No office rate
Both describe radical tumor resection, but 26262 is for the distal phalanx; 26260 is for the proximal finger phalanx.
On this page
CMS RVU26D · Effective 2026-10-01
26260 Finger tumor resection Medicare reimbursement rates in Delaware
Reports radical removal of a tumor involving a proximal finger phalanx when the surgeon performs a more extensive resection than limited lesion curettage. Compare 26260 office and facility rates across CMS payment localities in Delaware.
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 26260 in Delaware?
Delaware 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
$736.14
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Orthopedic surgery
About 26260: Radical resection of proximal finger tumor
Reports radical removal of a tumor involving a proximal finger phalanx when the surgeon performs a more extensive resection than limited lesion curettage.
A hand or orthopedic surgeon uses this service to remove a tumor from the proximal phalanx of a finger through a radical resection. It is distinct from limited curettage or excision of a bone lesion; the operative report should establish the tumor’s location and the extent of bone removed. These cases are generally performed in a surgical facility, with the specimen sent for pathologic examination when indicated.
Choose the code based on the involved bone and the documented radical extent of resection, rather than using it for any finger bone lesion. The operative note should identify the affected phalanx, describe the resection, and support why a limited removal was not performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons and team surgery are not permitted.
CMS billing rules for 26260
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.88 · 49%
- Practice expense (office) RVU9.12 · 41%
- Malpractice RVU2.33 · 10%
25
Medicare services in 2024 · #5778 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.
26260 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
26210 covers limited excision or curettage of a finger bone lesion. Choose 26260 when the documented operation is a radical tumor resection.
No office rate
26215 describes finger bone lesion excision or curettage with autograft. It is not the radical tumor resection represented by 26260.
No office rate
26235 is for partial excision of finger bone; 26260 requires documentation of radical resection of a proximal finger tumor.
Compare 26260 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
Delaware →
Office / nonfacility
Unavailable
Facility
$736.14
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 26260 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,570
- Code
- 26260
- Physician work
- 10.88
- Practice expense
- 9.12
- Malpractice
- 2.33
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.88 | × 1.005 | 10.9344 |
| Practice expense | 9.12 | × 0.988 | 9.0106 |
| Malpractice | 2.33 | × 0.899 | 2.0947 |
| Total RVUs | 22.0396 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$736.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.88 | 1.005 |
| Practice expense | 9.12 | 0.988 |
| Malpractice | 2.33 | 0.899 |
(10.88 × 1.005 + 9.12 × 0.988 + 2.33 × 0.899) × $33.4009 = $736.14
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.
26260 billing questions
How does this differ from code 26210?
Use 26260 for radical resection of a proximal finger phalanx tumor. Code 26210 describes a more limited excision or curettage of a finger bone lesion.
When should 26262 be considered instead?
Use 26262 when the radical tumor resection involves the distal phalanx. The operative report should identify which part of the finger bone was resected.
Can modifier 50 be reported for tumors on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
Is an assistant surgeon payable, and can the case be billed as co-surgery?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
What documentation supports reporting 26260 rather than a limited lesion procedure?
Document the proximal phalanx involved and the radical extent of tumor resection. The note should distinguish the procedure from limited curettage or excision.
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.
2,56726235,,Partial removal finger bone,A,,6.17,6.55,NA,6.55,,1.19,13.91,13.91,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56826236,,Partial removal finger bone,A,,5.32,6.28,NA,6.28,,1.04,12.64,12.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56926250,,Extensive hand surgery,A,,14.83,11.53,NA,11.53,,3.16,29.52,29.52,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57026260,,Resect prox finger tumor,A,,10.88,9.12,NA,9.12,,2.33,22.33,22.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57126262,,Resect distal finger tumor,A,,8.08,8.23,NA,8.23,,1.72,18.03,18.03,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503