Billing code 26742: Finger fracture careMedicare rate & RVUs in Guam
Closed treatment of an articular fracture at a finger MCP or IP joint, reported for each fracture when the clinician manipulates the fracture.
Medicare pays $447.32 for 26742 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 26742 covers
This service treats a fracture that extends into a metacarpophalangeal or interphalangeal joint without surgically exposing the fracture. The clinician manipulates the fracture to improve alignment, then stabilizes the finger. Orthopedic and hand surgeons commonly provide this care, including in an office, emergency department, or facility setting. The code is for each treated fracture, not each imaging study or follow-up visit.
Report it when documentation identifies the joint-involving fracture and supports active manipulation as part of closed treatment. A shaft fracture or a fracture treated without manipulation falls under a different code. The 90-day global period includes 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 at 50%. Do not append modifier 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.
26742 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $447.32 | $354.65 |
How the 26742 rate is calculated
Each of 26742’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 · 26742
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.89Practice expense 7.95Malpractice 0.80
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26742
26742 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26742
Finger fracture care
| 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 · 26742
Finger fracture care
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
26742 without 51 · national office
$422.19
Finger fracture care
26742-51 · Second procedure: 50%
$211.10
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%).
26742 compared with similar codes
Compare codes
26742 vs 26740 vs 26746 vs 26725: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26740Finger fracture
- Both codes address closed treatment of an articular fracture at an MCP or IP joint. Choose 26742 when manipulation is performed; choose 26740 when it is not.
- 26746Finger fracture repair
- This code is for closed treatment with manipulation. 26746 is for open treatment of the articular fracture.
- 26725Finger fracture treatment
- 26725 applies to a phalangeal shaft fracture treated closed with manipulation. Use 26742 for an articular fracture involving an MCP or IP joint.
26742 billing questions
How is this different from 26740?
26742 is for an articular fracture treated with manipulation. Use 26740 when the articular fracture is treated without manipulation.
Can I report a separate cast or splint application?
Routine immobilization is part of fracture treatment. Related postoperative care during the 90-day global period is included.
Should modifier 50 be used for fractures on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
When should 26746 be considered instead?
26746 describes open treatment of an articular fracture at an MCP or IP joint. Use 26742 for closed treatment with manipulation.
What documentation supports reporting 26742?
Document the involved finger joint, the articular fracture, and the manipulation performed to treat it. Report each fracture treated.
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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