Billing code 26770: Finger dislocationMedicare rate & RVUs

Medicare pays $361.73 for 26770 nationally in the office and $307.62 in a hospital or facility. Local office rates run $317.26–$466.69.

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

What 26770 covers

This service covers closed manipulation to restore alignment of a dislocated finger interphalangeal joint, such as a proximal or distal interphalangeal joint. An orthopedic or hand surgeon, emergency physician, or other qualified practitioner may perform the reduction in an office, emergency department, or hospital setting. The code describes treatment of the dislocation, not a finger fracture or a dislocation treated with pins or open surgery.

Select this code when documentation identifies the affected joint and shows that closed reduction was performed without anesthesia. If anesthesia was required, compare 26775. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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. Medicare does not pay an assistant at surgery for this service; 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 26770 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

26770 rates by state

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

How the 26770 rate is calculated

Each of 26770’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 26770

26770 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

26770 compared with similar codes

How to choose

26775Finger dislocation

Both address closed treatment of a finger interphalangeal dislocation. Choose 26770 when reduction is performed without anesthesia and 26775 when anesthesia is required.

26776Finger dislocation

26770 describes closed reduction without anesthesia; 26776 is for treatment using percutaneous fixation.

26700MCP dislocation

26700 concerns a metacarpophalangeal, or knuckle, dislocation. 26770 is for an interphalangeal joint dislocation.

26785Finger dislocation

Use 26785 when the dislocation is treated with an open approach; 26770 describes closed reduction without anesthesia.

Codes related to 26770

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