No office rate
This code removes constricting tissue. Code 26593 addresses release of intrinsic hand muscles when muscle tightness is the operative target.
On this page
CMS RVU26D · Effective 2026-10-01
26596 Constriction-band excision Medicare reimbursement rates in Idaho
Reports surgical removal of constricting soft tissue on the hand or a digit, such as a congenital band restricting movement or circulation. Compare 26596 office and facility rates across CMS payment localities in Idaho.
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 26596 in Idaho?
Idaho 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
No supported rate
Facility setting
$724.49
1 of 1 localities have a supported rate.
Payment area: Idaho
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 surgery
About 26596: Hand constriction-band tissue excision
Reports surgical removal of constricting soft tissue on the hand or a digit, such as a congenital band restricting movement or circulation.
A hand surgeon or plastic surgeon uses this service to remove constricting tissue that encircles or tethers part of the hand or a digit. A typical indication is a congenital constriction band that limits motion or compromises circulation. The operative site is the abnormal band or tissue, rather than a fused web between digits or a deformity caused by bone alignment.
Report the procedure when the operative record supports excision of constricting tissue, including the affected hand or digit, the tissue treated, and the reason for surgery. The code has a 90-day global period, which 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 26596
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.91 · 38%
- Practice expense (office) RVU12.91 · 54%
- Malpractice RVU1.91 · 8%
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.
26596 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
Use 26560 for repair of syndactyly, where digits are joined by a web. Use 26596 for excision of constricting tissue around or tethering a hand or digit.
No office rate
Code 26567 addresses correction of a finger deformity; 26596 is for excision of constricting tissue rather than correction of the deformity itself.
Compare 26596 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
Idaho →
Office / nonfacility
Unavailable
Facility
$724.49
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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 26596 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
2,657
- Code
- 26596
- Physician work
- 8.91
- Practice expense
- 12.91
- Malpractice
- 1.91
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.91 | × 1.000 | 8.9100 |
| Practice expense | 12.91 | × 0.920 | 11.8772 |
| Malpractice | 1.91 | × 0.473 | 0.9034 |
| Total RVUs | 21.6906 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$724.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.91 | 1 |
| Practice expense | 12.91 | 0.92 |
| Malpractice | 1.91 | 0.473 |
(8.91 × 1 + 12.91 × 0.92 + 1.91 × 0.473) × $33.4009 = $724.49
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.
26596 billing questions
When is this code a better fit than a syndactyly repair code?
Use this code for excision of constricting tissue, such as a band around a digit. Syndactyly repair addresses digits joined by a web of tissue.
What documentation supports reporting this procedure?
Document the location and extent of the constricting tissue, the affected hand or digit, the functional or circulatory problem, and the excision performed.
Can modifier 50 be reported for treatment of both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules supplied for this code.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
2,65426590,,Repair finger deformity,A,,18.20,18.03,NA,18.03,,3.88,40.11,40.11,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65526591,,Repair muscles of hand,A,,3.30,10.82,NA,10.82,,0.62,14.74,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65626593,,Release muscles of hand,A,,5.36,12.63,NA,12.63,,1.04,19.03,19.03,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65726596,,Excision constricting tissue,A,,8.91,12.91,NA,12.91,,1.91,23.73,23.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65826600,,Treat metacarpal fracture,A,,2.54,7.20,,5.97,,0.49,10.23,9.00,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65926605,,Treat metacarpal fracture,A,,2.95,7.71,,5.78,,0.61,11.27,9.34,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66026607,,Treat metacarpal fracture,A,,5.34,8.41,NA,8.41,,1.14,14.89,14.89,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772