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

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 Puerto Rico, Medicare pays $442.00 for 26775 in the office and $359.26 when it’s performed in a hospital or facility.

$442.00Office (non-facility)
$359.26Hospital or facility
+0.6%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $442.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

26775 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$442.00
  2. Los Angeles, CA · California$488.40+$46.40
  3. Washington, DC area · District of Columbia$500.01+$58.01
  4. Miami, FL · Florida$489.80+$47.80
  5. Chicago, IL · Illinois$474.42+$32.42
  6. Manhattan, NY · New York$508.70+$66.70
  7. Alaska · Alaska$509.94+$67.94

Other areas in Puerto Rico 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.

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 26775 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work3.80× 1.0003.8000
Practice expense8.59× 1.0118.6845
Malpractice0.76× 0.9850.7486
Total RVUs13.2331
Conversion factor× 33.4009

Office rate, Puerto Rico$442.00

Office: (3.8 × 1 + 8.59 × 1.011 + 0.76 × 0.985) × $33.4009 = $442.00

Facility: (3.8 × 1 + 6.14 × 1.011 + 0.76 × 0.985) × $33.4009 = $359.26

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

How 26775 has changed in Puerto Rico

26775 · Office / nonfacility

$442.00

Effective 2026-10-01

The base rate is $37.61 higher than on 2025-10-01, moving from $404.39 to $442.00 (9.3%).

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

    $404.39changed to$442.00

    • 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
    • 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

    $412.79changed to$404.39

    • 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

    $406.05changed to$412.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $413.71changed to$406.05

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $412.07changed to$413.71

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $410.68changed to$412.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.19 changed to 7.53
    • 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

    $408.12changed to$410.68

    • 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.

  8. January 1, 2021

    RVU21A

    $400.01changed to$408.12

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $397.45changed to$400.01

    • 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
    • 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

    $394.48changed to$397.45

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $348.94changed to$394.48

    • 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
    • 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

    $305.54changed to$348.94

    • 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
    • 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

    $307.41changed to$305.54

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

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $305.88changed to$307.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $299.81changed to$305.88

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $299.32changed to$299.81

    • 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 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: $299.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$442.00$359.26RVU26D
2026-07-01$442.00$359.26RVU26C
2026-04-01$442.00$359.26RVU26B
2026-01-01$442.00$359.26RVU26A
2025-10-01$404.39$362.69RVU25D
2025-07-01$404.39$362.69RVU25C
2025-04-01$404.39$362.69RVU25B
2025-01-01$404.39$362.69RVU25A
2024-10-01$412.79$370.22RVU24D
2024-07-01$412.79$370.22RVU24C
2024-04-01$412.79$370.22RVU24B
2024-03-09$412.79$370.22RVU24AR
2024-01-01$406.05$364.18RVU24A
2023-10-01$413.71$371.02RVU23D
2023-07-01$412.07$369.71RVU23C
2023-04-01$412.07$369.71RVU23B
2023-01-01$412.07$369.71RVU23A
2022-10-01$410.68$368.12RVU22D
2022-07-01$410.68$368.12RVU22C
2022-04-01$410.68$368.12RVU22B
2022-01-01$410.68$368.12RVU22A
2021-10-01$408.12$365.21RVU21D
2021-07-01$408.12$365.21RVU21C
2021-04-01$408.12$365.21RVU21B
2021-01-01$408.12$365.21RVU21A
2020-10-01$400.01$360.72RVU20D
2020-07-01$400.01$360.72RVU20C
2020-04-01$400.01$360.72RVU20B
2020-01-01$400.01$360.72RVU20A
2019-10-01$397.45$358.26RVU19D
2019-07-01$397.45$358.26RVU19C
2019-04-01$397.45$358.26RVU19B
2019-01-01$397.45$358.26RVU19A
2018-10-01$394.48$356.42RVU18D
2018-07-01$394.48$356.42RVU18C
2018-04-01$394.48$356.42RVU18B
2018-01-01$394.48$356.42RVU18AR1
2017-10-01$348.94$317.92RVU17D
2017-07-01$348.94$317.92RVU17C
2017-04-01$348.94$317.92RVU17B
2017-01-01$348.94$317.92RVU17A
2016-10-01$305.54$279.80RVU16D
2016-07-01$305.54$279.80RVU16C
2016-04-01$305.54$279.80RVU16B
2016-01-01$305.54$279.80RVU16A
2015-10-01$307.41$281.31RVU15D
2015-07-01$307.41$281.31RVU15C
2015-04-01$305.88$279.91RVU15B
2015-01-01$305.88$279.91RVU15A
2014-10-01$299.81$275.02RVU14D
2014-07-01$299.81$275.02RVU14C
2014-04-01$299.81$275.02RVU14B
2014-01-01$299.81$275.02RVU14A
2013-10-01$299.32$273.25RVU13D
2013-07-01$299.32$273.25RVU13C
2013-04-01$299.32$273.25RVU13B
2013-01-01$299.32$273.25RVU13AR

Price 26775 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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