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Billing code 26727: Finger fracture careMedicare rate & RVUs

Reports closed treatment with manipulation of a neck fracture in a finger or thumb proximal or middle phalanx, billed for each fracture treated.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.1K Medicare services in 2024

Medicare pays $456.92 for 26727 nationally in a facility.

Medicare rate · 26727

Finger fracture care

Work RVUs
5.28
Total RVUs
13.68
Global days
090

National rate · 2026

$456.92

Facility setting, before claim adjustments.

See every locality for 26727 →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 26727 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 26727 covers

This code covers closed treatment of a neck fracture in the proximal or middle phalanx of a finger or thumb when the clinician manipulates the fracture to improve alignment. An orthopedic or hand surgeon typically performs the reduction in an emergency department, office, or operating-room setting, then immobilizes the digit as appropriate. The fracture must be a neck fracture; shaft and joint-surface fracture patterns are classified separately.

Report the service for each fracture treated, with documentation identifying the digit, phalanx, fracture location, and manipulation performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this code; 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 26727 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

26727 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$411.12
Alaska*Unavailable$545.48
ArizonaUnavailable$444.30
ArkansasUnavailable$405.41
AtlantaUnavailable$468.37
AustinUnavailable$467.58
BakersfieldUnavailable$470.29
Baltimore/Surr. CntysUnavailable$485.92
BeaumontUnavailable$432.33
BrazoriaUnavailable$448.48

26727 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
26727 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 26727 rate is calculated

Each of 26727’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 · 26727

RVUs × geographic indexes × conversion factor

Work5.28

5.28 RVUs× 1.000 GPCI

Practice expense7.36

7.36 RVUs× 1.000 GPCI

Malpractice1.04

1.04 RVUs× 1.000 GPCI

Adjusted RVUs

13.6800

Conversion factor

$33.4009

Medicare rate

$456.92

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 26727

26727 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26727

Finger fracture care

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)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 · 26727

Finger fracture care

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.

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

26727 without 51 · national facility

$456.92

Finger fracture care

26727-51 · Second procedure: 50%

$228.46

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

26727 compared with similar codes

Compare codes · National

4 codes, side by side

  • 26727

    Finger fracture care5.28 wRVU

    Not priced

  • 26725

    Finger fracture treatment3.39 wRVU

    $395.80

  • 26720

    Finger fracture care1.72 wRVU

    $235.48

  • 26742

    Finger fracture care3.89 wRVU

    $422.19

How to choose

26725Finger fracture treatment
Use 26727 for a neck fracture and 26725 for a shaft fracture of the proximal or middle phalanx; both involve manipulation.
26720Finger fracture care
Code 26720 describes a shaft fracture treated without manipulation. This code requires manipulation and applies to a neck fracture.
26742Finger fracture care
Code 26742 is for a fracture involving a finger joint surface treated with manipulation. This code is for a phalangeal neck fracture.

Codes related to 26727

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

Codes related to 26727
CodeHow it relatesNational office range
Same family
26725Finger fracture treatmentManipulated treatment for a phalangeal shaft fracture rather than a neck fracture.$347.69–$511.36
26720Finger fracture careTreatment without manipulation for a proximal or middle phalanx shaft fracture.$206.24–$309.59
26735Finger fracture repairOpen treatment of a proximal or middle phalanx shaft fracture.No office rate
26742Finger fracture careManipulated treatment of an articular fracture involving a finger joint.$371.79–$541.45

26727 billing questions

How is this code distinguished from 26725?

This code is for a manipulated neck fracture of the proximal or middle phalanx. Code 26725 describes treatment of a shaft fracture with manipulation.

Is this code reported once per patient or once per finger?

It is reported for each fracture treated. Document the specific digit and fracture so the units reflect the fractures receiving treatment.

Can modifier 50 be used for fractures in both hands?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the treated fractures individually rather than applying modifier 50.

Are related postoperative visits included?

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

Can an assistant-at-surgery or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code, and 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 26727PPRRVU2026_Oct_nonQPP.csv, line 2,678 (RVU26D)

Open CMS sourceHow we calculate rates

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