$218.53
Both address distal phalanx fractures, but 26755 requires manipulation to reduce the fracture; 26750 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
26755 Finger fracture care Medicare reimbursement rates in Nevada
Reports closed treatment with manipulation of a distal phalanx fracture in a finger or thumb when the clinician reduces the fracture without open fixation. Compare 26755 office and facility rates across CMS payment localities in Nevada.
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 26755 in Nevada?
Nevada 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
$377.56
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$295.65
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Fracture treatment
About 26755: Closed reduction of distal phalanx fracture
Reports closed treatment with manipulation of a distal phalanx fracture in a finger or thumb when the clinician reduces the fracture without open fixation.
This service is closed reduction of a distal phalanx fracture in a finger or thumb. The clinician manipulates the injured digit to restore fracture alignment without opening the fracture site or using percutaneous fixation. It is commonly performed by an orthopedic or hand surgeon, including in an office or facility setting, when a displaced fingertip bone fracture requires reduction. The code is reported for each treated digit.
Choose this code when the fracture involves the distal phalanx and manipulation is performed; a distal fracture treated without manipulation or one treated with pins or open fixation belongs to a different code. Document the affected digit, fracture location, and the reduction performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. 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 multiple-procedure reduction. Report each digit rather than modifier 50. Medicare does not pay an assistant at surgery; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26755
- 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 RVU3.15 · 28%
- Practice expense (office) RVU7.58 · 66%
- Malpractice RVU0.68 · 6%
354
Medicare services in 2024 · #3847 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.
26755 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Use 26756 when percutaneous skeletal fixation is performed. Use 26755 for closed reduction without pin fixation.
$392.04
Both involve closed treatment with manipulation, but 26725 applies to a proximal or middle phalanx shaft fracture; 26755 is for the distal phalanx.
Compare 26755 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
Nevada** →
Office / nonfacility
$377.56
Facility
$295.65
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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 26755 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,684
- Code
- 26755
- Physician work
- 3.15
- Practice expense
- 7.58
- Malpractice
- 0.68
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.15 | × 1.000 | 3.1500 |
| Practice expense | 7.58 | × 1.001 | 7.5876 |
| Malpractice | 0.68 | × 0.833 | 0.5664 |
| Total RVUs | 11.3040 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$377.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.15 | 1 |
| Practice expense | 7.58 | 1.001 |
| Malpractice | 0.68 | 0.833 |
(3.15 × 1 + 7.58 × 1.001 + 0.68 × 0.833) × $33.4009 = $377.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.15 | 1 |
| Practice expense | 5.13 | 1.001 |
| Malpractice | 0.68 | 0.833 |
(3.15 × 1 + 5.13 × 1.001 + 0.68 × 0.833) × $33.4009 = $295.65
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.
26755 billing questions
When should this be reported instead of 26750?
Use 26755 for a distal phalanx fracture that the clinician manipulates to reduce. Code 26750 describes closed treatment of a distal phalanx fracture without manipulation.
Does this code include pinning or open fixation?
No. This code describes closed reduction without pins or an open approach. Percutaneous fixation and open treatment are represented by different codes.
How should multiple injured digits be reported?
The code is reported for each treated digit. Document each digit and the reduction performed; use the per-digit reporting structure rather than modifier 50.
Are related follow-up visits included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for the fracture treatment.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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.
2,68126742,,Treat finger fracture each,A,,3.89,7.95,,5.51,,0.80,12.64,10.20,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68226746,,Treat finger fracture each,A,,9.56,9.23,NA,9.23,,1.82,20.61,20.61,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68326750,,Treat finger fracture each,A,,1.76,4.47,,4.11,,0.37,6.60,6.24,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68426755,,Treat finger fracture each,A,,3.15,7.58,,5.13,,0.68,11.41,8.96,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68526756,,Pin finger fracture each,A,,4.47,7.08,NA,7.08,,0.87,12.42,12.42,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68626765,,Treat finger fracture each,A,,5.71,7.74,NA,7.74,,1.12,14.57,14.57,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68726770,,Treat finger dislocation,A,,3.07,7.07,,5.45,,0.69,10.83,9.21,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097