Billing code 26675: Hand dislocationMedicare rate & RVUs

Medicare pays $515.38 for 26675 nationally in the office and $419.18 in a hospital or facility. Local office rates run $453.17–$660.08.

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

What 26675 covers

This service treats a carpometacarpal dislocation involving a metacarpal other than the thumb. The physician, commonly an orthopedic or hand surgeon, manipulates the displaced joint back into alignment without an incision. The injury may involve the base of one or more fingers’ metacarpals where they meet the carpal bones; the hand is typically stabilized afterward with a splint or cast. This code describes treatment with manipulation, not simply assessment of the injury or immobilization without reduction.

Report it when the record identifies a non-thumb carpometacarpal dislocation and documents the closed manipulation used to restore alignment. Include the affected joint or joints, reduction performed, and resulting alignment or stability. The 90-day global period includes 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 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 26675 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

26675 rates by state

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

How the 26675 rate is calculated

Each of 26675’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 26675

26675 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

26675 compared with similar codes

How to choose

26670Hand dislocation

Choose 26670 when treatment is closed and does not involve manipulation. Choose 26675 when the physician manipulates the dislocated joint into alignment.

26676Hand dislocation

26676 is for percutaneous skeletal fixation of the dislocation. This code describes closed treatment with manipulation without that fixation approach.

26641Thumb dislocation

26641 is for a thumb carpometacarpal dislocation. This code is for carpometacarpal dislocations involving metacarpals other than the thumb.

Codes related to 26675

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