No office rate
Choose 26593 when the operative work releases intrinsic hand muscle; choose 26591 when the surgeon repairs intrinsic hand muscle.
On this page
CMS RVU26D · Effective 2026-10-01
26593 Muscle release Medicare reimbursement rates in Florida
Reports operative release of intrinsic hand muscles when their restriction contributes to a hand deformity or limits finger motion. Compare 26593 office and facility rates across CMS payment localities in Florida.
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 26593 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$634.53–$706.03
3 of 3 localities have a supported rate.
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.
Where 26593 pays more and less in Florida
Hand surgery
About 26593: Intrinsic hand muscle release
Reports operative release of intrinsic hand muscles when their restriction contributes to a hand deformity or limits finger motion.
CPT 26593 describes an operation that releases intrinsic muscles within the hand to address muscle tightness or contracture affecting hand position or finger movement. A hand or orthopedic surgeon typically performs it in an operating room. The operative report should identify the muscle or muscles released, the affected hand and clinical problem, and the release performed; do not substitute this code for work directed at a joint, bone, or palmar fascia.
Report the service for the muscle-release work documented, and distinguish it from intrinsic muscle repair or release of constricting tissue. Medicare assigns 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26593
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.36 · 28%
- Practice expense (office) RVU12.63 · 66%
- Malpractice RVU1.04 · 5%
1.1K
Medicare services in 2024 · #2885 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.
26593 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
26596 is directed at excising constricting tissue, such as palmar tissue; 26593 is directed at intrinsic hand muscle.
No office rate
26567 addresses finger deformity through bone correction. Use 26593 when the documented corrective work is release of intrinsic hand muscle.
Compare 26593 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$669.17
Miami →
Office / nonfacility
Unavailable
Facility
$706.03
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$634.53
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26593 billing questions
How is 26593 different from 26591?
26593 is for releasing intrinsic hand muscles; 26591 is for repairing them. The operative work, not simply the presence of a hand deformity, determines which code fits.
Is release of palmar constricting tissue reported as 26593?
No. 26593 concerns intrinsic hand muscles. Code 26596 addresses excision of constricting tissue, so identify the tissue actually treated in the operative report.
Can modifier 50 be used when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for 26593; modifier 50 should not be used for this code.
How does Medicare handle 26593 with another procedure in the same session?
The highest-valued procedure is paid in full, with the other procedures subject to the standard multiple-procedure reduction. The 90-day global period includes related postoperative care.
Can an assistant surgeon or co-surgeon be paid for 26593?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are 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 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.
2,65326587,,Reconstruct extra finger,A,,14.14,11.93,NA,11.93,,3.01,29.08,29.08,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65426590,,Repair finger deformity,A,,18.20,18.03,NA,18.03,,3.88,40.11,40.11,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65526591,,Repair muscles of hand,A,,3.30,10.82,NA,10.82,,0.62,14.74,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65626593,,Release muscles of hand,A,,5.36,12.63,NA,12.63,,1.04,19.03,19.03,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65726596,,Excision constricting tissue,A,,8.91,12.91,NA,12.91,,1.91,23.73,23.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65826600,,Treat metacarpal fracture,A,,2.54,7.20,,5.97,,0.49,10.23,9.00,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65926605,,Treat metacarpal fracture,A,,2.95,7.71,,5.78,,0.61,11.27,9.34,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00