581
WY$432.621

See 26775 in every payment locality

How the 26775 rate is calculated

Each of 26775’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 · 26775

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.80

3.80 RVUs× 1.000 GPCI

Practice expense8.59

8.59 RVUs× 1.000 GPCI

Malpractice0.76

0.76 RVUs× 1.000 GPCI

Adjusted RVUs

13.1500

Conversion factor

$33.4009

Medicare rate

$439.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,688

Code
26775
Physician work
3.80
Practice expense
8.59
Malpractice
0.76

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 26775 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.80× 1.0053.8190
Practice expense8.59× 0.9888.4869
Malpractice0.76× 0.8990.6832
Total RVUs12.9892
Conversion factor× 33.4009

Office rate, Delaware$433.85

Office: (3.8 × 1.005 + 8.59 × 0.988 + 0.76 × 0.899) × $33.4009 = $433.85

Facility: (3.8 × 1.005 + 6.14 × 0.988 + 0.76 × 0.899) × $33.4009 = $353.00

Open 26775 in the RVU calculator

Payment rules and modifiers for 26775

26775 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26775

Finger dislocation, closed reduction with 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 · 26775

Finger dislocation, closed reduction with 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

26775 without 51 · national office

$439.22

Finger dislocation, closed reduction with anesthesia

26775-51 · Second procedure: 50%

$219.61

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 26775

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

Codes related to 26775
CodeHow it relatesOffice range, Delaware
Same family
26770Finger dislocation, without anesthesiaClosed treatment of a finger interphalangeal dislocation without anesthesia.$357.08
26776Finger dislocation, percutaneous fixationInterphalangeal dislocation treatment using percutaneous skeletal fixation.No office rate
26785Finger dislocation, open interphalangeal treatmentOpen treatment of a finger interphalangeal dislocation.No office rate
26705Knuckle reduction, manipulation requiring anesthesiaAnesthesia-required treatment for a metacarpophalangeal, or knuckle, dislocation.$482.51

How 26775 has changed in Delaware

26775 · Office / nonfacility

$433.85

Effective 2026-10-01

The base rate is $32.91 higher than on 2025-10-01, moving from $400.94 to $433.85 (8.2%).

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

    $400.94changed to$433.85

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.90 changed to 3.80
    • Practice expense RVU 7.83 changed to 8.59
    • Malpractice RVU 0.73 changed to 0.76
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $409.29changed to$400.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.72 changed to 7.83
    • Malpractice RVU 0.74 changed to 0.73

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $402.61changed to$409.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $413.25changed to$402.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.53 changed to 7.72
    • Malpractice RVU 0.73 changed to 0.74
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $413.35changed to$413.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.19 changed to 7.53
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $410.78changed to$413.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.04 changed to 7.19
    • Malpractice RVU 0.71 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $404.73changed to$410.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.47 changed to 7.04
    • Malpractice RVU 0.67 changed to 0.71
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $404.29changed to$404.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.43 changed to 6.47
    • Malpractice RVU 0.66 changed to 0.67
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $401.28changed to$404.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.36 changed to 6.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $399.59changed to$401.28

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.30 changed to 6.36
    • Malpractice RVU 0.67 changed to 0.66
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $399.87changed to$399.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.29 changed to 6.30
    • Malpractice RVU 0.68 changed to 0.67
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $402.43changed to$399.87

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.32 changed to 6.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $400.42changed to$402.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $392.69changed to$400.42

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.20 changed to 6.32
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $397.63changed to$392.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.97 changed to 6.20
    • Malpractice RVU 0.69 changed to 0.66
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $397.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$433.85$353.00RVU26D
2026-07-01$433.85$353.00RVU26C
2026-04-01$433.85$353.00RVU26B
2026-01-01$433.85$353.00RVU26A
2025-10-01$400.94$359.87RVU25D
2025-07-01$400.94$359.87RVU25C
2025-04-01$400.94$359.87RVU25B
2025-01-01$400.94$359.87RVU25A
2024-10-01$409.29$367.35RVU24D
2024-07-01$409.29$367.35RVU24C
2024-04-01$409.29$367.35RVU24B
2024-03-09$409.29$367.35RVU24AR
2024-01-01$402.61$361.36RVU24A
2023-10-01$413.25$370.59RVU23D
2023-07-01$413.25$370.59RVU23C
2023-04-01$413.25$370.59RVU23B
2023-01-01$413.25$370.59RVU23A
2022-10-01$413.35$370.20RVU22D
2022-07-01$413.35$370.20RVU22C
2022-04-01$413.35$370.20RVU22B
2022-01-01$413.35$370.20RVU22A
2021-10-01$410.78$367.27RVU21D
2021-07-01$410.78$367.27RVU21C
2021-04-01$410.78$367.27RVU21B
2021-01-01$410.78$367.27RVU21A
2020-10-01$404.73$364.94RVU20D
2020-07-01$404.73$364.94RVU20C
2020-04-01$404.73$364.94RVU20B
2020-01-01$404.73$364.94RVU20A
2019-10-01$404.29$364.63RVU19D
2019-07-01$404.29$364.63RVU19C
2019-04-01$404.29$364.63RVU19B
2019-01-01$404.29$364.63RVU19A
2018-10-01$401.28$362.76RVU18D
2018-07-01$401.28$362.76RVU18C
2018-04-01$401.28$362.76RVU18B
2018-01-01$401.28$362.76RVU18AR1
2017-10-01$399.59$362.44RVU17D
2017-07-01$399.59$362.44RVU17C
2017-04-01$399.59$362.44RVU17B
2017-01-01$399.59$362.44RVU17A
2016-10-01$399.87$362.22RVU16D
2016-07-01$399.87$362.22RVU16C
2016-04-01$399.87$362.22RVU16B
2016-01-01$399.87$362.22RVU16A
2015-10-01$402.43$364.27RVU15D
2015-07-01$402.43$364.27RVU15C
2015-04-01$400.42$362.45RVU15B
2015-01-01$400.42$362.45RVU15A
2014-10-01$392.69$355.50RVU14D
2014-07-01$392.69$355.50RVU14C
2014-04-01$392.69$355.50RVU14B
2014-01-01$392.69$355.50RVU14A
2013-10-01$397.63$357.49RVU13D
2013-07-01$397.63$357.49RVU13C
2013-04-01$397.63$357.49RVU13B
2013-01-01$397.63$357.49RVU13AR

Price 26775 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

26775 billing questions

How does this differ from 26770?

Both address closed reduction of a finger interphalangeal joint dislocation. Use 26775 when the reduction requires anesthesia; 26770 is the option for treatment without anesthesia.

Can this be reported for a knuckle dislocation?

No. This code is for an interphalangeal joint, such as a PIP joint. A metacarpophalangeal (MCP) joint dislocation is represented by a different code, such as 26705 when anesthesia is required.

When is 26776 a better fit?

Use 26776 when the dislocated interphalangeal joint is treated with percutaneous skeletal fixation. This code describes closed manipulation requiring anesthesia without that pin fixation approach.

What documentation supports reporting 26775?

Record the affected interphalangeal joint, the dislocation, the closed manipulation and reduction performed, and why anesthesia was required. The record should distinguish the procedure from open treatment or percutaneous fixation.

What postoperative care is included?

Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be billed?

Medicare payment for an assistant at surgery is restricted for this code. Co-surgeons and team surgery are not permitted.

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 26775PPRRVU2026_Oct_nonQPP.csv, line 2,688 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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