No office rate
Use 26565 for an osteotomy of a metacarpal. Use 26567 for an osteotomy of a finger phalanx.
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CMS RVU26D · Effective 2026-10-01
26565 Metacarpal osteotomy Medicare reimbursement rates in New Jersey
Reports surgical cutting and realignment of a metacarpal to correct a bone deformity, such as angular or rotational malalignment. Compare 26565 office and facility rates across CMS payment localities in New Jersey.
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 26565 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$742.43–$775.00
2 of 2 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.
Hand surgery
About 26565: Metacarpal osteotomy for deformity correction
Reports surgical cutting and realignment of a metacarpal to correct a bone deformity, such as angular or rotational malalignment.
A hand or orthopedic surgeon performs this osteotomy to change the alignment or shape of a metacarpal. It may be used for a structural deformity that interferes with hand position or function. The surgeon plans and makes a bone cut, then stabilizes the corrected position when needed. These procedures are commonly performed in a hospital outpatient department or ambulatory surgery center.
Select the code when the operative work is an osteotomy of a metacarpal for deformity correction; document the bone treated, the deformity, the corrective plan, and any fixation. CMS assigns 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 are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 26565
- 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 RVU6.74 · 33%
- Practice expense (office) RVU12.62 · 61%
- Malpractice RVU1.31 · 6%
150
Medicare services in 2024 · #4562 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.
26565 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Use 26568 when the procedure is metacarpal lengthening. Use 26565 for corrective metacarpal osteotomy when lengthening is not the defining objective.
No office rate
Use 26546 for repair of metacarpal nonunion or malunion. Use 26565 for an osteotomy performed to correct a metacarpal deformity.
Compare 26565 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$775.00
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$742.43
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26565 billing questions
How is this different from a phalangeal osteotomy?
This code is for an osteotomy of a metacarpal, the long bone in the palm. CPT 26567 is for an osteotomy of a finger phalanx.
Is fixation separately reported when used?
Fixation used to hold the metacarpal in its corrected position is part of the osteotomy service. Document the fixation performed in the operative report.
When should a metacarpal nonunion repair code be considered instead?
Consider CPT 26546 when the operation repairs an established metacarpal nonunion or malunion. Use 26565 when the documented work is an osteotomy to correct a metacarpal deformity.
Can modifier 50 be used for osteotomies on both hands?
CMS identifies modifier 50 as inappropriate for this descriptor and anatomy. Do not use it to claim a bilateral adjustment for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,64626560,,Repair of web finger,A,,5.38,12.57,NA,12.57,,1.15,19.10,19.10,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64726561,,Repair of web finger,A,,10.82,15.20,NA,15.20,,2.31,28.33,28.33,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64826562,,Repair of web finger,A,,16.26,19.49,NA,19.49,,3.46,39.21,39.21,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64926565,,Correct metacarpal flaw,A,,6.74,12.62,NA,12.62,,1.31,20.67,20.67,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65026567,,Correct finger deformity,A,,6.82,12.81,NA,12.81,,1.33,20.96,20.96,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65126568,,Lengthen metacarpal/finger,A,,9.04,16.32,NA,16.32,,1.92,27.28,27.28,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65226580,,Repair cleft hand,A,,19.26,19.99,NA,19.99,,4.10,43.35,43.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00