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CMS RVU26D · Effective 2026-10-01

26720 in Delaware

Office / nonfacility

$232.56

Base rate per service

Facility setting

$202.53

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.

Fracture care

About 26720: Closed treatment of phalangeal shaft fracture

Closed, nonmanipulative care for a proximal or middle phalanx shaft fracture of a finger or thumb, reported separately for each treated fracture.

CPT 26720 covers closed management of a shaft fracture in the proximal or middle phalanx of a finger or thumb when the fracture is treated without manipulation. A typical case is a stable proximal phalanx shaft fracture managed with immobilization rather than reduction. Orthopedic and hand surgeons commonly provide this care; it may be initiated in an office or facility setting.

Report the code for each treated fracture. Documentation should identify the digit, phalanx and shaft location, closed treatment approach, and the plan showing that manipulation was not performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

CMS billing rules for 26720

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 RVU1.72 · 24%
  • Practice expense (office) RVU4.97 · 70%
  • Malpractice RVU0.36 · 5%

7.4K

Medicare services in 2024 · #1631 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.

26720 compared with similar codes

Office rates for Delaware, from the same CMS release.

26725

Finger fracture treatment

Manipulated shaft fracture

$390.84

Both codes address closed treatment of a proximal or middle phalanx shaft fracture. Choose 26720 when treatment does not involve manipulation; choose 26725 when manipulation is performed.

26727

Finger fracture care

Neck fracture, manipulated

No office rate

26720 describes closed treatment without manipulation. Use 26727 when the shaft fracture is treated with percutaneous skeletal fixation.

26735

Finger fracture repair

Proximal or middle shaft

No office rate

26720 is closed treatment without manipulation; 26735 is for open treatment of a proximal or middle phalanx shaft fracture.

26740

Finger fracture

Joint fracture, no manipulation

$259.04

26740 applies to an articular fracture involving a finger joint, rather than a shaft fracture of the proximal or middle phalanx.

The same code, a different location

How does Delaware compare?

26720 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $232.56

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $264.17

    $31.61 higher than Delaware

  3. Dc + Md/Va Suburbs

    $269.49

    $36.93 higher than Delaware

  4. Miami

    $260.67

    $28.11 higher than Delaware

  5. Chicago

    $252.28

    $19.72 higher than Delaware

  6. Manhattan

    $273.09

    $40.53 higher than Delaware

  7. Alaska*

    $269.59

    $37.03 higher than Delaware

Other payment areas listed in Delaware 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, 26720 ranges from $206.24 in Arkansas to $309.59 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

  • Alabama

    Alabama · 26720

    Office

    $209.51

    Facility

    $182.91

    $23.05 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 26720

    Office

    $206.24

    Facility

    $180.13

    $26.32 lower than Delaware for the office setting.

  • Arizona

    Arizona · 26720

    Office

    $228.60

    Facility

    $199.15

    $3.96 lower than Delaware for the office setting.

  • Bakersfield

    California · 26720

    Office

    $247.80

    Facility

    $214.49

    $15.24 higher than Delaware for the office setting.

  • Chico

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • El Centro

    California · 26720

    Office

    $246.87

    Facility

    $213.56

    $14.31 higher than Delaware for the office setting.

  • Fresno

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Madera

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Merced

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Modesto

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Napa

    California · 26720

    Office

    $285.97

    Facility

    $245.91

    $53.41 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 26720

    Office

    $262.76

    Facility

    $226.84

    $30.20 higher than Delaware for the office setting.

  • Redding

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Rest Of California

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 26720

    Office

    $250.68

    Facility

    $217.37

    $18.12 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 26720

    Office

    $259.02

    Facility

    $223.67

    $26.46 higher than Delaware for the office setting.

  • Salinas

    California · 26720

    Office

    $258.07

    Facility

    $222.84

    $25.51 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 26720

    Office

    $264.23

    Facility

    $227.88

    $31.67 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 26720

    Office

    $302.49

    Facility

    $259.63

    $69.93 higher than Delaware for the office setting.

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

    California · 26720

    Office

    $302.08

    Facility

    $259.22

    $69.52 higher than Delaware for the office setting.

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

    California · 26720

    Office

    $309.59

    Facility

    $265.76

    $77.03 higher than Delaware for the office setting.

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

    California · 26720

    Office

    $307.92

    Facility

    $264.09

    $75.36 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 26720

    Office

    $253.95

    Facility

    $219.33

    $21.39 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 26720

    Office

    $266.79

    Facility

    $229.86

    $34.23 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 26720

    Office

    $259.06

    Facility

    $223.62

    $26.50 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 26720

    Office

    $269.47

    Facility

    $232.14

    $36.91 higher than Delaware for the office setting.

  • Stockton

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Vallejo

    California · 26720

    Office

    $285.38

    Facility

    $245.32

    $52.82 higher than Delaware for the office setting.

  • Visalia

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Yuba City

    California · 26720

    Office

    $246.81

    Facility

    $213.50

    $14.25 higher than Delaware for the office setting.

  • Colorado

    Colorado · 26720

    Office

    $244.16

    Facility

    $211.82

    $11.60 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 26720

    Office

    $251.93

    Facility

    $219.20

    $19.37 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 26720

    Office

    $247.35

    Facility

    $216.56

    $14.79 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 26720

    Office

    $234.22

    Facility

    $205.16

    $1.66 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 26720

    Office

    $240.72

    Facility

    $209.84

    $8.16 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 26720

    Office

    $219.86

    Facility

    $192.74

    $12.70 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 26720

    Office

    $253.16

    Facility

    $218.60

    $20.60 higher than Delaware for the office setting.

  • Iowa

    Iowa · 26720

    Office

    $214.12

    Facility

    $186.30

    $18.44 lower than Delaware for the office setting.

  • Idaho

    Idaho · 26720

    Office

    $215.86

    Facility

    $187.90

    $16.70 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 26720

    Office

    $234.39

    Facility

    $206.43

    $1.83 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 26720

    Office

    $227.80

    Facility

    $200.05

    $4.76 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 26720

    Office

    $249.64

    Facility

    $218.43

    $17.08 higher than Delaware for the office setting.

  • Indiana

    Indiana · 26720

    Office

    $217.18

    Facility

    $189.00

    $15.38 lower than Delaware for the office setting.

  • Kansas

    Kansas · 26720

    Office

    $213.58

    Facility

    $186.10

    $18.98 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 26720

    Office

    $216.03

    Facility

    $189.01

    $16.53 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 26720

    Office

    $227.32

    Facility

    $198.72

    $5.24 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 26720

    Office

    $215.88

    Facility

    $188.98

    $16.68 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 26720

    Office

    $268.71

    Facility

    $232.42

    $36.15 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 26720

    Office

    $242.75

    Facility

    $210.75

    $10.19 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 26720

    Office

    $251.36

    Facility

    $218.75

    $18.80 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 26720

    Office

    $237.06

    Facility

    $206.30

    $4.50 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 26720

    Office

    $217.65

    Facility

    $189.69

    $14.91 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 26720

    Office

    $229.55

    Facility

    $199.42

    $3.01 lower than Delaware for the office setting.

  • Detroit

    Michigan · 26720

    Office

    $237.91

    Facility

    $208.58

    $5.35 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 26720

    Office

    $222.59

    Facility

    $194.83

    $9.97 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 26720

    Office

    $231.83

    Facility

    $200.55

    $0.73 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 26720

    Office

    $225.07

    Facility

    $196.53

    $7.49 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 26720

    Office

    $227.53

    Facility

    $198.60

    $5.03 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 26720

    Office

    $212.26

    Facility

    $186.06

    $20.30 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 26720

    Office

    $209.26

    Facility

    $183.09

    $23.30 lower than Delaware for the office setting.

  • Montana**

    Montana · 26720

    Office

    $235.45

    Facility

    $205.06

    $2.89 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 26720

    Office

    $220.01

    Facility

    $191.66

    $12.55 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 26720

    Office

    $228.33

    Facility

    $197.94

    $4.23 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 26720

    Office

    $215.22

    Facility

    $187.16

    $17.34 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 26720

    Office

    $240.78

    Facility

    $209.14

    $8.22 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 26720

    Office

    $266.47

    Facility

    $231.22

    $33.91 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 26720

    Office

    $254.21

    Facility

    $221.02

    $21.65 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 26720

    Office

    $224.12

    Facility

    $196.24

    $8.44 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 26720

    Office

    $233.63

    Facility

    $203.21

    $1.07 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 26720

    Office

    $280.83

    Facility

    $244.69

    $48.27 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 26720

    Office

    $256.36

    Facility

    $223.07

    $23.80 higher than Delaware for the office setting.

  • Queens

    New York · 26720

    Office

    $274.68

    Facility

    $238.75

    $42.12 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 26720

    Office

    $223.60

    Facility

    $194.73

    $8.96 lower than Delaware for the office setting.

  • Ohio

    Ohio · 26720

    Office

    $221.13

    Facility

    $193.38

    $11.43 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 26720

    Office

    $215.03

    Facility

    $187.89

    $17.53 lower than Delaware for the office setting.

  • Portland

    Oregon · 26720

    Office

    $251.74

    Facility

    $217.97

    $19.18 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 26720

    Office

    $231.24

    Facility

    $200.97

    $1.32 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 26720

    Office

    $245.64

    Facility

    $214.00

    $13.08 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 26720

    Office

    $221.20

    Facility

    $193.30

    $11.36 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 26720

    Office

    $237.12

    Facility

    $206.39

    $4.56 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 26720

    Office

    $240.75

    Facility

    $209.35

    $8.19 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 26720

    Office

    $221.06

    Facility

    $192.97

    $11.50 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 26720

    Office

    $227.49

    Facility

    $197.10

    $5.07 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 26720

    Office

    $214.80

    Facility

    $187.17

    $17.76 lower than Delaware for the office setting.

  • Austin

    Texas · 26720

    Office

    $243.85

    Facility

    $211.69

    $11.29 higher than Delaware for the office setting.

  • Beaumont

    Texas · 26720

    Office

    $219.68

    Facility

    $192.02

    $12.88 lower than Delaware for the office setting.

  • Brazoria

    Texas · 26720

    Office

    $231.80

    Facility

    $201.68

    $0.76 lower than Delaware for the office setting.

  • Dallas

    Texas · 26720

    Office

    $233.62

    Facility

    $203.35

    $1.06 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 26720

    Office

    $232.12

    Facility

    $202.15

    $0.44 lower than Delaware for the office setting.

  • Galveston

    Texas · 26720

    Office

    $232.71

    Facility

    $202.52

    $0.15 higher than Delaware for the office setting.

  • Houston

    Texas · 26720

    Office

    $239.30

    Facility

    $209.11

    $6.74 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 26720

    Office

    $225.84

    Facility

    $197.00

    $6.72 lower than Delaware for the office setting.

  • Utah

    Utah · 26720

    Office

    $224.29

    Facility

    $195.72

    $8.27 lower than Delaware for the office setting.

  • Virginia

    Virginia · 26720

    Office

    $229.12

    Facility

    $199.24

    $3.44 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 26720

    Office

    $237.12

    Facility

    $206.39

    $4.56 higher than Delaware for the office setting.

  • Vermont

    Vermont · 26720

    Office

    $227.88

    Facility

    $197.79

    $4.68 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 26720

    Office

    $242.15

    Facility

    $210.14

    $9.59 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 26720

    Office

    $273.83

    Facility

    $236.54

    $41.27 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 26720

    Office

    $220.18

    Facility

    $191.07

    $12.38 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 26720

    Office

    $218.91

    Facility

    $192.50

    $13.65 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 26720

    Office

    $232.35

    Facility

    $201.96

    $0.21 lower than Delaware for the office setting.

See how rates vary across the country

26720 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$206.24

$278.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$269.591
AL$209.511
AR$206.241
AZ$228.601
CA$246.81–$309.5929
CO$244.161
CT$251.931
DC$269.491
DE$232.561
FL$234.22–$260.673
GA$219.86–$240.722
GU$253.161
HI$253.161
IA$214.121
ID$215.861
IL$227.80–$252.284
IN$217.181
KS$213.581
KY$216.031
LA$215.88–$227.322
MA$242.75–$268.712
MD$237.06–$269.493
ME$217.65–$229.552
MI$222.59–$237.912
MN$231.831
MO$212.26–$227.533
MS$209.261
MT$235.451
NC$220.011
ND$228.331
NE$215.221
NH$240.781
NJ$254.21–$266.472
NM$224.121
NV$233.631
NY$223.60–$280.835
OH$221.131
OK$215.031
OR$231.24–$251.742
PA$221.20–$245.642
PR$237.121
RI$240.751
SC$221.061
SD$227.491
TN$214.801
TX$219.68–$243.858
UT$224.291
VA$229.12–$269.492
VI$237.121
VT$227.881
WA$242.15–$273.832
WI$220.181
WV$218.911
WY$232.351

Explore 26720 on the national rate map →

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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 26720 in Delaware, the physician’s office rate is $232.56 and the facility-setting rate is $202.53: a difference of $30.03.

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 26720 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$255.82

$232.56 × 110% = $255.82

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.

Compare your contract offer →

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 26720 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

2,676

Code
26720
Physician work
1.72
Practice expense
4.97
Malpractice
0.36

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 26720 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.72× 1.0051.7286
Practice expense4.97× 0.9884.9104
Malpractice0.36× 0.8990.3236
Total RVUs6.9626
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$232.56

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

Open 26720 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.721.005
Practice expense4.970.988
Malpractice0.360.899

(1.72 × 1.005 + 4.97 × 0.988 + 0.36 × 0.899) × $33.4009 = $232.56

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.721.005
Practice expense4.060.988
Malpractice0.360.899

(1.72 × 1.005 + 4.06 × 0.988 + 0.36 × 0.899) × $33.4009 = $202.53

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

26720 · Office / nonfacility

$232.56

Effective 2026-10-01

The base rate is $25.43 higher than on 2025-10-01, moving from $207.13 to $232.56 (12.3%).

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

    $207.13changed to$232.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.76 changed to 1.72
    • Practice expense RVU 4.33 changed to 4.97
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $207.13

    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$232.56$202.53RVU26D
2026-07-01$232.56$202.53RVU26C
2026-04-01$232.56$202.53RVU26B
2026-01-01$232.56$202.53RVU26A
2025-10-01$207.13$194.61RVU25D
2025-07-01$207.13$194.61RVU25C
2025-04-01$207.13$194.61RVU25B
2025-01-01$207.13$194.61RVU25A

26720 billing questions

When should 26720 be chosen over 26725?

Use 26720 for closed treatment of a proximal or middle phalanx shaft fracture without manipulation. Code 26725 describes the corresponding treatment when manipulation is performed.

Can 26720 be used for a distal phalanx fracture?

No. This code is for shaft fractures of the proximal or middle phalanx; 26750 is the closed-treatment code for a distal phalanx fracture without manipulation.

Should modifier 50 be appended for fractures on both hands?

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

Are routine fracture follow-up visits included?

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

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported for 26720?

Assistant-at-surgery services are not paid for this code. 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 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 26720PPRRVU2026_Oct_nonQPP.csv, line 2,676 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet