Billing code 26746: Finger fracture repairMedicare rate & RVUs in Florida
Reports open surgical treatment of an articular fracture involving a finger's metacarpophalangeal or interphalangeal joint, for each fracture treated.
CMS doesn’t publish an office rate for 26746 in Florida.
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 26746 covers
26746 covers open surgical treatment of a fracture that extends into a metacarpophalangeal or interphalangeal joint of a finger. The surgeon exposes and treats the fracture, using internal fixation when needed. Orthopedic and hand surgeons commonly perform this procedure in a hospital or ambulatory surgery setting when the joint surface requires open treatment.
Report the code for each qualifying fracture treated, and document the involved finger and joint, the articular fracture, and the open treatment performed; note fixation when used. Closed treatment of an articular fracture is reported with a different code, with selection depending on whether manipulation is performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery for this service; 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.
Where 26746 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $741.52 |
| Miami | Unavailable | $793.98 |
| Rest Of Florida | Unavailable | $705.40 |
How the 26746 rate is calculated
Each of 26746’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 · 26746
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.56Practice expense 9.23Malpractice 1.82
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26746
26746 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26746
Finger fracture repair
| 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 · 26746
Finger fracture repair
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
26746 without 51 · national facility
$688.39
Finger fracture repair
26746-51 · Second procedure: 50%
$344.20
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%).
26746 compared with similar codes
Compare codes
26746 vs 26740 vs 26742 vs 26735: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26740Finger fracture
- 26740 is for closed treatment of an articular MCP or IP joint fracture without manipulation. 26746 describes open surgical treatment.
- 26742Finger fracture care
- 26742 is for closed treatment of an articular MCP or IP joint fracture with manipulation; 26746 is used for open treatment.
- 26735Finger fracture repair
- 26735 covers open treatment of a phalangeal shaft fracture. Choose 26746 when the fracture involves the MCP or IP joint surface.
26746 billing questions
When should 26746 be selected instead of a closed-treatment code?
Use 26746 when the articular fracture involving an MCP or IP joint is treated with an open surgical approach. Closed treatment is represented by 26740 or 26742, depending on whether manipulation is performed.
How does 26746 differ from 26735?
26746 is for an articular fracture involving an MCP or IP joint. 26735 describes open treatment of a phalangeal shaft fracture.
What should the operative documentation identify?
Document the finger and joint involved, the articular fracture, and that it was treated through an open approach. Record internal fixation when performed.
Is postoperative fracture care separately reported during the global period?
The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.
Can an assistant or co-surgeon be reported for 26746?
Medicare does not pay an assistant at surgery for this service. 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 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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