$362.98
26700 is closed treatment of an MCP dislocation without manipulation. Use 26715 when the surgeon treats the joint through an open approach.
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CMS RVU26D · Effective 2026-10-01
26715 Knuckle dislocation Medicare reimbursement rates in Alabama
Open reduction of a single metacarpophalangeal joint dislocation, typically when closed reduction fails or soft tissue blocks alignment. Compare 26715 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 26715 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$491.94
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Hand surgery
About 26715: Open treatment of knuckle dislocation
Open reduction of a single metacarpophalangeal joint dislocation, typically when closed reduction fails or soft tissue blocks alignment.
A hand or orthopedic surgeon uses an open approach to restore alignment of a dislocated metacarpophalangeal joint. This may be needed when a closed reduction cannot restore the joint, such as when soft tissue is trapped between the joint surfaces, or when the surgeon determines open treatment is necessary. The procedure is commonly performed in an operating room for a traumatic knuckle dislocation.
Report this code for open treatment of one MCP joint dislocation; distinguish it from closed reduction and percutaneous fixation. The operative note should identify the joint and digit, describe the open reduction, and document any fixation. Internal fixation, when performed, is included. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26715
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.85 · 42%
- Practice expense (office) RVU8.15 · 50%
- Malpractice RVU1.32 · 8%
253
Medicare services in 2024 · #4131 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
26715 compared with similar codes
Office rates for Alabama, from the same CMS release.
$436.01
26705 covers closed treatment with manipulation requiring anesthesia; 26715 covers open treatment of the MCP dislocation.
No office rate
26706 uses percutaneous skeletal fixation. 26715 is for open treatment, with internal fixation included when performed.
No office rate
26785 is open treatment of a dislocation at a finger interphalangeal joint. 26715 is for an MCP joint.
Compare 26715 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$491.94
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26715 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,675
- Code
- 26715
- Physician work
- 6.85
- Practice expense
- 8.15
- Malpractice
- 1.32
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.85 | × 1.000 | 6.8500 |
| Practice expense | 8.15 | × 0.875 | 7.1313 |
| Malpractice | 1.32 | × 0.566 | 0.7471 |
| Total RVUs | 14.7284 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$491.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.85 | 1 |
| Practice expense | 8.15 | 0.875 |
| Malpractice | 1.32 | 0.566 |
(6.85 × 1 + 8.15 × 0.875 + 1.32 × 0.566) × $33.4009 = $491.94
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.
26715 billing questions
How does this differ from 26705?
26705 is for closed treatment with manipulation requiring anesthesia. Report 26715 when the dislocation is treated through an open approach.
Can internal fixation be reported separately?
No. Internal fixation, when performed as part of the open treatment, is included in 26715.
When is 26706 a better fit?
26706 describes percutaneous skeletal fixation of an MCP dislocation. Use 26715 for open treatment.
What documentation supports 26715?
Document the affected MCP joint and digit, the dislocation, the open approach and reduction, and any fixation performed.
Can modifier 50 be used for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,67226700,,Treat knuckle dislocation,A,,3.73,7.62,,5.87,,0.83,12.18,10.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67326705,,Treat knuckle dislocation,A,,4.27,9.45,,6.69,,0.91,14.63,11.87,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67426706,,Pin knuckle dislocation,A,,5.18,6.45,NA,6.45,,0.89,12.52,12.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67526715,,Treat knuckle dislocation,A,,6.85,8.15,NA,8.15,,1.32,16.32,16.32,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67626720,,Treat finger fracture each,A,,1.72,4.97,,4.06,,0.36,7.05,6.14,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67726725,,Treat finger fracture each,A,,3.39,7.74,,5.53,,0.72,11.85,9.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67826727,,Treat finger fracture each,A,,5.28,7.36,NA,7.36,,1.04,13.68,13.68,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515