$323.33–$506.56
20670 addresses superficial implant removal in applicable circumstances. For an implanted device in the hand, consider the hand-specific 26320 code.
On this page
CMS RVU26D · Effective 2026-10-01
26320 Implant removal Medicare reimbursement rates
Reports operative removal of an implanted device from the hand, such as fixation hardware that is painful, prominent, or no longer needed. Compare 26320 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 26320?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$299.95–$418.98
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $119.03 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 26320 pays more and less
Hand surgery
About 26320: Hand implant removal
Reports operative removal of an implanted device from the hand, such as fixation hardware that is painful, prominent, or no longer needed.
A hand surgeon or orthopedic surgeon uses this service to remove an implanted device from the hand, often after a fracture has healed or when hardware causes pain, prominence, or other problems. Examples include a buried wire, pin, screw, or plate. Removal involves operative access to the implant; it is not simply removal of an external splint or dressing. The procedure may take place in a hospital or ambulatory surgery setting.
Select the code for an implant in the hand, rather than a general implant-removal code for another site or a foreign-body removal code. The operative report should identify the implant, its hand location, and the work performed to remove it. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 26320
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.00 · 40%
- Practice expense (office) RVU5.33 · 53%
- Malpractice RVU0.78 · 8%
492
Medicare services in 2024 · #3580 by national volume
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.
26320 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$558.02–$814.76
20680 is a general code for deep implant removal. 26320 identifies removal of an implant from the hand.
$435.59–$658.45
20525 concerns removal of a deep foreign body, not an implanted device such as fixation hardware.
See how rates vary across the country
26320 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 26320 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $304.12 |
| Alaska* | Office Unavailable | Facility $404.36 |
| Arizona | Office Unavailable | Facility $328.41 |
| Arkansas | Office Unavailable | Facility $299.95 |
| Atlanta | Office Unavailable | Facility $346.17 |
| Austin | Office Unavailable | Facility $345.31 |
| Bakersfield | Office Unavailable | Facility $347.13 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $358.99 |
| Beaumont | Office Unavailable | Facility $319.81 |
| Brazoria | Office Unavailable | Facility $331.42 |
| Chicago | Office Unavailable | Facility $373.25 |
| Chico | Office Unavailable | Facility $344.96 |
| Colorado | Office Unavailable | Facility $344.97 |
| Connecticut | Office Unavailable | Facility $359.53 |
| Dallas | Office Unavailable | Facility $334.47 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $379.53 |
| Delaware | Office Unavailable | Facility $333.58 |
| Detroit | Office Unavailable | Facility $349.32 |
| East St. Louis | Office Unavailable | Facility $349.86 |
| El Centro | Office Unavailable | Facility $345.09 |
| Fort Lauderdale | Office Unavailable | Facility $361.05 |
| Fort Worth | Office Unavailable | Facility $333.03 |
| Fresno | Office Unavailable | Facility $344.96 |
| Galveston | Office Unavailable | Facility $333.02 |
| Hanford-Corcoran | Office Unavailable | Facility $344.96 |
| Hawaii, Guam | Office Unavailable | Facility $351.10 |
| Houston | Office Unavailable | Facility $347.30 |
| Idaho | Office Unavailable | Facility $309.71 |
| Indiana | Office Unavailable | Facility $311.30 |
| Iowa | Office Unavailable | Facility $306.84 |
| Kansas | Office Unavailable | Facility $307.67 |
| Kentucky | Office Unavailable | Facility $315.71 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $366.99 |
| Madera | Office Unavailable | Facility $344.96 |
| Manhattan | Office Unavailable | Facility $390.34 |
| Merced | Office Unavailable | Facility $344.96 |
| Metropolitan Boston | Office Unavailable | Facility $374.83 |
| Metropolitan Kansas City | Office Unavailable | Facility $326.22 |
| Metropolitan Philadelphia | Office Unavailable | Facility $352.42 |
| Metropolitan St. Louis | Office Unavailable | Facility $329.19 |
| Miami | Office Unavailable | Facility $384.82 |
| Minnesota | Office Unavailable | Facility $324.50 |
| Mississippi | Office Unavailable | Facility $306.14 |
| Modesto | Office Unavailable | Facility $344.96 |
| Montana** | Office Unavailable | Facility $337.63 |
| Napa | Office Unavailable | Facility $389.89 |
| Nebraska | Office Unavailable | Facility $307.77 |
| Nevada** | Office Unavailable | Facility $333.51 |
| New Hampshire | Office Unavailable | Facility $341.73 |
| New Mexico | Office Unavailable | Facility $328.14 |
| New Orleans | Office Unavailable | Facility $330.72 |
| North Carolina | Office Unavailable | Facility $316.35 |
| North Dakota** | Office Unavailable | Facility $322.21 |
| Northern Nj | Office Unavailable | Facility $376.36 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $402.21 |
| Ohio | Office Unavailable | Facility $322.40 |
| Oklahoma | Office Unavailable | Facility $312.82 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $364.00 |
| Portland | Office Unavailable | Facility $352.91 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $366.08 |
| Puerto Rico | Office Unavailable | Facility $339.25 |
| Queens | Office Unavailable | Facility $390.15 |
| Redding | Office Unavailable | Facility $344.96 |
| Rest Of California | Office Unavailable | Facility $344.96 |
| Rest Of Florida | Office Unavailable | Facility $342.95 |
| Rest Of Georgia | Office Unavailable | Facility $323.46 |
| Rest Of Illinois | Office Unavailable | Facility $336.86 |
| Rest Of Louisiana | Office Unavailable | Facility $316.12 |
| Rest Of Maine | Office Unavailable | Facility $313.59 |
| Rest Of Maryland | Office Unavailable | Facility $339.02 |
| Rest Of Massachusetts | Office Unavailable | Facility $343.97 |
| Rest Of Michigan | Office Unavailable | Facility $325.56 |
| Rest Of Missouri | Office Unavailable | Facility $312.44 |
| Rest Of New Jersey | Office Unavailable | Facility $361.93 |
| Rest Of New York | Office Unavailable | Facility $321.04 |
| Rest Of Oregon | Office Unavailable | Facility $329.23 |
| Rest Of Pennsylvania | Office Unavailable | Facility $321.65 |
| Rest Of Texas | Office Unavailable | Facility $326.08 |
| Rest Of Washington | Office Unavailable | Facility $342.63 |
| Rhode Island | Office Unavailable | Facility $343.28 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $353.35 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $359.42 |
| Salinas | Office Unavailable | Facility $358.04 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $364.65 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $409.27 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $408.39 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $418.98 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $415.36 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $352.61 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $366.68 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $358.89 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $370.19 |
| Seattle (King Cnty) | Office Unavailable | Facility $380.01 |
| South Carolina | Office Unavailable | Facility $320.25 |
| South Dakota** | Office Unavailable | Facility $320.38 |
| Southern Maine | Office Unavailable | Facility $326.47 |
| Stockton | Office Unavailable | Facility $344.96 |
| Suburban Chicago | Office Unavailable | Facility $363.54 |
| Tennessee | Office Unavailable | Facility $309.42 |
| Utah | Office Unavailable | Facility $324.34 |
| Vallejo | Office Unavailable | Facility $388.62 |
| Vermont | Office Unavailable | Facility $323.03 |
| Virgin Islands | Office Unavailable | Facility $339.25 |
| Virginia | Office Unavailable | Facility $327.00 |
| Visalia | Office Unavailable | Facility $344.96 |
| West Virginia | Office Unavailable | Facility $325.59 |
| Wisconsin | Office Unavailable | Facility $312.18 |
| Wyoming** | Office Unavailable | Facility $330.91 |
| Yuba City | Office Unavailable | Facility $344.96 |
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26320 billing questions
When should I report 26320 instead of a general implant-removal code?
Use 26320 for operative removal of an implant located in the hand. General implant-removal codes are relevant to other sites or circumstances, such as a superficial implant addressed by 20670 or a deep implant addressed by 20680.
Is removal of a retained foreign body the same service?
No. An implanted device, such as fixation hardware, is different from an unintentional retained foreign body; code 20525 may describe removal of a deep foreign body in the appropriate circumstances.
Should modifier 50 be appended when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,56926250,,Extensive hand surgery,A,,14.83,11.53,NA,11.53,,3.16,29.52,29.52,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57026260,,Resect prox finger tumor,A,,10.88,9.12,NA,9.12,,2.33,22.33,22.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57126262,,Resect distal finger tumor,A,,8.08,8.23,NA,8.23,,1.72,18.03,18.03,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00