No office rate
Use 26992 for drainage of a lesion within bone. Code 26990 describes drainage directed to a pelvic lesion rather than a bone lesion.
On this page
CMS RVU26D · Effective 2026-10-01
26992 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$919.99
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.
Orthopedic surgery
About 26992: Operative drainage of bone lesion
Reports operative drainage of a lesion within bone when the surgeon opens the affected site to evacuate its contents.
This service involves surgically opening a bone lesion to drain its contents. An orthopedic surgeon or another surgeon treating bone disease typically performs it in an operating room or other surgical facility. The operative report should identify the bone and lesion treated, describe the approach and drainage performed, and distinguish the target from a nearby soft-tissue collection or bursa.
Report the code when the operative work is drainage of the bone lesion, rather than diagnostic bone sampling or removal of a tumor. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26992
- 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 RVU13.14 · 46%
- Practice expense (office) RVU12.28 · 43%
- Malpractice RVU2.87 · 10%
324
Medicare services in 2024 · #3935 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.
26992 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$732.60
Code 26991 concerns drainage of a pelvic bursa. This code is for drainage of a lesion within bone.
No office rate
Code 20245 is for open bone biopsy to obtain diagnostic tissue. Use 26992 when the operative work is drainage of the bone lesion.
The same code, a different location
How does Wyoming** compare?
26992 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · 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 Wyoming 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 · 26992
Office
Unavailable
Facility
$852.04
No comparable office rate is available.
Arkansas
Arkansas · 26992
Office
Unavailable
Facility
$840.59
No comparable office rate is available.
Arizona
Arizona · 26992
Office
Unavailable
Facility
$918.39
No comparable office rate is available.
Bakersfield
California · 26992
Office
Unavailable
Facility
$955.14
No comparable office rate is available.
Chico
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
El Centro
California · 26992
Office
Unavailable
Facility
$947.75
No comparable office rate is available.
Fresno
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Hanford-Corcoran
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Madera
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Merced
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Modesto
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Napa
California · 26992
Office
Unavailable
Facility
$1055.83
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26992
Office
Unavailable
Facility
$995.71
No comparable office rate is available.
Redding
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Rest Of California
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26992
Office
Unavailable
Facility
$978.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26992
Office
Unavailable
Facility
$983.09
No comparable office rate is available.
Salinas
California · 26992
Office
Unavailable
Facility
$979.25
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26992
Office
Unavailable
Facility
$994.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26992
Office
Unavailable
Facility
$1102.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26992
Office
Unavailable
Facility
$1099.65
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26992
Office
Unavailable
Facility
$1130.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26992
Office
Unavailable
Facility
$1116.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26992
Office
Unavailable
Facility
$964.91
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26992
Office
Unavailable
Facility
$997.83
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26992
Office
Unavailable
Facility
$980.81
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26992
Office
Unavailable
Facility
$1007.12
No comparable office rate is available.
Stockton
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Vallejo
California · 26992
Office
Unavailable
Facility
$1051.13
No comparable office rate is available.
Visalia
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Yuba City
California · 26992
Office
Unavailable
Facility
$947.27
No comparable office rate is available.
Colorado
Colorado · 26992
Office
Unavailable
Facility
$955.44
No comparable office rate is available.
Connecticut
Connecticut · 26992
Office
Unavailable
Facility
$1005.40
No comparable office rate is available.
Delaware
Delaware · 26992
Office
Unavailable
Facility
$932.50
No comparable office rate is available.
Fort Lauderdale
Florida · 26992
Office
Unavailable
Facility
$1027.70
No comparable office rate is available.
Rest Of Florida
Florida · 26992
Office
Unavailable
Facility
$975.08
No comparable office rate is available.
Atlanta
Georgia · 26992
Office
Unavailable
Facility
$972.06
No comparable office rate is available.
Rest Of Georgia
Georgia · 26992
Office
Unavailable
Facility
$919.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26992
Office
Unavailable
Facility
$960.75
No comparable office rate is available.
Iowa
Iowa · 26992
Office
Unavailable
Facility
$852.24
No comparable office rate is available.
Idaho
Idaho · 26992
Office
Unavailable
Facility
$861.58
No comparable office rate is available.
East St. Louis
Illinois · 26992
Office
Unavailable
Facility
$1009.30
No comparable office rate is available.
Rest Of Illinois
Illinois · 26992
Office
Unavailable
Facility
$963.20
No comparable office rate is available.
Suburban Chicago
Illinois · 26992
Office
Unavailable
Facility
$1033.06
No comparable office rate is available.
Indiana
Indiana · 26992
Office
Unavailable
Facility
$865.70
No comparable office rate is available.
Kansas
Kansas · 26992
Office
Unavailable
Facility
$857.99
No comparable office rate is available.
Kentucky
Kentucky · 26992
Office
Unavailable
Facility
$891.24
No comparable office rate is available.
New Orleans
Louisiana · 26992
Office
Unavailable
Facility
$933.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26992
Office
Unavailable
Facility
$893.72
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26992
Office
Unavailable
Facility
$1031.93
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26992
Office
Unavailable
Facility
$954.21
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26992
Office
Unavailable
Facility
$1004.59
No comparable office rate is available.
Rest Of Maryland
Maryland · 26992
Office
Unavailable
Facility
$946.36
No comparable office rate is available.
Rest Of Maine
Maine · 26992
Office
Unavailable
Facility
$875.86
No comparable office rate is available.
Southern Maine
Maine · 26992
Office
Unavailable
Facility
$905.85
No comparable office rate is available.
Detroit
Michigan · 26992
Office
Unavailable
Facility
$996.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 26992
Office
Unavailable
Facility
$921.59
No comparable office rate is available.
Minnesota
Minnesota · 26992
Office
Unavailable
Facility
$889.32
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26992
Office
Unavailable
Facility
$917.69
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26992
Office
Unavailable
Facility
$925.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 26992
Office
Unavailable
Facility
$885.82
No comparable office rate is available.
Mississippi
Mississippi · 26992
Office
Unavailable
Facility
$862.88
No comparable office rate is available.
Montana**
Montana · 26992
Office
Unavailable
Facility
$944.72
No comparable office rate is available.
North Carolina
North Carolina · 26992
Office
Unavailable
Facility
$882.82
No comparable office rate is available.
North Dakota**
North Dakota · 26992
Office
Unavailable
Facility
$887.97
No comparable office rate is available.
Nebraska
Nebraska · 26992
Office
Unavailable
Facility
$853.70
No comparable office rate is available.
New Hampshire
New Hampshire · 26992
Office
Unavailable
Facility
$949.75
No comparable office rate is available.
Northern Nj
New Jersey · 26992
Office
Unavailable
Facility
$1044.71
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26992
Office
Unavailable
Facility
$1009.50
No comparable office rate is available.
New Mexico
New Mexico · 26992
Office
Unavailable
Facility
$930.14
No comparable office rate is available.
Nevada**
Nevada · 26992
Office
Unavailable
Facility
$929.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26992
Office
Unavailable
Facility
$1132.67
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26992
Office
Unavailable
Facility
$1023.76
No comparable office rate is available.
Queens
New York · 26992
Office
Unavailable
Facility
$1090.02
No comparable office rate is available.
Rest Of New York
New York · 26992
Office
Unavailable
Facility
$895.93
No comparable office rate is available.
Ohio
Ohio · 26992
Office
Unavailable
Facility
$909.99
No comparable office rate is available.
Oklahoma
Oklahoma · 26992
Office
Unavailable
Facility
$879.65
No comparable office rate is available.
Portland
Oregon · 26992
Office
Unavailable
Facility
$972.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 26992
Office
Unavailable
Facility
$914.80
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26992
Office
Unavailable
Facility
$988.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26992
Office
Unavailable
Facility
$906.01
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26992
Office
Unavailable
Facility
$947.99
No comparable office rate is available.
Rhode Island
Rhode Island · 26992
Office
Unavailable
Facility
$956.43
No comparable office rate is available.
South Carolina
South Carolina · 26992
Office
Unavailable
Facility
$899.36
No comparable office rate is available.
South Dakota**
South Dakota · 26992
Office
Unavailable
Facility
$881.26
No comparable office rate is available.
Tennessee
Tennessee · 26992
Office
Unavailable
Facility
$863.20
No comparable office rate is available.
Austin
Texas · 26992
Office
Unavailable
Facility
$958.65
No comparable office rate is available.
Beaumont
Texas · 26992
Office
Unavailable
Facility
$901.19
No comparable office rate is available.
Brazoria
Texas · 26992
Office
Unavailable
Facility
$923.64
No comparable office rate is available.
Dallas
Texas · 26992
Office
Unavailable
Facility
$933.61
No comparable office rate is available.
Fort Worth
Texas · 26992
Office
Unavailable
Facility
$930.75
No comparable office rate is available.
Galveston
Texas · 26992
Office
Unavailable
Facility
$929.06
No comparable office rate is available.
Houston
Texas · 26992
Office
Unavailable
Facility
$981.60
No comparable office rate is available.
Rest Of Texas
Texas · 26992
Office
Unavailable
Facility
$914.69
No comparable office rate is available.
Utah
Utah · 26992
Office
Unavailable
Facility
$910.52
No comparable office rate is available.
Virginia
Virginia · 26992
Office
Unavailable
Facility
$909.76
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26992
Office
Unavailable
Facility
$947.99
No comparable office rate is available.
Vermont
Vermont · 26992
Office
Unavailable
Facility
$893.45
No comparable office rate is available.
Rest Of Washington
Washington · 26992
Office
Unavailable
Facility
$949.44
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26992
Office
Unavailable
Facility
$1042.42
No comparable office rate is available.
Wisconsin
Wisconsin · 26992
Office
Unavailable
Facility
$861.35
No comparable office rate is available.
West Virginia
West Virginia · 26992
Office
Unavailable
Facility
$932.50
No comparable office rate is available.
See how rates vary across the country
26992 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 26992 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1011.99
$919.99 × 110% = $1011.99
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 26992 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,708
- Code
- 26992
- Physician work
- 13.14
- Practice expense
- 12.28
- Malpractice
- 2.87
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.14 | × 1.000 | 13.1400 |
| Practice expense | 12.28 | × 1.000 | 12.2800 |
| Malpractice | 2.87 | × 0.740 | 2.1238 |
| Total RVUs | 27.5438 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$919.99
Open 26992 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.14 | 1 |
| Practice expense | 12.28 | 1 |
| Malpractice | 2.87 | 0.74 |
(13.14 × 1 + 12.28 × 1 + 2.87 × 0.74) × $33.4009 = $919.99
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
26992 · 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 | $919.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $919.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $919.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $919.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $964.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $964.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $964.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $964.81 | RVU25A |
26992 billing questions
How is this different from a bone biopsy?
This code describes operative drainage of a bone lesion. A bone biopsy code is used when the service is obtaining tissue for diagnosis rather than draining the lesion.
What documentation supports reporting this code?
Document the bone and lesion treated, the operative approach, and the drainage performed. The note should make clear that the target was within bone, not a bursa or adjacent soft tissue.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.
Does modifier 50 apply when lesions are treated on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of 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.
2,70526989,,Unlisted px hands/fingers,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70626990,,Drainage of pelvis lesion,A,,7.75,10.35,NA,10.35,,1.68,19.78,19.78,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70726991,,Drainage of pelvis bursa,A,,6.88,14.01,,6.43,,1.41,22.30,14.72,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70826992,,Drainage of bone lesion,A,,13.14,12.28,NA,12.28,,2.87,28.29,28.29,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70927000,,Tenotomy adductor hip perq,A,,5.60,4.67,NA,4.67,,0.58,10.85,10.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71027001,,Tenotomy adductor hip open,A,,6.96,6.96,NA,6.96,,1.47,15.39,15.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71127003,,Tnot adductr subq opn neurct,A,,7.61,7.87,NA,7.87,,1.63,17.11,17.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,