CPT code 26785: Finger dislocation, open interphalangeal treatment2026 Medicare rate & RVUs in Missouri
Reports open surgical reduction of a finger interphalangeal joint dislocation when direct exposure is needed to restore alignment, with fixation if performed.
CMS doesn’t publish an office rate for 26785 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $507.11 |
| Metropolitan St. Louis, MO | Unavailable | $511.64 |
| Rest of Missouri | Unavailable | $486.39 |
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.
How the rate is built · 26785
RVUs × geographic indexes × conversion factor
Work6.44
6.44 RVUs× 1.000 GPCI
Practice expense8.01
8.01 RVUs× 1.000 GPCI
Malpractice1.25
1.25 RVUs× 1.000 GPCI
Adjusted RVUs
15.7000
Conversion factor
$33.4009
Medicare rate
$524.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26785
26785 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26785
Finger dislocation, open interphalangeal treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26785
Finger dislocation, open interphalangeal treatment
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26785 without 51 · national facility
$524.39
Finger dislocation, open interphalangeal treatment
26785-51 · Second procedure: 50%
$262.20
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%).
26785 compared with similar codes
Compare codes · National
5 codes, side by side
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.
26785 billing questions
When should this be chosen over closed treatment?
Use this code when the surgeon treats the interphalangeal dislocation through an open approach. Closed manipulation is represented by codes such as 26770 or 26775.
How does this differ from 26776?
26776 is for percutaneous skeletal fixation of an interphalangeal joint dislocation. This code describes open surgical treatment, with internal fixation included when performed.
What should the operative note establish?
Document the affected finger and interphalangeal joint, the open approach, the reduction performed, and any fixation used. The record should support why open treatment was performed.
Can modifier 50 be used for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care. Medicare also applies its standard multiple procedure reduction when procedures are performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
CMS bars payment for an assistant at surgery for this code. Co-surgeon and team-surgery reporting 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
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