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Billing code 26340: Finger manipulationMedicare rate & RVUs

Reports manual mobilization of a stiff finger joint under anesthesia, commonly to improve motion limited by post-traumatic or postoperative contracture.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.2K Medicare services in 2024

Medicare pays $365.41 for 26340 nationally in a facility.

Medicare rate · 26340

Finger manipulation

Swap in your local Medicare rate.

Work RVUs
2.73
Total RVUs
10.94
Global days
090

National rate · 2026

$365.41

Facility setting, before claim adjustments.

See every locality for 26340 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 26340 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 26340 covers

This service involves manually moving a restricted finger joint while the patient is under anesthesia, with the goal of improving its range of motion. Hand surgeons and orthopedic surgeons commonly perform it for persistent stiffness after an injury or prior procedure, in an operating room or other procedural setting. It is directed at joint stiffness, rather than repair of a tendon or reduction of an acute dislocation. A palmar fascial cord treated after injection is a different service.

Report the service for each joint manipulated, and document the affected finger and joint, the reason motion is restricted, the procedure performed, and the resulting motion. The code 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 at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is statutorily restricted; 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 26340 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

26340 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$325.97
Alaska*Unavailable$420.24
ArizonaUnavailable$355.02
ArkansasUnavailable$321.00
AtlantaUnavailable$373.16
AustinUnavailable$378.62
BakersfieldUnavailable$385.33
Baltimore/Surr. CntysUnavailable$389.62
BeaumontUnavailable$341.04
BrazoriaUnavailable$360.14

26340 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
26340 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 26340 rate is calculated

Each of 26340’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 · 26340

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.73Practice expense 7.71Malpractice 0.50

10.9400 adjusted RVUs×$33.4009 conversion factor=$365.41

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 26340

26340 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26340

Finger manipulation

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 26340

Finger manipulation

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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 50 · payment effect

With and without the modifier

26340 without 50 · national facility

$365.41

Finger manipulation

26340-50 · Bilateral: 150%

$548.12

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

26340 compared with similar codes

Compare codes

26340 vs 26341 vs 26525 vs 26775: national Medicare rates

Swap in your local Medicare rate.

  • 26340
    Finger manipulation · 2.73 wRVU
    —
  • 26341
    Cord manipulation · 0.89 wRVU
    $124.25
  • 26525
    Contracture release · 5.36 wRVU
    —
  • 26775
    Finger dislocation · 3.8 wRVU
    $439.22

How to choose

26341Cord manipulation
26340 addresses a stiff finger joint manipulated under anesthesia. 26341 is for a palmar fascial cord manipulated after injection, including treatment associated with Dupuytren contracture.
26525Contracture release
26340 is manual joint mobilization under anesthesia; 26525 represents surgical release of the interphalangeal joint capsule.
26775Finger dislocation
Use 26775 for closed treatment with manipulation of an acute interphalangeal joint dislocation. Use 26340 for stiffness rather than dislocation reduction.

Codes related to 26340

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

Codes related to 26340
CodeHow it relatesNational office range
Used instead
26341Cord manipulationFor manipulation of a palmar fascial cord after injection, rather than a stiff finger joint.$108.97–$164.16
26525Contracture releaseA surgical capsular release option for an interphalangeal joint contracture.No office rate
26775Finger dislocationFor closed treatment with manipulation of an acute interphalangeal joint dislocation.$386.46–$568.22

26340 billing questions

When is 26340 appropriate instead of 26341?

Use 26340 for manipulation of a stiff finger joint under anesthesia. Code 26341 describes manipulation of a palmar fascial cord after injection, such as treatment for Dupuytren contracture.

How many units should be reported?

The service is reported for each finger joint manipulated. Document the specific joint or joints treated; do not count multiple digits as a single joint.

How does this differ from closed treatment of a finger dislocation?

Code 26340 addresses restricted joint motion, such as persistent stiffness. For an acute interphalangeal joint dislocation treated with manipulation, consider the applicable closed-treatment code, such as 26775.

What documentation supports the service?

Record the finger and joint, the cause of restricted motion, the need for manipulation under anesthesia, the maneuver performed, and the post-manipulation range of motion.

What payment rules affect multiple or bilateral procedures?

In the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%.

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 26340PPRRVU2026_Oct_nonQPP.csv, line 2,573 (RVU26D)

Open CMS sourceHow we calculate rates

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