CPT code 26123: Dupuytren release2026 Medicare rate & RVUs in Ohio
Reports removal of contracted palmar fascia extending into one finger, with release to improve extension in a patient with Dupuytren contracture.
CMS doesn’t publish an office rate for 26123 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 26123 covers
A hand surgeon removes diseased palmar fascia when a Dupuytren contracture extends from the palm into one finger. The release includes treatment of the affected digit through the proximal interphalangeal joint. Local tissue rearrangement or skin grafting, including graft harvest, may be part of the operation. These procedures are commonly performed in an operating room or ambulatory surgery setting when the contracture limits finger extension or hand function.
Report this code for the palm and one digit; document the affected hand and finger, the contracted fascia treated, and the extent of the release. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
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.
26123 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $750.52 |
How the 26123 rate is calculated
Each of 26123’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 26123
RVUs × geographic indexes × conversion factor
Work10.61
10.61 RVUs× 1.000 GPCI
Practice expense10.76
10.76 RVUs× 1.000 GPCI
Malpractice2.02
2.02 RVUs× 1.000 GPCI
Adjusted RVUs
23.3900
Conversion factor
$33.4009
Medicare rate
$781.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26123
26123 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26123
Dupuytren release
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26123
Dupuytren release
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
26123 without 50 · national facility
$781.25
Dupuytren release
26123-50 · Bilateral: 150%
$1,171.88
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
26123 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 26121Palmar fasciectomy
- Choose 26121 when the fasciectomy is confined to the palm. Choose 26123 when the contracture extends into and requires release of one finger.
- 26125Palmar fasciectomy
- 26125 is for each additional digit treated beyond the first digit covered by 26123; it does not replace the primary procedure.
- 26145Tenosynovectomy
- 26145 describes excision of a tendon in the palm or finger. This code addresses contracted palmar fascia extending into a finger, not tendon excision.
26123 billing questions
How does this differ from 26121?
26121 treats contracted fascia in the palm only. Use 26123 when the operation also releases one finger.
How is a second affected finger reported?
26125 represents release of each additional digit and is reported with the primary single-digit procedure when applicable. Document each digit treated.
Is skin grafting separately reported?
Skin grafting and local tissue rearrangement may be part of this fasciectomy, and graft harvest is included. Do not report those steps separately as though they were separate services.
What supports choosing this code?
The operative report should identify the palmar fascia removed, the finger released, and the extent of correction, including whether the release reached the proximal interphalangeal joint.
What does the 90-day global period include?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
Can an assistant or co-surgeon be billed?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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