$447.32
Both address articular fractures involving a finger joint. Choose 26740 when treatment is closed without manipulation and 26742 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
26740 Finger fracture Medicare reimbursement rates in Hawaii
Closed treatment of an intra-articular finger fracture without manipulation, reported for each fracture involving a metacarpophalangeal or interphalangeal joint. Compare 26740 office and facility rates across CMS payment localities in Hawaii.
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 26740 in Hawaii?
Hawaii 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
$281.61
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$240.59
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.
Hand fracture care
About 26740: Closed articular finger fracture treatment
Closed treatment of an intra-articular finger fracture without manipulation, reported for each fracture involving a metacarpophalangeal or interphalangeal joint.
This service manages a finger fracture that extends into a metacarpophalangeal or interphalangeal joint, without manipulating the fracture to change its alignment. An orthopedist, hand surgeon, or other physician providing definitive fracture care may use this approach when the joint-involving fracture is treated closed, often with immobilization rather than open exposure. The record should identify the affected digit, bone and joint, and show that the fracture involves the joint surface.
Report one unit for each qualifying fracture treated without manipulation; a fracture that is manipulated or treated openly follows a different code path. The documentation should support the closed treatment method and the absence of manipulation. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 26740
- 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 RVU2.02 · 26%
- Practice expense (office) RVU5.44 · 69%
- Malpractice RVU0.39 · 5%
924
Medicare services in 2024 · #3027 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.
26740 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Use 26746 when the articular fracture is treated through an open approach; 26740 describes closed treatment without manipulation.
$253.16
26720 applies to a proximal or middle phalanx shaft fracture treated closed without manipulation. 26740 is for a fracture involving the MCP or IP joint.
Compare 26740 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
$281.61
Facility
$240.59
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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 26740 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,680
- Code
- 26740
- Physician work
- 2.02
- Practice expense
- 5.44
- Malpractice
- 0.39
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.02 | × 1.000 | 2.0200 |
| Practice expense | 5.44 | × 1.137 | 6.1853 |
| Malpractice | 0.39 | × 0.579 | 0.2258 |
| Total RVUs | 8.4311 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$281.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.02 | 1 |
| Practice expense | 5.44 | 1.137 |
| Malpractice | 0.39 | 0.579 |
(2.02 × 1 + 5.44 × 1.137 + 0.39 × 0.579) × $33.4009 = $281.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.02 | 1 |
| Practice expense | 4.36 | 1.137 |
| Malpractice | 0.39 | 0.579 |
(2.02 × 1 + 4.36 × 1.137 + 0.39 × 0.579) × $33.4009 = $240.59
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.
26740 billing questions
When is 26740 selected instead of 26742?
Use 26740 for a joint-involving finger fracture treated closed without manipulation. Use 26742 when the physician manipulates the fracture.
How does 26740 differ from 26746?
26740 describes closed treatment without manipulation. 26746 is for open treatment of an articular fracture involving a finger joint.
What documentation supports reporting 26740?
Document the digit, involved bone and joint, fracture extension into the joint, and closed treatment without manipulation.
How many units should be reported?
Report one unit for each qualifying articular fracture treated. The code is reported per fracture, not per visit or immobilization device.
Can modifier 50 be used for fractures on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
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.
2,67726725,,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
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
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