No office rate
Use 26210 for a finger-phalanx bone lesion treated without autograft reconstruction. Compare 26215 when the procedure includes autograft.
On this page
CMS RVU26D · Effective 2026-10-01
26210 Bone lesion removal Medicare reimbursement rates in Massachusetts
Open removal or curettage of a benign bone cyst or tumor in a finger phalanx, reported when the lesion is treated without autograft reconstruction. Compare 26210 office and facility rates across CMS payment localities in Massachusetts.
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 26210 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$436.28–$474.99
2 of 2 localities have a supported rate.
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 26210: Finger phalanx bone lesion curettage
Open removal or curettage of a benign bone cyst or tumor in a finger phalanx, reported when the lesion is treated without autograft reconstruction.
CPT 26210 covers operative excision or curettage of a benign bone cyst or tumor in a finger phalanx. A hand or orthopedic surgeon exposes the affected bone and removes or scrapes out the lesion. The code concerns a lesion arising in the phalanx, not a soft-tissue mass near a finger. It is used in settings such as a hospital outpatient department or ambulatory surgery center when the surgeon treats the bone lesion without autograft reconstruction.
Select the code based on the involved bone and the procedure performed. Document the phalanx, the bone lesion, and whether the surgeon excised or curetted it; when autograft is used, compare the service with 26215. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26210
- 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 RVU5.19 · 40%
- Practice expense (office) RVU6.64 · 52%
- Malpractice RVU1.00 · 8%
2.3K
Medicare services in 2024 · #2371 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.
26210 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
26200 addresses a bone lesion in the hand rather than a finger phalanx; identify the specific bone treated.
No office rate
26235 describes partial removal of finger bone. Choose based on the documented procedure and whether the work is lesion curettage or partial bone excision.
Compare 26210 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$474.99
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$436.28
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.
26210 billing questions
How does 26210 differ from 26215?
26210 is for removal or curettage of a finger-phalanx bone lesion without autograft reconstruction. When autograft is used, compare the service with 26215.
Can 26210 be used for a lump next to the finger bone?
No. The code is for a lesion in the phalanx itself, not a soft-tissue mass adjacent to the bone.
Can the bone graft harvest be reported separately?
When autograft reconstruction is performed, compare the full service with 26215, which includes obtaining the graft. Do not use 26210 to represent that grafting service.
Should modifier 50 be used when lesions are treated on both hands?
No. CMS identifies bilateral adjustment as inapplicable to this code; 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.
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.
2,56126185,,Remove finger bone,A,,6.36,8.69,NA,8.69,,1.34,16.39,16.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56226200,,Remove hand bone lesion,A,,5.51,6.26,NA,6.26,,1.08,12.85,12.85,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56326205,,Remove/graft bone lesion,A,,7.73,7.88,NA,7.88,,1.64,17.25,17.25,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56426210,,Removal of finger lesion,A,,5.19,6.64,NA,6.64,,1.00,12.83,12.83,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56526215,,Remove/graft finger lesion,A,,7.09,7.67,NA,7.67,,1.50,16.26,16.26,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56626230,,Partial removal of hand bone,A,,6.31,6.59,NA,6.59,,1.22,14.12,14.12,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56726235,,Partial removal finger bone,A,,6.17,6.55,NA,6.55,,1.19,13.91,13.91,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00