$113.88
26340 addresses a stiff finger joint manipulated under anesthesia. 26341 is for a palmar fascial cord manipulated after injection, including treatment associated with Dupuytren contracture.
On this page
CMS RVU26D · Effective 2026-10-01
26340 Finger manipulation Medicare reimbursement rates in Nebraska
Reports manual mobilization of a stiff finger joint under anesthesia, commonly to improve motion limited by post-traumatic or postoperative contracture. Compare 26340 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 26340 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
$335.19
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 26340: Finger joint manipulation under anesthesia
Reports manual mobilization of a stiff finger joint under anesthesia, commonly to improve motion limited by post-traumatic or postoperative contracture.
This service involves manually moving a restricted finger joint while the patient is under anesthesia, with the goal of improving its range of motion. Hand surgeons and orthopedic surgeons commonly perform it for persistent stiffness after an injury or prior procedure, in an operating room or other procedural setting. It is directed at joint stiffness, rather than repair of a tendon or reduction of an acute dislocation. A palmar fascial cord treated after injection is a different service.
Report the service for each joint manipulated, and document the affected finger and joint, the reason motion is restricted, the procedure performed, and the resulting motion. The code 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 the same session, the highest-valued procedure is paid in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 26340
- 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 RVU2.73 · 25%
- Practice expense (office) RVU7.71 · 70%
- Malpractice RVU0.50 · 5%
2.2K
Medicare services in 2024 · #2393 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.
26340 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
26340 is manual joint mobilization under anesthesia; 26525 represents surgical release of the interphalangeal joint capsule.
$401.34
Use 26775 for closed treatment with manipulation of an acute interphalangeal joint dislocation. Use 26340 for stiffness rather than dislocation reduction.
Compare 26340 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
$335.19
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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 26340 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,573
- Code
- 26340
- Physician work
- 2.73
- Practice expense
- 7.71
- Malpractice
- 0.50
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.73 | × 1.000 | 2.7300 |
| Practice expense | 7.71 | × 0.923 | 7.1163 |
| Malpractice | 0.50 | × 0.378 | 0.1890 |
| Total RVUs | 10.0353 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$335.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.73 | 1 |
| Practice expense | 7.71 | 0.923 |
| Malpractice | 0.5 | 0.378 |
(2.73 × 1 + 7.71 × 0.923 + 0.5 × 0.378) × $33.4009 = $335.19
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.
26340 billing questions
When is 26340 appropriate instead of 26341?
Use 26340 for manipulation of a stiff finger joint under anesthesia. Code 26341 describes manipulation of a palmar fascial cord after injection, such as treatment for Dupuytren contracture.
How many units should be reported?
The service is reported for each finger joint manipulated. Document the specific joint or joints treated; do not count multiple digits as a single joint.
How does this differ from closed treatment of a finger dislocation?
Code 26340 addresses restricted joint motion, such as persistent stiffness. For an acute interphalangeal joint dislocation treated with manipulation, consider the applicable closed-treatment code, such as 26775.
What documentation supports the service?
Record the finger and joint, the cause of restricted motion, the need for manipulation under anesthesia, the maneuver performed, and the post-manipulation range of motion.
What payment rules affect multiple or bilateral procedures?
In the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%.
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.
2,57026260,,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
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57626352,,Repair/graft hand tendon,A,,7.67,14.94,NA,14.94,,1.48,24.09,24.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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