$406.23
Both address closed treatment of a distal phalanx fracture. Choose 26750 when treatment is without manipulation and 26755 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
26750 Finger fracture care Medicare reimbursement rates in Guam
Reports closed treatment of a finger or thumb distal phalanx fracture when treatment does not require manipulation, billed for each fracture treated. Compare 26750 office and facility rates across CMS payment localities in Guam.
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 26750 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$235.70
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$222.03
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Orthopedic fracture care
About 26750: Closed distal phalanx fracture treatment
Reports closed treatment of a finger or thumb distal phalanx fracture when treatment does not require manipulation, billed for each fracture treated.
CPT 26750 describes closed treatment of a fracture in the distal phalanx of a finger or thumb when the provider treats it without manipulating the fracture. Orthopedic surgeons, hand surgeons, and other qualified clinicians may provide this care in an office, emergency department, or hospital setting. The code is reported for each treated fracture, not once for the entire hand. It is distinct from treatment that requires manipulation, percutaneous fixation, or open treatment.
The record should identify the affected digit and distal phalanx fracture, support the closed-treatment approach, and show that manipulation was not performed. CMS assigns a 90-day global period; the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26750
- 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 RVU1.76 · 27%
- Practice expense (office) RVU4.47 · 68%
- Malpractice RVU0.37 · 6%
5.3K
Medicare services in 2024 · #1834 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.
26750 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
26756 involves percutaneous skeletal fixation; 26750 is closed treatment without manipulation and without that fixation approach.
$253.16
26720 is for a proximal or middle phalanx shaft fracture treated without manipulation. CPT 26750 is for the distal phalanx.
Compare 26750 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$235.70
Facility
$222.03
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26750 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,683
- Code
- 26750
- Physician work
- 1.76
- Practice expense
- 4.47
- Malpractice
- 0.37
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 4.47 | × 1.137 | 5.0824 |
| Malpractice | 0.37 | × 0.579 | 0.2142 |
| Total RVUs | 7.0566 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$235.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 4.47 | 1.137 |
| Malpractice | 0.37 | 0.579 |
(1.76 × 1 + 4.47 × 1.137 + 0.37 × 0.579) × $33.4009 = $235.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 4.11 | 1.137 |
| Malpractice | 0.37 | 0.579 |
(1.76 × 1 + 4.11 × 1.137 + 0.37 × 0.579) × $33.4009 = $222.03
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
26750 billing questions
When should 26750 be used instead of 26755?
Use 26750 for closed treatment of a distal phalanx fracture without manipulation. Use 26755 when manipulation is performed.
Is the code reported once per hand or per fracture?
Report it for each distal phalanx fracture treated. Document the specific digit and fracture so the units are clear.
Can modifier 50 be used for fractures on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report each treated fracture rather than applying modifier 50.
Does the global period include fracture follow-up?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed for this service?
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.
2,68026740,,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
2,68326750,,Treat finger fracture each,A,,1.76,4.47,,4.11,,0.37,6.60,6.24,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68426755,,Treat finger fracture each,A,,3.15,7.58,,5.13,,0.68,11.41,8.96,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68526756,,Pin finger fracture each,A,,4.47,7.08,NA,7.08,,0.87,12.42,12.42,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68626765,,Treat finger fracture each,A,,5.71,7.74,NA,7.74,,1.12,14.57,14.57,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014