CPT code 26776: Finger dislocation, percutaneous fixation2026 Medicare rate & RVUs

Medicare pays $434.88 for 26776 nationally in a facility.

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

What 26776 covers

An orthopedic or hand surgeon uses a pin placed through the skin to hold a dislocated finger interphalangeal joint in alignment. This approach is used when the joint needs mechanical stabilization after reduction, without opening the joint to perform the fixation. The service is commonly performed in an operating room or other procedural setting.

Report this code for fixation of one interphalangeal joint dislocation; document the affected joint, dislocation, reduction and percutaneous fixation performed. The code includes the treatment of the dislocation with pin fixation, so do not separately report a closed reduction of that same dislocation. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, 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 26776 pays more and less

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

109 of 109 payment localities

26776 rates by state

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

How the 26776 rate is calculated

Each of 26776’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.

Payment rules and modifiers for 26776

26776 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

26776 compared with similar codes

How to choose

26770Finger dislocationWithout anesthesia

Use 26770 for closed treatment of a single interphalangeal joint dislocation without anesthesia. Use 26776 when percutaneous pin fixation is performed.

26775Finger dislocationClosed reduction with anesthesia

Code 26775 describes closed treatment requiring anesthesia; 26776 describes percutaneous fixation of the dislocated joint.

26785Finger dislocationOpen interphalangeal treatment

Use 26785 when the dislocation is treated through an open approach. Code 26776 is for percutaneous pin fixation.

26706Knuckle dislocationPercutaneous fixation

Both involve percutaneous fixation of a dislocation, but 26706 is for a metacarpophalangeal joint and 26776 for an interphalangeal joint.

Codes related to 26776

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

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

Open CMS sourceHow we calculate rates