Both address closed treatment of a non-thumb carpometacarpal dislocation. Choose 26670 when treatment is without manipulation and 26675 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
26670 in Redding
Office / nonfacility
$445.21
Base rate per service
Facility setting
$365.77
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 26670: Closed treatment of hand joint dislocation
Reports closed management of a carpometacarpal dislocation outside the thumb when the provider treats the injury without manipulating the joint.
This code covers closed management of a carpometacarpal joint dislocation in the hand, excluding the thumb, when the provider does not manipulate the joint. These injuries may involve the bases of the metacarpals, including the ring- or small-finger side of the hand. Orthopedic or hand surgeons commonly provide this treatment; an emergency physician may also manage the injury when the documented service meets the code’s scope.
Select this code when the record identifies a non-thumb carpometacarpal dislocation and supports treatment without manipulation. Documentation should specify the injured joint, the treatment performed, and why manipulation was not part of the service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26670
- 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 RVU3.73 · 29%
- Practice expense (office) RVU8.28 · 64%
- Malpractice RVU0.86 · 7%
122
Medicare services in 2024 · #4725 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.
26670 compared with similar codes
Office rates for Redding, from the same CMS release.
26641 addresses a thumb carpometacarpal dislocation without manipulation; 26670 is for a dislocation outside the thumb.
26685 is for open treatment of a non-thumb carpometacarpal dislocation. This code describes closed treatment without manipulation.
26600 is for closed treatment of a metacarpal fracture without manipulation. Use 26670 for a carpometacarpal dislocation, not a fracture.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 26670 is $447.56—$2.35 higher than the $445.21 rate in Redding. Both use the same code, release and participation basis.
26670 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$445.21
$447.56
$2.35 higher than Redding
$445.21
The same base rate than Redding
$445.35
$0.14 higher than Redding
$445.21
The same base rate than Redding
$445.21
The same base rate than Redding
$30.73 higher than Redding
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, 26670 ranges from $376.94 in Arkansas to $552.48 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 · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Merced
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Modesto
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Napa
California · 26670
Office
$511.53
Facility
$416.00
$66.32 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 26670
Office
$472.86
Facility
$387.19
$27.65 higher than Redding for the office setting.
Rest Of California
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 26670
Office
$454.44
Facility
$375.00
$9.23 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 26670
Office
$466.11
Facility
$381.81
$20.90 higher than Redding for the office setting.
Salinas
California · 26670
Office
$464.38
Facility
$380.37
$19.17 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 26670
Office
$474.66
Facility
$387.97
$29.45 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26670
Office
$539.55
Facility
$437.36
$94.34 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26670
Office
$538.58
Facility
$436.38
$93.37 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26670
Office
$552.48
Facility
$447.97
$107.27 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26670
Office
$548.49
Facility
$443.98
$103.28 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 26670
Office
$457.10
Facility
$374.55
$11.89 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 26670
Office
$478.62
Facility
$390.55
$33.41 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 26670
Office
$465.94
Facility
$381.43
$20.73 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 26670
Office
$483.33
Facility
$394.33
$38.12 higher than Redding for the office setting.
Stockton
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Vallejo
California · 26670
Office
$510.12
Facility
$414.60
$64.91 higher than Redding for the office setting.
Visalia
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Yuba City
California · 26670
Office
$445.21
Facility
$365.77
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 26670
Office
$489.07
Facility
$403.69
$43.86 higher than Redding for the office setting.
Miami
Florida · 26670
Office
$485.13
Facility
$409.68
$39.92 higher than Redding for the office setting.
Chicago
Illinois · 26670
Office
$469.32
Facility
$396.48
$24.11 higher than Redding for the office setting.
Manhattan
New York · 26670
Office
$499.48
Facility
$415.26
$54.27 higher than Redding for the office setting.
Alaska*
Alaska · 26670
Office
$497.24
Facility
$420.05
$52.03 higher than Redding for the office setting.
Alabama
Alabama · 26670
Office
$382.83
Facility
$319.41
$62.38 lower than Redding for the office setting.
Arkansas
Arkansas · 26670
Office
$376.94
Facility
$314.68
$68.27 lower than Redding for the office setting.
Arizona
Arizona · 26670
Office
$417.16
Facility
$346.93
$28.05 lower than Redding for the office setting.
Colorado
Colorado · 26670
Office
$442.77
Facility
$365.66
$2.44 lower than Redding for the office setting.
Connecticut
Connecticut · 26670
Office
$459.69
Facility
$381.63
$14.48 higher than Redding for the office setting.
Delaware
Delaware · 26670
Office
$424.27
Facility
$352.66
$20.94 lower than Redding for the office setting.
Fort Lauderdale
Florida · 26670
Office
$456.67
Facility
$383.25
$11.46 higher than Redding for the office setting.
Rest Of Florida
Florida · 26670
Office
$432.15
Facility
$362.86
$13.06 lower than Redding for the office setting.
Atlanta
Georgia · 26670
Office
$440.44
Facility
$366.80
$4.77 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 26670
Office
$405.52
Facility
$340.86
$39.69 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 26670
Office
$455.67
Facility
$373.26
$10.46 higher than Redding for the office setting.
Iowa
Iowa · 26670
Office
$389.04
Facility
$322.72
$56.17 lower than Redding for the office setting.
Idaho
Idaho · 26670
Office
$392.61
Facility
$325.93
$52.60 lower than Redding for the office setting.
East St. Louis
Illinois · 26670
Office
$436.87
Facility
$370.19
$8.34 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 26670
Office
$421.98
Facility
$355.81
$23.23 lower than Redding for the office setting.
Suburban Chicago
Illinois · 26670
Office
$460.38
Facility
$385.95
$15.17 higher than Redding for the office setting.
Indiana
Indiana · 26670
Office
$394.92
Facility
$327.73
$50.29 lower than Redding for the office setting.
Kansas
Kansas · 26670
Office
$389.07
Facility
$323.55
$56.14 lower than Redding for the office setting.
Kentucky
Kentucky · 26670
Office
$396.73
Facility
$332.30
$48.48 lower than Redding for the office setting.
New Orleans
Louisiana · 26670
Office
$417.46
Facility
$349.26
$27.75 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 26670
Office
$396.86
Facility
$332.71
$48.35 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 26670
Office
$485.47
Facility
$398.93
$40.26 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 26670
Office
$440.69
Facility
$364.37
$4.52 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 26670
Office
$458.86
Facility
$381.09
$13.65 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 26670
Office
$432.08
Facility
$358.73
$13.13 lower than Redding for the office setting.
Rest Of Maine
Maine · 26670
Office
$396.89
Facility
$330.21
$48.32 lower than Redding for the office setting.
Southern Maine
Maine · 26670
Office
$416.78
Facility
$344.95
$28.43 lower than Redding for the office setting.
Detroit
Michigan · 26670
Office
$439.90
Facility
$369.95
$5.31 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 26670
Office
$409.51
Facility
$343.34
$35.70 lower than Redding for the office setting.
Minnesota
Minnesota · 26670
Office
$417.67
Facility
$343.09
$27.54 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 26670
Office
$412.34
Facility
$344.28
$32.87 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 26670
Office
$416.65
Facility
$347.65
$28.56 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 26670
Office
$390.96
Facility
$328.48
$54.25 lower than Redding for the office setting.
Mississippi
Mississippi · 26670
Office
$383.93
Facility
$321.53
$61.28 lower than Redding for the office setting.
Montana**
Montana · 26670
Office
$429.81
Facility
$357.33
$15.40 lower than Redding for the office setting.
North Carolina
North Carolina · 26670
Office
$400.97
Facility
$333.35
$44.24 lower than Redding for the office setting.
North Dakota**
North Dakota · 26670
Office
$412.81
Facility
$340.33
$32.40 lower than Redding for the office setting.
Nebraska
Nebraska · 26670
Office
$390.71
Facility
$323.81
$54.50 lower than Redding for the office setting.
New Hampshire
New Hampshire · 26670
Office
$437.62
Facility
$362.17
$7.59 lower than Redding for the office setting.
Northern Nj
New Jersey · 26670
Office
$483.92
Facility
$399.84
$38.71 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 26670
Office
$463.08
Facility
$383.93
$17.87 higher than Redding for the office setting.
New Mexico
New Mexico · 26670
Office
$412.69
Facility
$346.22
$32.52 lower than Redding for the office setting.
Nevada**
Nevada · 26670
Office
$425.35
Facility
$352.80
$19.86 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 26670
Office
$514.73
Facility
$428.55
$69.52 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 26670
Office
$467.78
Facility
$388.42
$22.57 higher than Redding for the office setting.
Queens
New York · 26670
Office
$500.87
Facility
$415.20
$55.66 higher than Redding for the office setting.
Rest Of New York
New York · 26670
Office
$407.51
Facility
$338.65
$37.70 lower than Redding for the office setting.
Ohio
Ohio · 26670
Office
$406.04
Facility
$339.86
$39.17 lower than Redding for the office setting.
Oklahoma
Oklahoma · 26670
Office
$393.87
Facility
$329.15
$51.34 lower than Redding for the office setting.
Portland
Oregon · 26670
Office
$455.21
Facility
$374.68
$10.00 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 26670
Office
$420.23
Facility
$348.04
$24.98 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 26670
Office
$448.99
Facility
$373.54
$3.78 higher than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 26670
Office
$405.61
Facility
$339.08
$39.60 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 26670
Office
$432.48
Facility
$359.20
$12.73 lower than Redding for the office setting.
Rhode Island
Rhode Island · 26670
Office
$438.26
Facility
$363.39
$6.95 lower than Redding for the office setting.
South Carolina
South Carolina · 26670
Office
$404.54
Facility
$337.57
$40.67 lower than Redding for the office setting.
South Dakota**
South Dakota · 26670
Office
$410.80
Facility
$338.32
$34.41 lower than Redding for the office setting.
Tennessee
Tennessee · 26670
Office
$391.40
Facility
$325.52
$53.81 lower than Redding for the office setting.
Austin
Texas · 26670
Office
$442.88
Facility
$366.20
$2.33 lower than Redding for the office setting.
Beaumont
Texas · 26670
Office
$402.94
Facility
$336.98
$42.27 lower than Redding for the office setting.
Brazoria
Texas · 26670
Office
$422.06
Facility
$350.23
$23.15 lower than Redding for the office setting.
Dallas
Texas · 26670
Office
$425.81
Facility
$353.62
$19.40 lower than Redding for the office setting.
Fort Worth
Texas · 26670
Office
$423.41
Facility
$351.95
$21.80 lower than Redding for the office setting.
Galveston
Texas · 26670
Office
$423.99
Facility
$352.02
$21.22 lower than Redding for the office setting.
Houston
Texas · 26670
Office
$439.73
Facility
$367.76
$5.48 lower than Redding for the office setting.
Rest Of Texas
Texas · 26670
Office
$412.98
Facility
$344.20
$32.23 lower than Redding for the office setting.
Utah
Utah · 26670
Office
$410.35
Facility
$342.21
$34.86 lower than Redding for the office setting.
Virginia
Virginia · 26670
Office
$416.72
Facility
$345.48
$28.49 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 26670
Office
$432.48
Facility
$359.20
$12.73 lower than Redding for the office setting.
Vermont
Vermont · 26670
Office
$412.91
Facility
$341.16
$32.30 lower than Redding for the office setting.
Rest Of Washington
Washington · 26670
Office
$439.28
Facility
$362.96
$5.93 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 26670
Office
$493.62
Facility
$404.69
$48.41 higher than Redding for the office setting.
Wisconsin
Wisconsin · 26670
Office
$398.38
Facility
$328.94
$46.83 lower than Redding for the office setting.
West Virginia
West Virginia · 26670
Office
$406.02
Facility
$343.04
$39.19 lower than Redding for the office setting.
Wyoming**
Wyoming · 26670
Office
$422.40
Facility
$349.92
$22.81 lower than Redding for the office setting.
See how rates vary across the country
26670 · 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.
$376.94
$498.85
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $497.24 | 1 |
| AL | $382.83 | 1 |
| AR | $376.94 | 1 |
| AZ | $417.16 | 1 |
| CA | $445.21–$552.48 | 29 |
| CO | $442.77 | 1 |
| CT | $459.69 | 1 |
| DC | $489.07 | 1 |
| DE | $424.27 | 1 |
| FL | $432.15–$485.13 | 3 |
| GA | $405.52–$440.44 | 2 |
| GU | $455.67 | 1 |
| HI | $455.67 | 1 |
| IA | $389.04 | 1 |
| ID | $392.61 | 1 |
| IL | $421.98–$469.32 | 4 |
| IN | $394.92 | 1 |
| KS | $389.07 | 1 |
| KY | $396.73 | 1 |
| LA | $396.86–$417.46 | 2 |
| MA | $440.69–$485.47 | 2 |
| MD | $432.08–$489.07 | 3 |
| ME | $396.89–$416.78 | 2 |
| MI | $409.51–$439.90 | 2 |
| MN | $417.67 | 1 |
| MO | $390.96–$416.65 | 3 |
| MS | $383.93 | 1 |
| MT | $429.81 | 1 |
| NC | $400.97 | 1 |
| ND | $412.81 | 1 |
| NE | $390.71 | 1 |
| NH | $437.62 | 1 |
| NJ | $463.08–$483.92 | 2 |
| NM | $412.69 | 1 |
| NV | $425.35 | 1 |
| NY | $407.51–$514.73 | 5 |
| OH | $406.04 | 1 |
| OK | $393.87 | 1 |
| OR | $420.23–$455.21 | 2 |
| PA | $405.61–$448.99 | 2 |
| PR | $432.48 | 1 |
| RI | $438.26 | 1 |
| SC | $404.54 | 1 |
| SD | $410.80 | 1 |
| TN | $391.40 | 1 |
| TX | $402.94–$442.88 | 8 |
| UT | $410.35 | 1 |
| VA | $416.72–$489.07 | 2 |
| VI | $432.48 | 1 |
| VT | $412.91 | 1 |
| WA | $439.28–$493.62 | 2 |
| WI | $398.38 | 1 |
| WV | $406.02 | 1 |
| WY | $422.40 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Why are the office and facility amounts different?
For 26670 in Redding, the physician’s office rate is $445.21 and the facility-setting rate is $365.77: a difference of $79.44.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 26670 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$489.73
$445.21 × 110% = $489.73
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 26670 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,667
- Code
- 26670
- Physician work
- 3.73
- Practice expense
- 8.28
- Malpractice
- 0.86
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.73 | × 1.017 | 3.7934 |
| Practice expense | 8.28 | × 1.096 | 9.0749 |
| Malpractice | 0.86 | × 0.536 | 0.4610 |
| Total RVUs | 13.3293 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$445.21
Open 26670 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.73 | 1.017 |
| Practice expense | 8.28 | 1.096 |
| Malpractice | 0.86 | 0.536 |
(3.73 × 1.017 + 8.28 × 1.096 + 0.86 × 0.536) × $33.4009 = $445.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.73 | 1.017 |
| Practice expense | 6.11 | 1.096 |
| Malpractice | 0.86 | 0.536 |
(3.73 × 1.017 + 6.11 × 1.096 + 0.86 × 0.536) × $33.4009 = $365.77
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
26670 · Office / nonfacility
$445.21
Effective 2026-10-01
The base rate is $73.70 higher than on 2025-10-01, moving from $371.51 to $445.21 (19.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$371.51changed to$445.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.83 changed to 3.73
- Practice expense RVU 6.55 changed to 8.28
- Malpractice RVU 0.79 changed to 0.86
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $371.51
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
26670 billing questions
How does this differ from 26675?
26670 is for closed treatment without manipulation. Use 26675 when manipulation is performed.
Can this code be used for a thumb carpometacarpal dislocation?
No. This code is for a carpometacarpal dislocation outside the thumb; 26641 is the corresponding closed-treatment code for a thumb dislocation without manipulation.
Is modifier 50 appropriate when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when the medical necessity is documented.
Can it be reported with another procedure performed in the same session?
Yes, when both procedures are separately reportable. Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to the reduction.
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.
