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

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, 20263 payment localities350 Medicare services in 2024

Medicare pays $439.37–$489.80 for 26775 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.

$439.37–$489.80Office (non-facility)
$361.13–$404.61Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Florida
  2. What 26775 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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.

Where 26775 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

3 payment localities

$439.37 to $489.80

$439.37$464.59$489.80
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
26775 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale, FL$463.46$380.57
Miami, FL$489.80$404.61
Rest of Florida$439.37$361.13

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.

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

26775 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 26775

    Finger dislocation, closed reduction with anesthesia3.8 wRVU

    $439.22

  • 26770

    Finger dislocation, without anesthesia3.07 wRVU

    $361.73−$77.49

  • 26776

    Finger dislocation, percutaneous fixation4.87 wRVU

    Not priced

  • 26705

    Knuckle reduction, manipulation requiring anesthesia4.27 wRVU

    $488.66+$49.44

  • 26785

    Finger dislocation, open interphalangeal treatment6.44 wRVU

    Not priced

How to choose

26770Finger dislocationWithout anesthesia
Both are closed treatments of finger interphalangeal dislocations. Choose 26775 when anesthesia is required for manipulation; choose 26770 for treatment without anesthesia.
26776Finger dislocationPercutaneous fixation
26776 describes percutaneous skeletal fixation of the interphalangeal dislocation. This code describes closed manipulation requiring anesthesia without that fixation approach.
26705Knuckle reductionManipulation requiring anesthesia
26705 is for a metacarpophalangeal (knuckle) dislocation requiring anesthesia. This code is for an interphalangeal joint dislocation.
26785Finger dislocationOpen interphalangeal treatment
26785 is used when the interphalangeal dislocation is treated by open surgery. This code describes a closed reduction.

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)

Open CMS sourceHow we calculate rates

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