$368.64
Choose 26705 for a single MCP dislocation requiring manipulative reduction under anesthesia; 26700 represents closed treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
26705 Knuckle reduction Medicare reimbursement rates in Kansas
Reports closed reduction of a single metacarpophalangeal joint dislocation when manipulation is performed under anesthesia, rather than simple positioning or fixation. Compare 26705 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 26705 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
$443.28
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$359.94
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 26705: Closed MCP joint reduction with anesthesia
Reports closed reduction of a single metacarpophalangeal joint dislocation when manipulation is performed under anesthesia, rather than simple positioning or fixation.
This service is a closed reduction of a dislocated metacarpophalangeal (MCP) joint—the knuckle where a finger meets the hand. The clinician manipulates the joint back into alignment without opening the joint or using percutaneous pins. It is typically performed by an orthopedic or hand surgeon, sometimes in an emergency or procedure setting, when reduction requires anesthesia. The code applies to one MCP joint; a dislocation at a finger’s interphalangeal joint is a different anatomic service.
The record should identify the affected MCP joint, document the dislocation, the manipulative reduction, and the use of anesthesia. This is a major procedure with a 90-day global period, including 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26705
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.27 · 29%
- Practice expense (office) RVU9.45 · 65%
- Malpractice RVU0.91 · 6%
69
Medicare services in 2024 · #5151 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.
26705 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
26706 is for percutaneous skeletal fixation of an MCP dislocation. Use 26705 when the closed reduction does not include percutaneous fixation.
No office rate
26715 describes open treatment of an MCP dislocation. 26705 is for closed manipulative reduction.
$399.09
26775 concerns an interphalangeal joint dislocation treated with manipulation requiring anesthesia; 26705 concerns the MCP joint.
Compare 26705 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
$443.28
Facility
$359.94
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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 26705 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,673
- Code
- 26705
- Physician work
- 4.27
- Practice expense
- 9.45
- Malpractice
- 0.91
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.27 | × 1.000 | 4.2700 |
| Practice expense | 9.45 | × 0.904 | 8.5428 |
| Malpractice | 0.91 | × 0.504 | 0.4586 |
| Total RVUs | 13.2714 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$443.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.27 | 1 |
| Practice expense | 9.45 | 0.904 |
| Malpractice | 0.91 | 0.504 |
(4.27 × 1 + 9.45 × 0.904 + 0.91 × 0.504) × $33.4009 = $443.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.27 | 1 |
| Practice expense | 6.69 | 0.904 |
| Malpractice | 0.91 | 0.504 |
(4.27 × 1 + 6.69 × 0.904 + 0.91 × 0.504) × $33.4009 = $359.94
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.
26705 billing questions
How does this differ from 26700?
26705 is for a single MCP dislocation reduced with manipulation requiring anesthesia. 26700 is the related code for closed treatment without manipulation.
When should 26706 be considered instead?
Use 26706 when percutaneous skeletal fixation is performed for the MCP dislocation. This code describes closed manipulative reduction without percutaneous fixation.
Can modifier 50 be used for dislocations on both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. 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.
2,67026685,,Treat hand dislocation,A,,6.89,7.95,NA,7.95,,1.19,16.03,16.03,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67126686,,Treat hand dislocation,A,,7.97,8.08,NA,8.08,,1.69,17.74,17.74,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67226700,,Treat knuckle dislocation,A,,3.73,7.62,,5.87,,0.83,12.18,10.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67326705,,Treat knuckle dislocation,A,,4.27,9.45,,6.69,,0.91,14.63,11.87,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67426706,,Pin knuckle dislocation,A,,5.18,6.45,NA,6.45,,0.89,12.52,12.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67526715,,Treat knuckle dislocation,A,,6.85,8.15,NA,8.15,,1.32,16.32,16.32,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67626720,,Treat finger fracture each,A,,1.72,4.97,,4.06,,0.36,7.05,6.14,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,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