$336.86
20670 addresses superficial implant removal in applicable circumstances. For an implanted device in the hand, consider the hand-specific 26320 code.
On this page
CMS RVU26D · Effective 2026-10-01
26320 Implant removal Medicare reimbursement rates in Kansas
Reports operative removal of an implanted device from the hand, such as fixation hardware that is painful, prominent, or no longer needed. Compare 26320 office and facility rates across CMS payment localities in Kansas.
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 26320 in Kansas?
Kansas 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
$307.67
1 of 1 localities have a supported rate.
Payment area: Kansas
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 26320: Hand implant removal
Reports operative removal of an implanted device from the hand, such as fixation hardware that is painful, prominent, or no longer needed.
A hand surgeon or orthopedic surgeon uses this service to remove an implanted device from the hand, often after a fracture has healed or when hardware causes pain, prominence, or other problems. Examples include a buried wire, pin, screw, or plate. Removal involves operative access to the implant; it is not simply removal of an external splint or dressing. The procedure may take place in a hospital or ambulatory surgery setting.
Select the code for an implant in the hand, rather than a general implant-removal code for another site or a foreign-body removal code. The operative report should identify the implant, its hand location, and the work performed to remove it. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one 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; co-surgeons and team surgery are not permitted.
CMS billing rules for 26320
- 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 RVU4.00 · 40%
- Practice expense (office) RVU5.33 · 53%
- Malpractice RVU0.78 · 8%
492
Medicare services in 2024 · #3580 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.
26320 compared with similar codes
Office rates for Kansas, from the same CMS release.
Compare 26320 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
Kansas →
Office / nonfacility
Unavailable
Facility
$307.67
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 26320 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,572
- Code
- 26320
- Physician work
- 4.00
- Practice expense
- 5.33
- Malpractice
- 0.78
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.00 | × 1.000 | 4.0000 |
| Practice expense | 5.33 | × 0.904 | 4.8183 |
| Malpractice | 0.78 | × 0.504 | 0.3931 |
| Total RVUs | 9.2114 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$307.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 5.33 | 0.904 |
| Malpractice | 0.78 | 0.504 |
(4 × 1 + 5.33 × 0.904 + 0.78 × 0.504) × $33.4009 = $307.67
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.
26320 billing questions
When should I report 26320 instead of a general implant-removal code?
Use 26320 for operative removal of an implant located in the hand. General implant-removal codes are relevant to other sites or circumstances, such as a superficial implant addressed by 20670 or a deep implant addressed by 20680.
Is removal of a retained foreign body the same service?
No. An implanted device, such as fixation hardware, is different from an unintentional retained foreign body; code 20525 may describe removal of a deep foreign body in the appropriate circumstances.
Should modifier 50 be appended when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be billed?
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.
2,56926250,,Extensive hand surgery,A,,14.83,11.53,NA,11.53,,3.16,29.52,29.52,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57026260,,Resect prox finger tumor,A,,10.88,9.12,NA,9.12,,2.33,22.33,22.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57126262,,Resect distal finger tumor,A,,8.08,8.23,NA,8.23,,1.72,18.03,18.03,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958