$401.59
26700 is closed treatment of an MCP dislocation without manipulation. Use 26715 when the surgeon treats the joint through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
26715 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$538.53
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 26715: Open treatment of knuckle dislocation
Open reduction of a single metacarpophalangeal joint dislocation, typically when closed reduction fails or soft tissue blocks alignment.
A hand or orthopedic surgeon uses an open approach to restore alignment of a dislocated metacarpophalangeal joint. This may be needed when a closed reduction cannot restore the joint, such as when soft tissue is trapped between the joint surfaces, or when the surgeon determines open treatment is necessary. The procedure is commonly performed in an operating room for a traumatic knuckle dislocation.
Report this code for open treatment of one MCP joint dislocation; distinguish it from closed reduction and percutaneous fixation. The operative note should identify the joint and digit, describe the open reduction, and document any fixation. Internal fixation, when performed, is included. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26715
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.85 · 42%
- Practice expense (office) RVU8.15 · 50%
- Malpractice RVU1.32 · 8%
253
Medicare services in 2024 · #4131 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.
26715 compared with similar codes
Office rates for Delaware, from the same CMS release.
$482.51
26705 covers closed treatment with manipulation requiring anesthesia; 26715 covers open treatment of the MCP dislocation.
No office rate
26706 uses percutaneous skeletal fixation. 26715 is for open treatment, with internal fixation included when performed.
No office rate
26785 is open treatment of a dislocation at a finger interphalangeal joint. 26715 is for an MCP joint.
The same code, a different location
How does Delaware compare?
26715 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Alabama
Alabama · 26715
Office
Unavailable
Facility
$491.94
No comparable office rate is available.
Arkansas
Arkansas · 26715
Office
Unavailable
Facility
$485.34
No comparable office rate is available.
Arizona
Arizona · 26715
Office
Unavailable
Facility
$530.32
No comparable office rate is available.
Bakersfield
California · 26715
Office
Unavailable
Facility
$558.34
No comparable office rate is available.
Chico
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
El Centro
California · 26715
Office
Unavailable
Facility
$554.89
No comparable office rate is available.
Fresno
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Hanford-Corcoran
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Madera
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Merced
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Modesto
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Napa
California · 26715
Office
Unavailable
Facility
$624.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26715
Office
Unavailable
Facility
$584.43
No comparable office rate is available.
Redding
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Rest Of California
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26715
Office
Unavailable
Facility
$568.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26715
Office
Unavailable
Facility
$577.25
No comparable office rate is available.
Salinas
California · 26715
Office
Unavailable
Facility
$575.02
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26715
Office
Unavailable
Facility
$585.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26715
Office
Unavailable
Facility
$654.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26715
Office
Unavailable
Facility
$653.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26715
Office
Unavailable
Facility
$670.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26715
Office
Unavailable
Facility
$664.00
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26715
Office
Unavailable
Facility
$566.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26715
Office
Unavailable
Facility
$587.98
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26715
Office
Unavailable
Facility
$576.24
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26715
Office
Unavailable
Facility
$593.57
No comparable office rate is available.
Stockton
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Vallejo
California · 26715
Office
Unavailable
Facility
$622.23
No comparable office rate is available.
Visalia
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Yuba City
California · 26715
Office
Unavailable
Facility
$554.67
No comparable office rate is available.
Colorado
Colorado · 26715
Office
Unavailable
Facility
$555.61
No comparable office rate is available.
Connecticut
Connecticut · 26715
Office
Unavailable
Facility
$579.90
No comparable office rate is available.
Fort Lauderdale
Florida · 26715
Office
Unavailable
Facility
$584.27
No comparable office rate is available.
Rest Of Florida
Florida · 26715
Office
Unavailable
Facility
$555.30
No comparable office rate is available.
Atlanta
Georgia · 26715
Office
Unavailable
Facility
$559.01
No comparable office rate is available.
Rest Of Georgia
Georgia · 26715
Office
Unavailable
Facility
$524.17
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26715
Office
Unavailable
Facility
$563.83
No comparable office rate is available.
Iowa
Iowa · 26715
Office
Unavailable
Facility
$495.38
No comparable office rate is available.
Idaho
Idaho · 26715
Office
Unavailable
Facility
$500.09
No comparable office rate is available.
East St. Louis
Illinois · 26715
Office
Unavailable
Facility
$568.03
No comparable office rate is available.
Rest Of Illinois
Illinois · 26715
Office
Unavailable
Facility
$546.24
No comparable office rate is available.
Suburban Chicago
Illinois · 26715
Office
Unavailable
Facility
$588.09
No comparable office rate is available.
Indiana
Indiana · 26715
Office
Unavailable
Facility
$502.57
No comparable office rate is available.
Kansas
Kansas · 26715
Office
Unavailable
Facility
$497.10
No comparable office rate is available.
Kentucky
Kentucky · 26715
Office
Unavailable
Facility
$511.14
No comparable office rate is available.
New Orleans
Louisiana · 26715
Office
Unavailable
Facility
$535.04
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26715
Office
Unavailable
Facility
$511.95
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26715
Office
Unavailable
Facility
$602.44
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26715
Office
Unavailable
Facility
$554.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26715
Office
Unavailable
Facility
$579.08
No comparable office rate is available.
Rest Of Maryland
Maryland · 26715
Office
Unavailable
Facility
$547.04
No comparable office rate is available.
Rest Of Maine
Maine · 26715
Office
Unavailable
Facility
$506.66
No comparable office rate is available.
Southern Maine
Maine · 26715
Office
Unavailable
Facility
$526.38
No comparable office rate is available.
Detroit
Michigan · 26715
Office
Unavailable
Facility
$565.82
No comparable office rate is available.
Rest Of Michigan
Michigan · 26715
Office
Unavailable
Facility
$527.11
No comparable office rate is available.
Minnesota
Minnesota · 26715
Office
Unavailable
Facility
$521.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26715
Office
Unavailable
Facility
$527.48
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26715
Office
Unavailable
Facility
$532.12
No comparable office rate is available.
Rest Of Missouri
Missouri · 26715
Office
Unavailable
Facility
$506.39
No comparable office rate is available.
Mississippi
Mississippi · 26715
Office
Unavailable
Facility
$495.76
No comparable office rate is available.
Montana**
Montana · 26715
Office
Unavailable
Facility
$545.01
No comparable office rate is available.
North Carolina
North Carolina · 26715
Office
Unavailable
Facility
$510.95
No comparable office rate is available.
North Dakota**
North Dakota · 26715
Office
Unavailable
Facility
$518.91
No comparable office rate is available.
Nebraska
Nebraska · 26715
Office
Unavailable
Facility
$496.72
No comparable office rate is available.
New Hampshire
New Hampshire · 26715
Office
Unavailable
Facility
$550.75
No comparable office rate is available.
Northern Nj
New Jersey · 26715
Office
Unavailable
Facility
$606.07
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26715
Office
Unavailable
Facility
$583.58
No comparable office rate is available.
New Mexico
New Mexico · 26715
Office
Unavailable
Facility
$531.37
No comparable office rate is available.
Nevada**
Nevada · 26715
Office
Unavailable
Facility
$538.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26715
Office
Unavailable
Facility
$648.98
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26715
Office
Unavailable
Facility
$590.52
No comparable office rate is available.
Queens
New York · 26715
Office
Unavailable
Facility
$628.78
No comparable office rate is available.
Rest Of New York
New York · 26715
Office
Unavailable
Facility
$518.40
No comparable office rate is available.
Ohio
Ohio · 26715
Office
Unavailable
Facility
$521.77
No comparable office rate is available.
Oklahoma
Oklahoma · 26715
Office
Unavailable
Facility
$506.14
No comparable office rate is available.
Portland
Oregon · 26715
Office
Unavailable
Facility
$567.69
No comparable office rate is available.
Rest Of Oregon
Oregon · 26715
Office
Unavailable
Facility
$530.92
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26715
Office
Unavailable
Facility
$568.89
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26715
Office
Unavailable
Facility
$520.36
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26715
Office
Unavailable
Facility
$547.44
No comparable office rate is available.
Rhode Island
Rhode Island · 26715
Office
Unavailable
Facility
$553.67
No comparable office rate is available.
South Carolina
South Carolina · 26715
Office
Unavailable
Facility
$517.80
No comparable office rate is available.
South Dakota**
South Dakota · 26715
Office
Unavailable
Facility
$515.83
No comparable office rate is available.
Tennessee
Tennessee · 26715
Office
Unavailable
Facility
$499.92
No comparable office rate is available.
Austin
Texas · 26715
Office
Unavailable
Facility
$556.32
No comparable office rate is available.
Beaumont
Texas · 26715
Office
Unavailable
Facility
$517.47
No comparable office rate is available.
Brazoria
Texas · 26715
Office
Unavailable
Facility
$534.78
No comparable office rate is available.
Dallas
Texas · 26715
Office
Unavailable
Facility
$539.81
No comparable office rate is available.
Fort Worth
Texas · 26715
Office
Unavailable
Facility
$537.66
No comparable office rate is available.
Galveston
Texas · 26715
Office
Unavailable
Facility
$537.44
No comparable office rate is available.
Houston
Texas · 26715
Office
Unavailable
Facility
$561.61
No comparable office rate is available.
Rest Of Texas
Texas · 26715
Office
Unavailable
Facility
$526.94
No comparable office rate is available.
Utah
Utah · 26715
Office
Unavailable
Facility
$524.27
No comparable office rate is available.
Virginia
Virginia · 26715
Office
Unavailable
Facility
$527.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26715
Office
Unavailable
Facility
$547.44
No comparable office rate is available.
Vermont
Vermont · 26715
Office
Unavailable
Facility
$520.60
No comparable office rate is available.
Rest Of Washington
Washington · 26715
Office
Unavailable
Facility
$551.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26715
Office
Unavailable
Facility
$610.27
No comparable office rate is available.
Wisconsin
Wisconsin · 26715
Office
Unavailable
Facility
$503.16
No comparable office rate is available.
West Virginia
West Virginia · 26715
Office
Unavailable
Facility
$528.44
No comparable office rate is available.
Wyoming**
Wyoming · 26715
Office
Unavailable
Facility
$533.64
No comparable office rate is available.
See how rates vary across the country
26715 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 26715 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$592.38
$538.53 × 110% = $592.38
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
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 26715 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,675
- Code
- 26715
- Physician work
- 6.85
- Practice expense
- 8.15
- Malpractice
- 1.32
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.85 | × 1.005 | 6.8842 |
| Practice expense | 8.15 | × 0.988 | 8.0522 |
| Malpractice | 1.32 | × 0.899 | 1.1867 |
| Total RVUs | 16.1231 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$538.53
Open 26715 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.85 | 1.005 |
| Practice expense | 8.15 | 0.988 |
| Malpractice | 1.32 | 0.899 |
(6.85 × 1.005 + 8.15 × 0.988 + 1.32 × 0.899) × $33.4009 = $538.53
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
26715 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $538.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $538.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $538.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $538.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $571.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $571.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $571.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $571.85 | RVU25A |
26715 billing questions
How does this differ from 26705?
26705 is for closed treatment with manipulation requiring anesthesia. Report 26715 when the dislocation is treated through an open approach.
Can internal fixation be reported separately?
No. Internal fixation, when performed as part of the open treatment, is included in 26715.
When is 26706 a better fit?
26706 describes percutaneous skeletal fixation of an MCP dislocation. Use 26715 for open treatment.
What documentation supports 26715?
Document the affected MCP joint and digit, the dislocation, the open approach and reduction, and any fixation performed.
Can modifier 50 be used for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care.
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.
2,67226700,,Treat knuckle dislocation,A,,3.73,7.62,,5.87,,0.83,12.18,10.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67326705,,Treat knuckle dislocation,A,,4.27,9.45,,6.69,,0.91,14.63,11.87,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67426706,,Pin knuckle dislocation,A,,5.18,6.45,NA,6.45,,0.89,12.52,12.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67526715,,Treat knuckle dislocation,A,,6.85,8.15,NA,8.15,,1.32,16.32,16.32,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67626720,,Treat finger fracture each,A,,1.72,4.97,,4.06,,0.36,7.05,6.14,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67726725,,Treat finger fracture each,A,,3.39,7.74,,5.53,,0.72,11.85,9.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67826727,,Treat finger fracture each,A,,5.28,7.36,NA,7.36,,1.04,13.68,13.68,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503