$240.80
26740 is for closed treatment of an articular MCP or IP joint fracture without manipulation. 26746 describes open surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
26746 Finger fracture repair Medicare reimbursement rates in Idaho
Reports open surgical treatment of an articular fracture involving a finger's metacarpophalangeal or interphalangeal joint, for each fracture treated. Compare 26746 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 26746 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
$631.69
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 26746: Open articular finger fracture treatment
Reports open surgical treatment of an articular fracture involving a finger's metacarpophalangeal or interphalangeal joint, for each fracture treated.
26746 covers open surgical treatment of a fracture that extends into a metacarpophalangeal or interphalangeal joint of a finger. The surgeon exposes and treats the fracture, using internal fixation when needed. Orthopedic and hand surgeons commonly perform this procedure in a hospital or ambulatory surgery setting when the joint surface requires open treatment.
Report the code for each qualifying fracture treated, and document the involved finger and joint, the articular fracture, and the open treatment performed; note fixation when used. Closed treatment of an articular fracture is reported with a different code, with selection depending on whether manipulation is performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 26746
- 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 RVU9.56 · 46%
- Practice expense (office) RVU9.23 · 45%
- Malpractice RVU1.82 · 9%
1.2K
Medicare services in 2024 · #2864 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.
26746 compared with similar codes
Office rates for Idaho, from the same CMS release.
$386.86
26742 is for closed treatment of an articular MCP or IP joint fracture with manipulation; 26746 is used for open treatment.
No office rate
26735 covers open treatment of a phalangeal shaft fracture. Choose 26746 when the fracture involves the MCP or IP joint surface.
Compare 26746 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
$631.69
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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 26746 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
2,682
- Code
- 26746
- Physician work
- 9.56
- Practice expense
- 9.23
- Malpractice
- 1.82
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.56 | × 1.000 | 9.5600 |
| Practice expense | 9.23 | × 0.920 | 8.4916 |
| Malpractice | 1.82 | × 0.473 | 0.8609 |
| Total RVUs | 18.9125 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$631.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.56 | 1 |
| Practice expense | 9.23 | 0.92 |
| Malpractice | 1.82 | 0.473 |
(9.56 × 1 + 9.23 × 0.92 + 1.82 × 0.473) × $33.4009 = $631.69
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.
26746 billing questions
When should 26746 be selected instead of a closed-treatment code?
Use 26746 when the articular fracture involving an MCP or IP joint is treated with an open surgical approach. Closed treatment is represented by 26740 or 26742, depending on whether manipulation is performed.
How does 26746 differ from 26735?
26746 is for an articular fracture involving an MCP or IP joint. 26735 describes open treatment of a phalangeal shaft fracture.
What should the operative documentation identify?
Document the finger and joint involved, the articular fracture, and that it was treated through an open approach. Record internal fixation when performed.
Is postoperative fracture care separately reported during the global period?
The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.
Can an assistant or co-surgeon be reported for 26746?
Medicare does not pay an assistant at surgery for this service. 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.
2,67926735,,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
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
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