No office rate
Choose 26140 for an interphalangeal joint synovectomy; 26135 is for a metacarpophalangeal joint synovectomy.
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CMS RVU26D · Effective 2026-10-01
26140 Synovectomy Medicare reimbursement rates in Nebraska
Reports surgical removal of diseased synovial tissue from a finger interphalangeal joint, including the associated extensor mechanism, one joint at a time. Compare 26140 office and facility rates across CMS payment localities in Nebraska.
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 26140 in Nebraska?
Nebraska 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
$437.86
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 26140: Finger interphalangeal joint synovectomy
Reports surgical removal of diseased synovial tissue from a finger interphalangeal joint, including the associated extensor mechanism, one joint at a time.
A hand surgeon removes abnormal or chronically inflamed synovial tissue from a finger interphalangeal joint and addresses the associated extensor mechanism. The procedure is used when synovial disease at that joint warrants operative treatment, such as persistent inflammatory synovitis. It is distinct from removing a tendon-sheath lesion or taking synovium only for diagnostic biopsy.
Report one unit for each interphalangeal joint treated, with the operative note identifying the joint and documenting the synovial disease and work performed. This is major surgery with a 90-day global period; the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26140
- 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 RVU6.18 · 43%
- Practice expense (office) RVU7.02 · 49%
- Malpractice RVU1.19 · 8%
308
Medicare services in 2024 · #3974 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.
26140 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
26110 describes joint arthrotomy for synovial biopsy. Use 26140 when the operative service is therapeutic synovectomy of an interphalangeal joint.
No office rate
26105 is an arthrotomy with synovial biopsy at a finger joint, not removal of diseased synovium as a therapeutic procedure.
Compare 26140 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$437.86
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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 26140 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,556
- Code
- 26140
- Physician work
- 6.18
- Practice expense
- 7.02
- Malpractice
- 1.19
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.000 | 6.1800 |
| Practice expense | 7.02 | × 0.923 | 6.4795 |
| Malpractice | 1.19 | × 0.378 | 0.4498 |
| Total RVUs | 13.1093 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$437.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.18 | 1 |
| Practice expense | 7.02 | 0.923 |
| Malpractice | 1.19 | 0.378 |
(6.18 × 1 + 7.02 × 0.923 + 1.19 × 0.378) × $33.4009 = $437.86
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.
26140 billing questions
How does this differ from 26135?
26140 is for synovectomy at a finger interphalangeal joint. 26135 is for synovectomy at a metacarpophalangeal joint.
Is this the code for a synovial biopsy?
No. This code reports therapeutic removal of diseased synovial tissue. A joint arthrotomy performed to obtain a synovial biopsy is a different service, such as 26110 or 26105 depending on the joint.
How many units should be reported?
Report one unit for each interphalangeal joint treated. The operative note should identify each joint and the synovectomy performed there.
Can modifier 50 be used for both hands?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Is related postoperative care separately billable?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be reported?
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.
2,55326125,,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
2,55526135,,Revise finger joint each,A,,6.95,7.28,NA,7.28,,1.32,15.55,15.55,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55626140,,Revise finger joint each,A,,6.18,7.02,NA,7.02,,1.19,14.39,14.39,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55726145,,Tendon excision palm/finger,A,,6.33,7.04,NA,7.04,,1.21,14.58,14.58,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55826160,,Remove tendon sheath lesion,A,,3.48,15.55,,5.10,,0.66,19.69,9.24,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55926170,,Removal of palm tendon each,A,,4.79,6.02,NA,6.02,,0.92,11.73,11.73,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068