$469.24
26675 is closed treatment with manipulation. Use 26685 for open treatment of the non-thumb CMC dislocation.
On this page
CMS RVU26D · Effective 2026-10-01
26685 Hand dislocation Medicare reimbursement rates in Nebraska
Reports open treatment of a carpometacarpal dislocation in a finger ray other than the thumb, such as an unstable ring- or small-finger CMC injury. Compare 26685 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 26685 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
$490.25
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 26685: Open treatment of hand carpometacarpal dislocation
Reports open treatment of a carpometacarpal dislocation in a finger ray other than the thumb, such as an unstable ring- or small-finger CMC injury.
This code describes open treatment of a carpometacarpal (CMC) dislocation in a metacarpal other than the thumb. A common setting is operative care for an unstable or displaced ring- or small-finger CMC injury, including injuries after an axial load to the hand. An orthopedic or hand surgeon exposes the joint to reduce the dislocation; the operative approach and any stabilization should be documented. Thumb CMC dislocations are coded separately.
Choose this open-treatment code based on the operative service, not simply the diagnosis of dislocation. The record should identify the affected joint or joints, the dislocation, and the open reduction performed; document fixation when used to distinguish the applicable sibling code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26685
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.89 · 43%
- Practice expense (office) RVU7.95 · 50%
- Malpractice RVU1.19 · 7%
140
Medicare services in 2024 · #4606 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.
26685 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
26676 describes percutaneous skeletal fixation with manipulation, rather than open treatment.
No office rate
Both codes concern open treatment of a non-thumb CMC dislocation. Review the operative service and fixation details to select the applicable code.
$427.86
26641 applies to a thumb CMC dislocation; 26685 applies to a CMC dislocation in another metacarpal ray.
Compare 26685 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
$490.25
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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 26685 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,670
- Code
- 26685
- Physician work
- 6.89
- Practice expense
- 7.95
- 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 | 6.89 | × 1.000 | 6.8900 |
| Practice expense | 7.95 | × 0.923 | 7.3379 |
| Malpractice | 1.19 | × 0.378 | 0.4498 |
| Total RVUs | 14.6777 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$490.25
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.89 | 1 |
| Practice expense | 7.95 | 0.923 |
| Malpractice | 1.19 | 0.378 |
(6.89 × 1 + 7.95 × 0.923 + 1.19 × 0.378) × $33.4009 = $490.25
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.
26685 billing questions
How does this differ from 26675?
26675 describes closed treatment with manipulation. Report 26685 when the surgeon performs open treatment of the non-thumb CMC dislocation.
When would 26676 be more appropriate?
26676 describes percutaneous skeletal fixation with manipulation. This code is for open treatment; document the operative approach and fixation performed.
Can this code be used for a thumb CMC dislocation?
No. This code concerns a CMC dislocation other than the thumb; 26641 is the related thumb-dislocation code.
What documentation supports reporting this code?
Document the injured CMC joint, the dislocation, and the open treatment performed. Include operative details about any fixation to support selection among the open-treatment codes.
Can modifier 50 be reported for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy does not support modifier 50.
How are assistant and co-surgeon services handled?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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.
2,66726670,,Treat hand dislocation,A,,3.73,8.28,,6.11,,0.86,12.87,10.70,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66826675,,Treat hand dislocation,A,,4.71,9.70,,6.82,,1.02,15.43,12.55,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,66926676,,Pin hand dislocation,A,,5.60,7.97,NA,7.97,,1.07,14.64,14.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67026685,,Treat hand dislocation,A,,6.89,7.95,NA,7.95,,1.19,16.03,16.03,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67126686,,Treat hand dislocation,A,,7.97,8.08,NA,8.08,,1.69,17.74,17.74,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67226700,,Treat knuckle dislocation,A,,3.73,7.62,,5.87,,0.83,12.18,10.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67326705,,Treat knuckle dislocation,A,,4.27,9.45,,6.69,,0.91,14.63,11.87,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,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