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CMS RVU26D · Effective 2026-10-01

26011 Finger abscess drainage Medicare reimbursement rates in Georgia

Drainage of a complicated finger abscess, including a felon, is reported when the collection requires more involved treatment than a simple abscess. Compare 26011 office and facility rates across CMS payment localities in Georgia.

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 26011 in Georgia?

Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$473.38–$527.03

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $53.65 per service.

Facility setting

$174.85–$187.00

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $12.15 per service.

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.

Find 26011 in your payment locality →

Hand surgery

About 26011: Complicated finger abscess drainage

Drainage of a complicated finger abscess, including a felon, is reported when the collection requires more involved treatment than a simple abscess.

This service involves opening and draining a complicated abscess in a finger. A typical example is a felon, a purulent collection in the fingertip pulp. A hand surgeon or other qualified clinician may perform the procedure in an office, emergency department, or operating room, depending on the clinical circumstances.

Select this code when the documented finger abscess is complicated; a simple finger abscess is represented by 26010. The note should identify the affected finger, abscess location and complexity, and the drainage performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 26011

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU2.18 · 14%
  • Practice expense (office) RVU12.87 · 83%
  • Malpractice RVU0.43 · 3%

2.2K

Medicare services in 2024 · #2401 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.

26011 compared with similar codes

Office rates for Georgia, from the same CMS release.

26010

Abscess drainage

Finger, simple

$342.98–$382.15

Choose 26010 for a simple finger abscess. Use 26011 when the finger abscess is complicated, such as a felon.

26020

Tendon sheath drainage

Hand, infectious tenosynovitis

No office rate

26020 is for drainage of a hand tendon sheath. Use 26011 when the drained collection is a complicated abscess in the finger.

10060

Abscess drainage

Simple, single abscess

$120.30–$130.94

10060 describes drainage of a simple or single cutaneous abscess. 26011 is the finger-specific choice for a complicated abscess.

Compare 26011 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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26011 billing questions

How is 26011 distinguished from 26010?

Use 26011 for a complicated finger abscess, such as a felon. Code 26010 represents a simple finger abscess.

Does this code include related postoperative visits?

Yes. CMS assigns a 10-day global period, which includes related postoperative visits during that period.

Can modifier 50 be used when abscesses are drained on both hands?

CMS identifies modifier 50 as inappropriate for this descriptor. Do not apply a bilateral adjustment to 26011.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services are not paid for this code. CMS also does not permit co-surgeon or team-surgery reporting.

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.

RVUs for 26011PPRRVU2026_Oct_nonQPP.csv, line 2,528 (RVU26D)