Billing code 26776: Finger dislocationMedicare rate & RVUs in Alaska
Reports percutaneous pin fixation of a single interphalangeal joint dislocation when the joint needs stabilization after reduction.
CMS doesn’t publish an office rate for 26776 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 26776 covers
An orthopedic or hand surgeon uses a pin placed through the skin to hold a dislocated finger interphalangeal joint in alignment. This approach is used when the joint needs mechanical stabilization after reduction, without opening the joint to perform the fixation. The service is commonly performed in an operating room or other procedural setting.
Report this code for fixation of one interphalangeal joint dislocation; document the affected joint, dislocation, reduction and percutaneous fixation performed. The code includes the treatment of the dislocation with pin fixation, so do not separately report a closed reduction of that same dislocation. It has a 90-day global period, including the day-before preoperative visit and 90 days of 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 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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.
26776 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $517.94 |
How the 26776 rate is calculated
Each of 26776’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 26776
RVUs × geographic indexes × conversion factor
Work4.87
4.87 RVUs× 1.000 GPCI
Practice expense7.22
7.22 RVUs× 1.000 GPCI
Malpractice0.93
0.93 RVUs× 1.000 GPCI
Adjusted RVUs
13.0200
Conversion factor
$33.4009
Medicare rate
$434.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26776
26776 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26776
Finger dislocation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26776
Finger dislocation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26776 without 51 · national facility
$434.88
Finger dislocation
26776-51 · Second procedure: 50%
$217.44
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
26776 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 26770Finger dislocation
- Use 26770 for closed treatment of a single interphalangeal joint dislocation without anesthesia. Use 26776 when percutaneous pin fixation is performed.
- 26775Finger dislocation
- Code 26775 describes closed treatment requiring anesthesia; 26776 describes percutaneous fixation of the dislocated joint.
- 26785Finger dislocation
- Use 26785 when the dislocation is treated through an open approach. Code 26776 is for percutaneous pin fixation.
- 26706Knuckle dislocation
- Both involve percutaneous fixation of a dislocation, but 26706 is for a metacarpophalangeal joint and 26776 for an interphalangeal joint.
26776 billing questions
How does this differ from 26775?
26776 is for percutaneous pin fixation of the dislocated interphalangeal joint. Code 26775 describes closed treatment requiring anesthesia, without the percutaneous fixation reported by 26776.
Can I report the reduction separately?
Do not separately report closed reduction of the same dislocation with the percutaneous fixation. The fixation service includes treatment of that dislocation.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate.
What documentation supports this code?
Document the interphalangeal joint dislocated, the treatment performed, and the percutaneous pin fixation used to stabilize it.
Is an assistant surgeon payable?
No. Medicare has a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon and team-surgery billing are also 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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