No office rate
Use 26121 when the operation is limited to the palm. Use 26123 when release includes one contracted digit.
On this page
CMS RVU26D · Effective 2026-10-01
26121 Palmar fasciectomy Medicare reimbursement rates in Minnesota
Reports surgical removal of contracted palmar fascia for a palm-limited contracture, such as Dupuytren disease, without release of a contracted digit. Compare 26121 office and facility rates across CMS payment localities in Minnesota.
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 26121 in Minnesota?
Minnesota 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
$535.54
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 26121: Palm-only Dupuytren contracture fasciectomy
Reports surgical removal of contracted palmar fascia for a palm-limited contracture, such as Dupuytren disease, without release of a contracted digit.
The surgeon removes contracted fascia or cords in the palm to improve a fixed palmar contracture, commonly from Dupuytren disease. The work covered by this code is confined to the palm; release of a contracted finger changes the code choice. Hand, orthopedic, and plastic surgeons typically perform the operation in an operating room or ambulatory surgery setting.
Select the code from the operative extent, not simply the diagnosis or degree of contracture. The operative report should identify the palmar tissue treated and make clear whether the release extended into a digit. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 26121
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU7.54 · 45%
- Practice expense (office) RVU7.84 · 47%
- Malpractice RVU1.44 · 9%
3.8K
Medicare services in 2024 · #2038 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.
26121 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
This describes percutaneous palmar fascial release; 26121 represents surgical removal of contracted palmar fascia.
No office rate
This describes open release of palmar fascia. Choose 26121 when the operative work removes the contracted fascia rather than simply releasing it.
No office rate
26125 describes release of each additional digit in the 26123 coding context; it is not the palm-only service represented by 26121.
Compare 26121 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$535.54
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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 26121 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,551
- Code
- 26121
- Physician work
- 7.54
- Practice expense
- 7.84
- Malpractice
- 1.44
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.54 | × 1.000 | 7.5400 |
| Practice expense | 7.84 | × 1.029 | 8.0674 |
| Malpractice | 1.44 | × 0.296 | 0.4262 |
| Total RVUs | 16.0336 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$535.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.54 | 1 |
| Practice expense | 7.84 | 1.029 |
| Malpractice | 1.44 | 0.296 |
(7.54 × 1 + 7.84 × 1.029 + 1.44 × 0.296) × $33.4009 = $535.54
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.
26121 billing questions
How does 26121 differ from 26123?
26121 is for removal of contracted palmar fascia confined to the palm. Use 26123 when the operation also releases a contracted single digit.
Is the code selected by the number of cords removed?
The operative extent determines the code, not a count of individual cords. Document whether the work remained in the palm or extended into a digit.
Can modifier 50 be used when both palms are treated?
Yes. CMS pays bilateral surgery reported with modifier 50 at 150%; the operative documentation should support treatment on both sides.
What postoperative care is included?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period.
Can an assistant surgeon or co-surgeon be reported?
CMS 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 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.
2,54826116,,Exc hand tum deep < 1.5 cm,A,,6.57,6.97,NA,6.97,,1.25,14.79,14.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54926117,,Rad resect hand tumor < 3 cm,A,,9.88,8.93,NA,8.93,,1.98,20.79,20.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55026118,,Rad resect hand tumor 3 cm/>,A,,14.44,11.81,NA,11.81,,2.91,29.16,29.16,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55126121,,Release palm contracture,A,,7.54,7.84,NA,7.84,,1.44,16.82,16.82,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55226123,,Release palm contracture,A,,10.61,10.76,NA,10.76,,2.02,23.39,23.39,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55326125,,Release palm contracture,A,,4.49,1.48,NA,1.48,,0.86,6.83,6.83,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55426130,,Remove wrist joint lining,A,,5.45,7.11,NA,7.11,,1.17,13.73,13.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002