Billing code 26727: Finger fracture careMedicare rate & RVUs in Iowa
Reports closed treatment with manipulation of a neck fracture in a finger or thumb proximal or middle phalanx, billed for each fracture treated.
CMS doesn’t publish an office rate for 26727 in Iowa.
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 26727 covers
This code covers closed treatment of a neck fracture in the proximal or middle phalanx of a finger or thumb when the clinician manipulates the fracture to improve alignment. An orthopedic or hand surgeon typically performs the reduction in an emergency department, office, or operating-room setting, then immobilizes the digit as appropriate. The fracture must be a neck fracture; shaft and joint-surface fracture patterns are classified separately.
Report the service for each fracture treated, with documentation identifying the digit, phalanx, fracture location, and manipulation performed. The 90-day global period includes 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this code; 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.
26727 in Iowa
| Payment locality | Office | Facility |
|---|---|---|
| Iowa | Unavailable | $415.08 |
How the 26727 rate is calculated
Each of 26727’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 · 26727
RVUs × geographic indexes × conversion factor
Work5.28
5.28 RVUs× 1.000 GPCI
Practice expense7.36
7.36 RVUs× 1.000 GPCI
Malpractice1.04
1.04 RVUs× 1.000 GPCI
Adjusted RVUs
13.6800
Conversion factor
$33.4009
Medicare rate
$456.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26727
26727 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26727
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 · 26727
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
26727 without 51 · national facility
$456.92
Finger fracture care
26727-51 · Second procedure: 50%
$228.46
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%).
26727 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 26725Finger fracture treatment
- Use 26727 for a neck fracture and 26725 for a shaft fracture of the proximal or middle phalanx; both involve manipulation.
- 26720Finger fracture care
- Code 26720 describes a shaft fracture treated without manipulation. This code requires manipulation and applies to a neck fracture.
- 26742Finger fracture care
- Code 26742 is for a fracture involving a finger joint surface treated with manipulation. This code is for a phalangeal neck fracture.
26727 billing questions
How is this code distinguished from 26725?
This code is for a manipulated neck fracture of the proximal or middle phalanx. Code 26725 describes treatment of a shaft fracture with manipulation.
Is this code reported once per patient or once per finger?
It is reported for each fracture treated. Document the specific digit and fracture so the units reflect the fractures receiving treatment.
Can modifier 50 be used for fractures in both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the treated fractures individually rather than applying modifier 50.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant-at-surgery or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code, and 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 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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