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CMS RVU26D · Effective 2026-10-01

26770 in Austin

Office / nonfacility

$373.01

Base rate per service

Facility setting

$315.76

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Hand surgery

About 26770: Closed reduction of finger joint dislocation

Reports closed reduction of a single finger interphalangeal joint dislocation when the joint is reduced without anesthesia.

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.

CMS billing rules for 26770

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.07 · 28%
  • Practice expense (office) RVU7.07 · 65%
  • Malpractice RVU0.69 · 6%

5.6K

Medicare services in 2024 · #1799 by national volume

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.

26770 compared with similar codes

Office rates for Austin, from the same CMS release.

26775

Finger dislocation

Closed reduction with anesthesia

$453.22

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

26776

Finger dislocation

Percutaneous fixation

No office rate

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

26700

MCP dislocation

Without manipulation

$418.67

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

26785

Finger dislocation

Open interphalangeal treatment

No office rate

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

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 26770 is $338.84—$34.17 lower than the $373.01 rate in Austin. Both use the same code, release and participation basis.

26770 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $373.01

  2. Beaumont

    $338.84

    $34.17 lower than Austin

  3. Brazoria

    $355.36

    $17.65 lower than Austin

  4. Dallas

    $358.44

    $14.57 lower than Austin

  5. Fort Worth

    $356.38

    $16.63 lower than Austin

  6. Galveston

    $356.94

    $16.07 lower than Austin

  7. Houston

    $369.56

    $3.45 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 26770 ranges from $317.26 in Arkansas to $466.69 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 26770

    Office

    $347.45

    Facility

    $296.10

    $25.56 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 26770

    Office

    $401.41

    Facility

    $337.40

    $28.40 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 26770

    Office

    $411.91

    Facility

    $348.17

    $38.90 higher than Austin for the office setting.

  • Miami

    Florida · 26770

    Office

    $406.65

    Facility

    $350.32

    $33.64 higher than Austin for the office setting.

  • Chicago

    Illinois · 26770

    Office

    $393.48

    Facility

    $339.10

    $20.47 higher than Austin for the office setting.

  • Manhattan

    New York · 26770

    Office

    $420.06

    Facility

    $357.18

    $47.05 higher than Austin for the office setting.

  • Alaska*

    Alaska · 26770

    Office

    $418.00

    Facility

    $360.38

    $44.99 higher than Austin for the office setting.

  • Alabama

    Alabama · 26770

    Office

    $322.21

    Facility

    $274.87

    $50.80 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 26770

    Office

    $317.26

    Facility

    $270.78

    $55.75 lower than Austin for the office setting.

  • Arizona

    Arizona · 26770

    Office

    $351.09

    Facility

    $298.66

    $21.92 lower than Austin for the office setting.

  • Bakersfield

    California · 26770

    Office

    $377.34

    Facility

    $318.03

    $4.33 higher than Austin for the office setting.

  • Chico

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • El Centro

    California · 26770

    Office

    $375.57

    Facility

    $316.26

    $2.56 higher than Austin for the office setting.

  • Fresno

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Madera

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Merced

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Modesto

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Napa

    California · 26770

    Office

    $431.95

    Facility

    $360.63

    $58.94 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 26770

    Office

    $398.89

    Facility

    $334.94

    $25.88 higher than Austin for the office setting.

  • Redding

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Rest Of California

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 26770

    Office

    $382.86

    Facility

    $323.56

    $9.85 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 26770

    Office

    $393.22

    Facility

    $330.29

    $20.21 higher than Austin for the office setting.

  • Salinas

    California · 26770

    Office

    $391.76

    Facility

    $329.05

    $18.75 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 26770

    Office

    $400.54

    Facility

    $335.82

    $27.53 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 26770

    Office

    $455.82

    Facility

    $379.53

    $82.81 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 26770

    Office

    $455.04

    Facility

    $378.75

    $82.03 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 26770

    Office

    $466.69

    Facility

    $388.67

    $93.68 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 26770

    Office

    $463.49

    Facility

    $385.46

    $90.48 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 26770

    Office

    $385.61

    Facility

    $323.97

    $12.60 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 26770

    Office

    $403.96

    Facility

    $338.22

    $30.95 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 26770

    Office

    $393.11

    Facility

    $330.02

    $20.10 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 26770

    Office

    $407.96

    Facility

    $341.51

    $34.95 higher than Austin for the office setting.

  • Stockton

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Vallejo

    California · 26770

    Office

    $430.82

    Facility

    $359.50

    $57.81 higher than Austin for the office setting.

  • Visalia

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Yuba City

    California · 26770

    Office

    $375.45

    Facility

    $316.15

    $2.44 higher than Austin for the office setting.

  • Colorado

    Colorado · 26770

    Office

    $373.03

    Facility

    $315.46

    $0.02 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 26770

    Office

    $386.81

    Facility

    $328.53

    $13.80 higher than Austin for the office setting.

  • Delaware

    Delaware · 26770

    Office

    $357.08

    Facility

    $303.62

    $15.93 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 26770

    Office

    $383.42

    Facility

    $328.61

    $10.41 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 26770

    Office

    $362.93

    Facility

    $311.21

    $10.08 lower than Austin for the office setting.

  • Atlanta

    Georgia · 26770

    Office

    $370.45

    Facility

    $315.47

    $2.56 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 26770

    Office

    $340.65

    Facility

    $292.39

    $32.36 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 26770

    Office

    $384.38

    Facility

    $322.86

    $11.37 higher than Austin for the office setting.

  • Iowa

    Iowa · 26770

    Office

    $327.76

    Facility

    $278.25

    $45.25 lower than Austin for the office setting.

  • Idaho

    Idaho · 26770

    Office

    $330.69

    Facility

    $280.91

    $42.32 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 26770

    Office

    $366.21

    Facility

    $316.43

    $6.80 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 26770

    Office

    $354.16

    Facility

    $304.76

    $18.85 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 26770

    Office

    $386.62

    Facility

    $331.05

    $13.61 higher than Austin for the office setting.

  • Indiana

    Indiana · 26770

    Office

    $332.65

    Facility

    $282.49

    $40.36 lower than Austin for the office setting.

  • Kansas

    Kansas · 26770

    Office

    $327.63

    Facility

    $278.72

    $45.38 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 26770

    Office

    $333.56

    Facility

    $285.46

    $39.45 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 26770

    Office

    $350.93

    Facility

    $300.02

    $22.08 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 26770

    Office

    $333.61

    Facility

    $285.72

    $39.40 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 26770

    Office

    $409.21

    Facility

    $344.61

    $36.20 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 26770

    Office

    $371.21

    Facility

    $314.23

    $1.80 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 26770

    Office

    $386.07

    Facility

    $328.01

    $13.06 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 26770

    Office

    $363.70

    Facility

    $308.94

    $9.31 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 26770

    Office

    $334.13

    Facility

    $284.35

    $38.88 lower than Austin for the office setting.

  • Southern Maine

    Maine · 26770

    Office

    $351.10

    Facility

    $297.48

    $21.91 lower than Austin for the office setting.

  • Detroit

    Michigan · 26770

    Office

    $369.28

    Facility

    $317.06

    $3.73 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 26770

    Office

    $344.16

    Facility

    $294.76

    $28.85 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 26770

    Office

    $352.36

    Facility

    $296.68

    $20.65 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 26770

    Office

    $346.80

    Facility

    $295.99

    $26.21 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 26770

    Office

    $350.44

    Facility

    $298.93

    $22.57 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 26770

    Office

    $328.54

    Facility

    $281.90

    $44.47 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 26770

    Office

    $322.89

    Facility

    $276.30

    $50.12 lower than Austin for the office setting.

  • Montana**

    Montana · 26770

    Office

    $361.69

    Facility

    $307.58

    $11.32 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 26770

    Office

    $337.59

    Facility

    $287.11

    $35.42 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 26770

    Office

    $348.04

    Facility

    $293.93

    $24.97 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 26770

    Office

    $329.21

    Facility

    $279.27

    $43.80 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 26770

    Office

    $368.53

    Facility

    $312.20

    $4.48 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 26770

    Office

    $407.54

    Facility

    $344.78

    $34.53 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 26770

    Office

    $389.79

    Facility

    $330.71

    $16.78 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 26770

    Office

    $346.76

    Facility

    $297.15

    $26.25 lower than Austin for the office setting.

  • Nevada**

    Nevada · 26770

    Office

    $358.12

    Facility

    $303.96

    $14.89 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 26770

    Office

    $432.68

    Facility

    $368.34

    $59.67 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 26770

    Office

    $393.62

    Facility

    $334.37

    $20.61 higher than Austin for the office setting.

  • Queens

    New York · 26770

    Office

    $421.46

    Facility

    $357.50

    $48.45 higher than Austin for the office setting.

  • Rest Of New York

    New York · 26770

    Office

    $343.08

    Facility

    $291.68

    $29.93 lower than Austin for the office setting.

  • Ohio

    Ohio · 26770

    Office

    $341.37

    Facility

    $291.97

    $31.64 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 26770

    Office

    $331.32

    Facility

    $283.01

    $41.69 lower than Austin for the office setting.

  • Portland

    Oregon · 26770

    Office

    $383.68

    Facility

    $323.57

    $10.67 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 26770

    Office

    $353.94

    Facility

    $300.05

    $19.07 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 26770

    Office

    $377.71

    Facility

    $321.38

    $4.70 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 26770

    Office

    $341.10

    Facility

    $291.43

    $31.91 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 26770

    Office

    $363.98

    Facility

    $309.28

    $9.03 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 26770

    Office

    $368.98

    Facility

    $313.09

    $4.03 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 26770

    Office

    $340.33

    Facility

    $290.33

    $32.68 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 26770

    Office

    $346.43

    Facility

    $292.32

    $26.58 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 26770

    Office

    $329.57

    Facility

    $280.39

    $43.44 lower than Austin for the office setting.

  • Utah

    Utah · 26770

    Office

    $345.21

    Facility

    $294.35

    $27.80 lower than Austin for the office setting.

  • Virginia

    Virginia · 26770

    Office

    $350.94

    Facility

    $297.75

    $22.07 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 26770

    Office

    $363.98

    Facility

    $309.28

    $9.03 lower than Austin for the office setting.

  • Vermont

    Vermont · 26770

    Office

    $347.99

    Facility

    $294.42

    $25.02 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 26770

    Office

    $370.07

    Facility

    $313.10

    $2.94 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 26770

    Office

    $416.25

    Facility

    $349.85

    $43.24 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 26770

    Office

    $335.87

    Facility

    $284.03

    $37.14 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 26770

    Office

    $340.73

    Facility

    $293.71

    $32.28 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 26770

    Office

    $355.74

    Facility

    $301.63

    $17.27 lower than Austin for the office setting.

See how rates vary across the country

26770 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

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

$317.26

$421.07

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$418.001
AL$322.211
AR$317.261
AZ$351.091
CA$375.45–$466.6929
CO$373.031
CT$386.811
DC$411.911
DE$357.081
FL$362.93–$406.653
GA$340.65–$370.452
GU$384.381
HI$384.381
IA$327.761
ID$330.691
IL$354.16–$393.484
IN$332.651
KS$327.631
KY$333.561
LA$333.61–$350.932
MA$371.21–$409.212
MD$363.70–$411.913
ME$334.13–$351.102
MI$344.16–$369.282
MN$352.361
MO$328.54–$350.443
MS$322.891
MT$361.691
NC$337.591
ND$348.041
NE$329.211
NH$368.531
NJ$389.79–$407.542
NM$346.761
NV$358.121
NY$343.08–$432.685
OH$341.371
OK$331.321
OR$353.94–$383.682
PA$341.10–$377.712
PR$363.981
RI$368.981
SC$340.331
SD$346.431
TN$329.571
TX$338.84–$373.018
UT$345.211
VA$350.94–$411.912
VI$363.981
VT$347.991
WA$370.07–$416.252
WI$335.871
WV$340.731
WY$355.741

Explore 26770 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 26770 in Austin, the physician’s office rate is $373.01 and the facility-setting rate is $315.76: a difference of $57.25.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 26770 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$410.31

$373.01 × 110% = $410.31

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26770 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,687

Code
26770
Physician work
3.07
Practice expense
7.07
Malpractice
0.69

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 26770 in Austin
ComponentRVULocality factorAdjusted
Physician work3.07× 1.0023.0761
Practice expense7.07× 1.0587.4801
Malpractice0.69× 0.8860.6113
Total RVUs11.1675
Conversion factor× 33.4009

Office / nonfacility rate, Austin$373.01

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 26770 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.071.002
Practice expense7.071.058
Malpractice0.690.886

(3.07 × 1.002 + 7.07 × 1.058 + 0.69 × 0.886) × $33.4009 = $373.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.071.002
Practice expense5.451.058
Malpractice0.690.886

(3.07 × 1.002 + 5.45 × 1.058 + 0.69 × 0.886) × $33.4009 = $315.76

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

26770 · Office / nonfacility

$373.01

Effective 2026-10-01

The base rate is $69.45 higher than on 2025-10-01, moving from $303.56 to $373.01 (22.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $303.56changed to$373.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.15 changed to 3.07
    • Practice expense RVU 5.41 changed to 7.07
    • Malpractice RVU 0.63 changed to 0.69
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $303.56

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$373.01$315.76RVU26D
2026-07-01$373.01$315.76RVU26C
2026-04-01$373.01$315.76RVU26B
2026-01-01$373.01$315.76RVU26A
2025-10-01$303.56$275.48RVU25D
2025-07-01$303.56$275.48RVU25C
2025-04-01$303.56$275.48RVU25B
2025-01-01$303.56$275.48RVU25A

26770 billing questions

When should 26770 be chosen over 26775?

Use 26770 for closed reduction of a single finger interphalangeal joint dislocation without anesthesia. Use 26775 when the reduction requires anesthesia.

Does this code cover a dislocated knuckle?

No. This code is for an interphalangeal joint; a metacarpophalangeal, or knuckle, dislocation is represented by a different code family, including 26700 or 26705 depending on the treatment circumstances.

Can reduction and routine follow-up be billed separately?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The reduction is the service reported under this code.

Should modifier 50 be appended for dislocations on both hands?

No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.

Can an assistant or co-surgeon be paid for this procedure?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What happens if another procedure is performed in the same session?

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 26770PPRRVU2026_Oct_nonQPP.csv, line 2,687 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)