No office rate
Choose 26262 for a tumor involving the distal phalanx and 26260 for one involving the proximal phalanx.
On this page
CMS RVU26D · Effective 2026-10-01
26262 Tumor resection Medicare reimbursement rates in Missouri
Reports resection of a tumor involving a finger’s distal phalanx when the operative plan calls for broader bone removal rather than limited lesion treatment. Compare 26262 office and facility rates across CMS payment localities in Missouri.
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 26262 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$562.79–$589.14
3 of 3 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.
Where 26262 pays more and less in Missouri
Hand surgery
About 26262: Distal phalanx tumor resection
Reports resection of a tumor involving a finger’s distal phalanx when the operative plan calls for broader bone removal rather than limited lesion treatment.
A hand or orthopedic surgeon uses this service to resect a tumor involving the distal phalanx, the bone at the fingertip. The operative approach and amount of bone removed depend on the tumor’s location and extent. This is a more extensive tumor operation than a limited excision or curettage of a finger-bone lesion. It may be performed in a hospital or ambulatory surgical setting.
Select the code when the operative report supports resection of a distal-phalanx tumor; document the affected finger, tumor site, and extent of bone removal. This major surgery has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 26262
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.08 · 45%
- Practice expense (office) RVU8.23 · 46%
- Malpractice RVU1.72 · 10%
17
Medicare services in 2024 · #5996 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.
26262 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
26210 describes removal or curettage of a finger-bone lesion; 26262 describes resection of a distal-phalanx tumor.
No office rate
26215 involves lesion removal or curettage with grafting. Use 26262 when the documented procedure is a broader distal-phalanx tumor resection.
Compare 26262 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$584.13
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$589.14
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$562.79
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26262 billing questions
How does this differ from 26260?
26262 is for a tumor involving the distal phalanx. Code 26260 applies to a tumor resection involving the proximal phalanx.
When would 26210 or 26215 be a better fit?
Those codes describe removal or curettage of a finger-bone lesion, with 26215 involving grafting. Use 26262 when the documented operation is a broader resection of a distal-phalanx tumor.
Can modifier 50 be used for 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 or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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.
2,56826236,,Partial removal finger bone,A,,5.32,6.28,NA,6.28,,1.04,12.64,12.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56926250,,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