Billing code 26675: Hand dislocationMedicare rate & RVUs in Guam
Reports closed reduction with manipulation of a carpometacarpal dislocation in the hand, excluding the thumb, when no open approach is used.
Medicare pays $545.42 for 26675 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
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 26675 covers
This service treats a carpometacarpal dislocation involving a metacarpal other than the thumb. The physician, commonly an orthopedic or hand surgeon, manipulates the displaced joint back into alignment without an incision. The injury may involve the base of one or more fingers’ metacarpals where they meet the carpal bones; the hand is typically stabilized afterward with a splint or cast. This code describes treatment with manipulation, not simply assessment of the injury or immobilization without reduction.
Report it when the record identifies a non-thumb carpometacarpal dislocation and documents the closed manipulation used to restore alignment. Include the affected joint or joints, reduction performed, and resulting alignment or stability. The 90-day global period includes 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 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.
26675 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $545.42 | $436.05 |
How the 26675 rate is calculated
Each of 26675’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 · 26675
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.71Practice expense 9.70Malpractice 1.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26675
26675 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26675
Hand dislocation
| 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 · 26675
Hand dislocation
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
26675 without 51 · national office
$515.38
Hand dislocation
26675-51 · Second procedure: 50%
$257.69
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%).
26675 compared with similar codes
Compare codes
26675 vs 26670 vs 26676 vs 26641: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26670Hand dislocation
- Choose 26670 when treatment is closed and does not involve manipulation. Choose 26675 when the physician manipulates the dislocated joint into alignment.
- 26676Hand dislocation
- 26676 is for percutaneous skeletal fixation of the dislocation. This code describes closed treatment with manipulation without that fixation approach.
- 26641Thumb dislocation
- 26641 is for a thumb carpometacarpal dislocation. This code is for carpometacarpal dislocations involving metacarpals other than the thumb.
26675 billing questions
How does this differ from 26670?
26675 is for closed treatment with manipulation. Use 26670 when the non-thumb carpometacarpal dislocation is treated without manipulation.
When is 26676 more appropriate?
26676 describes percutaneous skeletal fixation of a non-thumb carpometacarpal dislocation. This code describes closed treatment with manipulation, without that fixation approach.
Can the reduction be billed separately from this code?
The manipulation that restores the joint is the defining work of this service; it is not a separate reduction service.
What should the operative note document?
Document the non-thumb carpometacarpal dislocation, the joint or joints treated, the closed manipulation, and the reduction result. Record the stabilization provided after reduction.
Can modifier 50 be used for dislocations in both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor or anatomy does not support modifier 50.
When is assistant-at-surgery payment allowed?
Only when the medical necessity of the assistant is documented. Co-surgeons and team surgery are not permitted for this service.
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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