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CMS RVU26D · Effective 2026-10-01

20527 in Modesto

Office / nonfacility

$97.09

Base rate per service

Facility setting

$57.92

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 procedure

About 20527: Collagenase injection for Dupuytren cord

Report this service for injecting collagenase into a palmar fascial cord to treat Dupuytren contracture, typically as part of a staged treatment plan.

A clinician injects collagenase into a palpable cord of thickened palmar fascia causing Dupuytren contracture. Hand surgeons and other clinicians who treat hand disorders commonly perform the injection in an office or outpatient setting. The enzyme weakens the targeted cord; a separate manipulation may be performed at a later visit to help extend the affected finger. Document the cord and hand treated, the contracture findings, and the injection performed.

Report 20527 for the injection service, not for the later manipulation. When collagenase is supplied and separately reportable, the drug is reported with its applicable drug code and units. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgery and team-surgery payment are not permitted.

CMS billing rules for 20527

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 procedure with modifier 50 is paid at 150%.
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 RVU0.98 · 35%
  • Practice expense (office) RVU1.65 · 59%
  • Malpractice RVU0.19 · 7%

8.8K

Medicare services in 2024 · #1546 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.

20527 compared with similar codes

Office rates for Modesto, from the same CMS release.

26341

Cord manipulation

After enzyme injection

$130.65

This code describes manipulation of a palmar fascial cord after injection, not the collagenase injection itself. It is commonly performed at a later visit.

26040

Palm contracture release

Percutaneous technique

No office rate

Use 26040 for percutaneous division of palmar fascia; use 20527 when collagenase is injected into the cord.

26121

Palmar fasciectomy

Palm only

No office rate

Use 26121 for surgical removal of palmar fascia. Code 20527 describes enzyme injection and does not represent excision.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 20527 is $97.62—$0.53 higher than the $97.09 rate in Modesto. Both use the same code, release and participation basis.

20527 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $97.09

  2. Bakersfield

    $97.62

    $0.53 higher than Modesto

  3. Chico

    $97.09

    The same base rate than Modesto

  4. El Centro

    $97.12

    $0.03 higher than Modesto

  5. Fresno

    $97.09

    The same base rate than Modesto

  6. Hanford-Corcoran

    $97.09

    The same base rate than Modesto

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

    $103.49

    $6.40 higher than Modesto

Other payment areas listed in California 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, 20527 ranges from $83.34 in Arkansas to $119.21 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

  • Madera

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Merced

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Napa

    California · 20527

    Office

    $110.66

    Facility

    $63.55

    $13.57 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20527

    Office

    $102.74

    Facility

    $60.50

    $5.65 higher than Modesto for the office setting.

  • Redding

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20527

    Office

    $99.14

    Facility

    $59.97

    $2.05 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20527

    Office

    $101.41

    Facility

    $59.84

    $4.32 higher than Modesto for the office setting.

  • Salinas

    California · 20527

    Office

    $101.02

    Facility

    $59.60

    $3.93 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20527

    Office

    $103.07

    Facility

    $60.32

    $5.98 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20527

    Office

    $116.46

    Facility

    $66.07

    $19.37 higher than Modesto for the office setting.

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

    California · 20527

    Office

    $116.25

    Facility

    $65.85

    $19.16 higher than Modesto for the office setting.

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

    California · 20527

    Office

    $119.21

    Facility

    $67.67

    $22.12 higher than Modesto for the office setting.

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

    California · 20527

    Office

    $118.32

    Facility

    $66.79

    $21.23 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20527

    Office

    $99.46

    Facility

    $58.76

    $2.37 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 20527

    Office

    $103.78

    Facility

    $60.36

    $6.69 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 20527

    Office

    $101.31

    Facility

    $59.64

    $4.22 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 20527

    Office

    $104.79

    Facility

    $60.91

    $7.70 higher than Modesto for the office setting.

  • Stockton

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 20527

    Office

    $110.34

    Facility

    $63.24

    $13.25 higher than Modesto for the office setting.

  • Visalia

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 20527

    Office

    $97.09

    Facility

    $57.92

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 20527

    Office

    $106.49

    Facility

    $64.38

    $9.40 higher than Modesto for the office setting.

  • Miami

    Florida · 20527

    Office

    $106.15

    Facility

    $68.95

    $9.06 higher than Modesto for the office setting.

  • Chicago

    Illinois · 20527

    Office

    $102.91

    Facility

    $67.00

    $5.82 higher than Modesto for the office setting.

  • Manhattan

    New York · 20527

    Office

    $108.93

    Facility

    $67.40

    $11.84 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 20527

    Office

    $111.29

    Facility

    $73.23

    $14.20 higher than Modesto for the office setting.

  • Alabama

    Alabama · 20527

    Office

    $84.55

    Facility

    $53.28

    $12.54 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 20527

    Office

    $83.34

    Facility

    $52.64

    $13.75 lower than Modesto for the office setting.

  • Arizona

    Arizona · 20527

    Office

    $91.57

    Facility

    $56.94

    $5.52 lower than Modesto for the office setting.

  • Colorado

    Colorado · 20527

    Office

    $96.72

    Facility

    $58.69

    $0.37 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 20527

    Office

    $100.42

    Facility

    $61.93

    $3.33 higher than Modesto for the office setting.

  • Delaware

    Delaware · 20527

    Office

    $93.05

    Facility

    $57.74

    $4.04 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 20527

    Office

    $100.03

    Facility

    $63.83

    $2.94 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 20527

    Office

    $94.96

    Facility

    $60.79

    $2.13 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 20527

    Office

    $96.45

    Facility

    $60.14

    $0.64 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 20527

    Office

    $89.46

    Facility

    $57.58

    $7.63 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 20527

    Office

    $99.07

    Facility

    $58.43

    $1.98 higher than Modesto for the office setting.

  • Iowa

    Iowa · 20527

    Office

    $85.68

    Facility

    $52.98

    $11.41 lower than Modesto for the office setting.

  • Idaho

    Idaho · 20527

    Office

    $86.44

    Facility

    $53.56

    $10.65 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 20527

    Office

    $96.22

    Facility

    $63.34

    $0.87 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 20527

    Office

    $92.97

    Facility

    $60.34

    $4.12 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 20527

    Office

    $100.81

    Facility

    $64.10

    $3.72 higher than Modesto for the office setting.

  • Indiana

    Indiana · 20527

    Office

    $86.91

    Facility

    $53.78

    $10.18 lower than Modesto for the office setting.

  • Kansas

    Kansas · 20527

    Office

    $85.75

    Facility

    $53.44

    $11.34 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 20527

    Office

    $87.53

    Facility

    $55.76

    $9.56 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 20527

    Office

    $91.80

    Facility

    $58.17

    $5.29 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 20527

    Office

    $87.59

    Facility

    $55.96

    $9.50 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 20527

    Office

    $105.53

    Facility

    $62.85

    $8.44 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20527

    Office

    $96.35

    Facility

    $58.71

    $0.74 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20527

    Office

    $100.24

    Facility

    $61.89

    $3.15 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 20527

    Office

    $94.66

    Facility

    $58.49

    $2.43 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 20527

    Office

    $87.38

    Facility

    $54.50

    $9.71 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 20527

    Office

    $91.35

    Facility

    $55.94

    $5.74 lower than Modesto for the office setting.

  • Detroit

    Michigan · 20527

    Office

    $96.62

    Facility

    $62.13

    $0.47 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 20527

    Office

    $90.21

    Facility

    $57.58

    $6.88 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 20527

    Office

    $91.32

    Facility

    $54.55

    $5.77 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 20527

    Office

    $90.68

    Facility

    $57.12

    $6.41 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 20527

    Office

    $91.56

    Facility

    $57.53

    $5.53 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 20527

    Office

    $86.42

    Facility

    $55.61

    $10.67 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 20527

    Office

    $84.87

    Facility

    $54.10

    $12.22 lower than Modesto for the office setting.

  • Montana**

    Montana · 20527

    Office

    $94.18

    Facility

    $58.44

    $2.91 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 20527

    Office

    $88.21

    Facility

    $54.86

    $8.88 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 20527

    Office

    $90.42

    Facility

    $54.68

    $6.67 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 20527

    Office

    $86.00

    Facility

    $53.01

    $11.09 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 20527

    Office

    $95.66

    Facility

    $58.45

    $1.43 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 20527

    Office

    $105.50

    Facility

    $64.04

    $8.41 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 20527

    Office

    $101.19

    Facility

    $62.16

    $4.10 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 20527

    Office

    $90.89

    Facility

    $58.12

    $6.20 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 20527

    Office

    $93.19

    Facility

    $57.41

    $3.90 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 20527

    Office

    $112.14

    Facility

    $69.65

    $15.05 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 20527

    Office

    $102.23

    Facility

    $63.10

    $5.14 higher than Modesto for the office setting.

  • Queens

    New York · 20527

    Office

    $109.12

    Facility

    $66.88

    $12.03 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 20527

    Office

    $89.55

    Facility

    $55.60

    $7.54 lower than Modesto for the office setting.

  • Ohio

    Ohio · 20527

    Office

    $89.45

    Facility

    $56.82

    $7.64 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 20527

    Office

    $86.88

    Facility

    $54.96

    $10.21 lower than Modesto for the office setting.

  • Portland

    Oregon · 20527

    Office

    $99.21

    Facility

    $59.50

    $2.12 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 20527

    Office

    $92.09

    Facility

    $56.49

    $5.00 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20527

    Office

    $98.26

    Facility

    $61.06

    $1.17 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20527

    Office

    $89.32

    Facility

    $56.51

    $7.77 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 20527

    Office

    $94.70

    Facility

    $58.57

    $2.39 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 20527

    Office

    $95.95

    Facility

    $59.03

    $1.14 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 20527

    Office

    $89.05

    Facility

    $56.03

    $8.04 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 20527

    Office

    $89.98

    Facility

    $54.24

    $7.11 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 20527

    Office

    $86.24

    Facility

    $53.75

    $10.85 lower than Modesto for the office setting.

  • Austin

    Texas · 20527

    Office

    $96.73

    Facility

    $58.92

    $0.36 lower than Modesto for the office setting.

  • Beaumont

    Texas · 20527

    Office

    $88.78

    Facility

    $56.26

    $8.31 lower than Modesto for the office setting.

  • Brazoria

    Texas · 20527

    Office

    $92.56

    Facility

    $57.14

    $4.53 lower than Modesto for the office setting.

  • Dallas

    Texas · 20527

    Office

    $93.36

    Facility

    $57.77

    $3.73 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 20527

    Office

    $92.89

    Facility

    $57.66

    $4.20 lower than Modesto for the office setting.

  • Galveston

    Texas · 20527

    Office

    $92.98

    Facility

    $57.49

    $4.11 lower than Modesto for the office setting.

  • Houston

    Texas · 20527

    Office

    $96.45

    Facility

    $60.96

    $0.64 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 20527

    Office

    $90.76

    Facility

    $56.85

    $6.33 lower than Modesto for the office setting.

  • Utah

    Utah · 20527

    Office

    $90.24

    Facility

    $56.64

    $6.85 lower than Modesto for the office setting.

  • Virginia

    Virginia · 20527

    Office

    $91.39

    Facility

    $56.26

    $5.70 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20527

    Office

    $94.70

    Facility

    $58.57

    $2.39 lower than Modesto for the office setting.

  • Vermont

    Vermont · 20527

    Office

    $90.50

    Facility

    $55.12

    $6.59 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 20527

    Office

    $96.02

    Facility

    $58.39

    $1.07 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 20527

    Office

    $107.18

    Facility

    $63.32

    $10.09 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 20527

    Office

    $87.48

    Facility

    $53.25

    $9.61 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 20527

    Office

    $89.71

    Facility

    $58.65

    $7.38 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 20527

    Office

    $92.54

    Facility

    $56.80

    $4.55 lower than Modesto for the office setting.

See how rates vary across the country

20527 · 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.

$83.34

$111.29

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$111.291
AL$84.551
AR$83.341
AZ$91.571
CA$97.09–$119.2129
CO$96.721
CT$100.421
DC$106.491
DE$93.051
FL$94.96–$106.153
GA$89.46–$96.452
GU$99.071
HI$99.071
IA$85.681
ID$86.441
IL$92.97–$102.914
IN$86.911
KS$85.751
KY$87.531
LA$87.59–$91.802
MA$96.35–$105.532
MD$94.66–$106.493
ME$87.38–$91.352
MI$90.21–$96.622
MN$91.321
MO$86.42–$91.563
MS$84.871
MT$94.181
NC$88.211
ND$90.421
NE$86.001
NH$95.661
NJ$101.19–$105.502
NM$90.891
NV$93.191
NY$89.55–$112.145
OH$89.451
OK$86.881
OR$92.09–$99.212
PA$89.32–$98.262
PR$94.701
RI$95.951
SC$89.051
SD$89.981
TN$86.241
TX$88.78–$96.738
UT$90.241
VA$91.39–$106.492
VI$94.701
VT$90.501
WA$96.02–$107.182
WI$87.481
WV$89.711
WY$92.541

Explore 20527 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 20527 in Modesto, the physician’s office rate is $97.09 and the facility-setting rate is $57.92: a difference of $39.17.

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 20527 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$106.80

$97.09 × 110% = $106.80

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 20527 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

1,758

Code
20527
Physician work
0.98
Practice expense
1.65
Malpractice
0.19

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 20527 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0170.9967
Practice expense1.65× 1.0961.8084
Malpractice0.19× 0.5360.1018
Total RVUs2.9069
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$97.09

Open 20527 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.981.017
Practice expense1.651.096
Malpractice0.190.536

(0.98 × 1.017 + 1.65 × 1.096 + 0.19 × 0.536) × $33.4009 = $97.09

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.981.017
Practice expense0.581.096
Malpractice0.190.536

(0.98 × 1.017 + 0.58 × 1.096 + 0.19 × 0.536) × $33.4009 = $57.92

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

20527 · Office / nonfacility

$97.09

Effective 2026-10-01

The base rate is $8.71 higher than on 2025-10-01, moving from $88.38 to $97.09 (9.9%).

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

    $88.38changed to$97.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.00 changed to 0.98
    • Practice expense RVU 1.48 changed to 1.65
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $88.38

    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$97.09$57.92RVU26D
2026-07-01$97.09$57.92RVU26C
2026-04-01$97.09$57.92RVU26B
2026-01-01$97.09$57.92RVU26A
2025-10-01$88.38$64.70RVU25D
2025-07-01$88.38$64.70RVU25C
2025-04-01$88.38$64.70RVU25B
2025-01-01$88.38$64.70RVU25A

20527 billing questions

When should 20527 be chosen instead of a palmar fasciectomy code?

Use 20527 for enzyme injection into a palmar fascial cord. A fasciectomy code describes surgical removal of diseased fascia, not injection treatment.

Is the post-injection finger manipulation included in 20527?

No. The manipulation is a separate service, commonly reported with 26341 when performed after collagenase injection; it is typically done at a later visit.

Can the collagenase drug be reported separately?

When the drug is separately reportable, report it with the applicable drug code, such as J0775, using units based on the amount administered. The 20527 service represents the injection procedure.

What documentation supports reporting 20527?

Document the Dupuytren contracture, the targeted palmar fascial cord and hand, and the collagenase injection performed. Record the drug and amount administered when needed to support separate drug reporting.

How is 20527 reported when both hands are treated?

CMS lists bilateral reporting with modifier 50, paid at 150%. Document the injection on each side.

Does 20527 have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

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 20527PPRRVU2026_Oct_nonQPP.csv, line 1,758 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet