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CPT 26567: Finger osteotomyMedicare rate & RVUs

Reports osteotomy of a finger phalanx to correct a bony deformity, with or without fixation, such as angular or rotational malalignment.

CMS RVU26DEffective Oct 1, 2026109 payment localities206 Medicare services in 2024

Medicare pays $700.08 for 26567 nationally in a facility.

Medicare rate · 26567

Finger osteotomy

Swap in your local Medicare rate.

Work RVUs
6.82
Total RVUs
20.96
Global days
090

National rate · 2026

$700.08

Facility setting, before claim adjustments.

See every locality for 26567 →

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 26567 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 26567 covers

A hand surgeon uses this procedure to cut and realign a finger phalanx when the bone’s shape or position causes a deformity. Common situations include correction of angular malalignment after a fracture has healed in a poor position or correction of a congenital phalangeal deformity. The surgeon may stabilize the corrected bone with fixation; fixation is included in the service described by this code. These procedures are generally performed in an operating room or ambulatory surgery setting.

Choose this code when the operative work is an osteotomy of a finger phalanx, rather than an osteotomy of a metacarpal or a procedure that primarily lengthens or shortens bone. The operative report should identify the affected phalanx, the deformity being corrected, and the osteotomy and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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 26567 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

26567 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$627.32
Alaska*Unavailable$821.85
ArizonaUnavailable$680.42
ArkansasUnavailable$618.21
AtlantaUnavailable$716.54
AustinUnavailable$720.29
BakersfieldUnavailable$728.12
Baltimore/Surr. CntysUnavailable$745.49
BeaumontUnavailable$658.42
BrazoriaUnavailable$688.28

26567 rates by state

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

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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
26567 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 26567 rate is calculated

Each of 26567’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 · 26567

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.82Practice expense 12.81Malpractice 1.33

20.9600 adjusted RVUs×$33.4009 conversion factor=$700.08

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

Payment rules and modifiers for 26567

26567 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26567

Finger osteotomy

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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 · 26567

Finger osteotomy

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 51 · payment effect

With and without the modifier

26567 without 51 · national facility

$700.08

Finger osteotomy

26567-51 · Second procedure: 50%

$350.04

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%).

When to use modifier 51

26567 compared with similar codes

Compare codes

26567 vs 26565 vs 26568 vs 26545: national Medicare rates

Swap in your local Medicare rate.

  • 26567
    Finger osteotomy · 6.82 wRVU
    —
  • 26565
    Metacarpal osteotomy · 6.74 wRVU
    —
  • 26568
    Bone lengthening · 9.04 wRVU
    —
  • 26545
    Finger joint reconstruction · 6.93 wRVU
    —

How to choose

26565Metacarpal osteotomy
The key distinction is the bone treated: 26567 is for a finger phalanx, while 26565 is for a metacarpal.
26568Bone lengthening
Use 26567 for a corrective osteotomy of a finger phalanx. Code 26568 describes bone lengthening or shortening.
26545Finger joint reconstruction
26567 corrects a phalangeal deformity through osteotomy; 26545 concerns reconstruction of a finger joint.

Codes related to 26567

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

Codes related to 26567
CodeHow it relatesNational office range
Same family
26565Metacarpal osteotomyRelated corrective osteotomy code for a metacarpal rather than a finger phalanx.No office rate
Used instead
26568Bone lengtheningConsider when the principal bone procedure is lengthening or shortening rather than deformity-correcting osteotomy.No office rate
26545Finger joint reconstructionA finger-joint reconstruction may be relevant when correction centers on the joint rather than the phalanx.No office rate
26536Finger joint arthroplastyAddresses finger-joint revision or implantation, not phalangeal osteotomy.No office rate

26567 billing questions

When should this code be chosen over 26565?

Use 26567 for an osteotomy of a finger phalanx. Code 26565 is for an osteotomy of a metacarpal.

Is fixation separately reported?

No separate fixation service is described here; the code covers the phalangeal osteotomy with or without fixation.

Can modifier 50 be used for both hands?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What documentation supports reporting this procedure?

Document the specific finger phalanx, the bony deformity and its clinical context, and the osteotomy and any fixation performed.

How does the 90-day global period affect postoperative visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is allowed only when the record documents medical necessity. 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 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 26567PPRRVU2026_Oct_nonQPP.csv, line 2,650 (RVU26D)

Open CMS sourceHow we calculate rates

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