Billing code 26567: Finger osteotomyMedicare rate & RVUs in Georgia
Reports osteotomy of a finger phalanx to correct a bony deformity, with or without fixation, such as angular or rotational malalignment.
CMS doesn’t publish an office rate for 26567 in Georgia.
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 26567 covers
A hand surgeon uses this procedure to cut and realign a finger phalanx when the bone’s shape or position causes a deformity. Common situations include correction of angular malalignment after a fracture has healed in a poor position or correction of a congenital phalangeal deformity. The surgeon may stabilize the corrected bone with fixation; fixation is included in the service described by this code. These procedures are generally performed in an operating room or ambulatory surgery setting.
Choose this code when the operative work is an osteotomy of a finger phalanx, rather than an osteotomy of a metacarpal or a procedure that primarily lengthens or shortens bone. The operative report should identify the affected phalanx, the deformity being corrected, and the osteotomy and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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 26567 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $716.54 |
| Rest Of Georgia | Unavailable | $662.40 |
How the 26567 rate is calculated
Each of 26567’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 · 26567
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.82Practice expense 12.81Malpractice 1.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26567
26567 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26567
Finger osteotomy
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 26567
Finger osteotomy
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
26567 without 51 · national facility
$700.08
Finger osteotomy
26567-51 · Second procedure: 50%
$350.04
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%).
26567 compared with similar codes
Compare codes
26567 vs 26565 vs 26568 vs 26545: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26565Metacarpal osteotomy
- The key distinction is the bone treated: 26567 is for a finger phalanx, while 26565 is for a metacarpal.
- 26568Bone lengthening
- Use 26567 for a corrective osteotomy of a finger phalanx. Code 26568 describes bone lengthening or shortening.
- 26545Finger joint reconstruction
- 26567 corrects a phalangeal deformity through osteotomy; 26545 concerns reconstruction of a finger joint.
26567 billing questions
When should this code be chosen over 26565?
Use 26567 for an osteotomy of a finger phalanx. Code 26565 is for an osteotomy of a metacarpal.
Is fixation separately reported?
No separate fixation service is described here; the code covers the phalangeal osteotomy with or without fixation.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What documentation supports reporting this procedure?
Document the specific finger phalanx, the bony deformity and its clinical context, and the osteotomy and any fixation performed.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. 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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