CPT code 26785: Finger dislocation, open interphalangeal treatment2026 Medicare rate & RVUs

Medicare pays $524.39 for 26785 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 26785 covers

This service treats a dislocated finger interphalangeal joint through an open surgical approach. A hand or orthopedic surgeon may need to expose the joint when closed reduction cannot restore alignment, such as when soft tissue is trapped between the joint surfaces. The procedure may include stabilization with internal fixation when needed. It is typically performed in an operating room, including a hospital outpatient or inpatient setting.

Choose this code for open treatment of an interphalangeal joint dislocation, rather than closed manipulation or percutaneous fixation. The operative report should identify the digit and joint, describe the open approach and reduction, and document any fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting 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 26785 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

26785 rates by state

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

How the 26785 rate is calculated

Each of 26785’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 26785

26785 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

26785 compared with similar codes

How to choose

26770Finger dislocationWithout anesthesia

26770 describes closed treatment of an interphalangeal dislocation without anesthesia. Choose 26785 when the dislocation is treated through an open approach.

26775Finger dislocationClosed reduction with anesthesia

26775 is closed treatment of an interphalangeal dislocation requiring anesthesia. It does not describe open surgical reduction.

26776Finger dislocationPercutaneous fixation

26776 describes percutaneous skeletal fixation of an interphalangeal dislocation; 26785 is for open treatment, including fixation when performed.

26715Knuckle dislocationOpen treatment, single joint

26715 is open treatment of a metacarpophalangeal dislocation. Use 26785 for an interphalangeal joint dislocation.

Codes related to 26785

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