$219.86–$240.72
Use 26720 for closed treatment of a proximal or middle phalanx shaft fracture without manipulation; use 26735 when treatment is open.
On this page
CMS RVU26D · Effective 2026-10-01
26735 Finger fracture repair Medicare reimbursement rates in Georgia
Reports open surgical treatment of a proximal or middle finger phalanx shaft fracture, counted separately for each treated finger. Compare 26735 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 26735 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
No supported rate
Facility setting
$543.62–$579.02
2 of 2 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.
Hand surgery
About 26735: Open treatment of finger phalanx shaft fracture
Reports open surgical treatment of a proximal or middle finger phalanx shaft fracture, counted separately for each treated finger.
This code covers open surgical treatment of a shaft fracture in the proximal or middle phalanx of a finger or thumb. The surgeon exposes the fracture and restores alignment; internal fixation, such as pins or other fixation devices, is included when performed. Hand surgeons and orthopedic surgeons commonly perform the service in an operating room, though treatment may occur in other appropriate surgical settings.
Report one service for each treated finger, selecting this code when the fracture is treated through an open approach rather than closed manipulation or immobilization alone. Operative documentation should identify the bone and fracture site, the open treatment, and any fixation used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code’s anatomy and descriptor. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 26735
- 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 RVU7.23 · 43%
- Practice expense (office) RVU8.27 · 49%
- Malpractice RVU1.40 · 8%
2.3K
Medicare services in 2024 · #2346 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.
26735 compared with similar codes
Office rates for Georgia, from the same CMS release.
$372.50–$405.11
Use 26725 for closed treatment with manipulation. Open surgical treatment of the shaft fracture is reported with 26735.
No office rate
26746 describes open treatment of a fracture involving a metacarpophalangeal or interphalangeal joint; 26735 is for a phalangeal shaft fracture.
No office rate
26756 is for open treatment of a distal phalanx fracture. This code is for a proximal or middle phalanx shaft fracture.
Compare 26735 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
Atlanta →
Office / nonfacility
Unavailable
Facility
$579.02
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$543.62
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.
26735 billing questions
When should this code be selected instead of a closed-treatment code?
Use it when the surgeon treats a proximal or middle phalanx shaft fracture through an open approach. Closed treatment codes describe treatment without open surgical exposure.
Is internal fixation separately reported?
No. Fixation, when performed as part of the open fracture treatment, is included in this service.
How many units should be reported for multiple fractured fingers?
Report each treated finger separately. The multiple-procedure reduction may affect payment when other procedures are performed in the same session.
Can modifier 50 be used for fractures on both hands?
No. Modifier 50 is inappropriate for this code; report the service by treated finger.
Are the surgeon's related postoperative visits separately payable?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. 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.
2,67626720,,Treat finger fracture each,A,,1.72,4.97,,4.06,,0.36,7.05,6.14,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67726725,,Treat finger fracture each,A,,3.39,7.74,,5.53,,0.72,11.85,9.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67826727,,Treat finger fracture each,A,,5.28,7.36,NA,7.36,,1.04,13.68,13.68,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67926735,,Treat finger fracture each,A,,7.23,8.27,NA,8.27,,1.40,16.90,16.90,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68026740,,Treat finger fracture each,A,,2.02,5.44,,4.36,,0.39,7.85,6.77,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68126742,,Treat finger fracture each,A,,3.89,7.95,,5.51,,0.80,12.64,10.20,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68226746,,Treat finger fracture each,A,,9.56,9.23,NA,9.23,,1.82,20.61,20.61,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00