$341.37
26770 describes closed treatment of an interphalangeal dislocation without anesthesia. Choose 26785 when the dislocation is treated through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
26785 Finger dislocation Medicare reimbursement rates in Ohio
Reports open surgical reduction of a finger interphalangeal joint dislocation when direct exposure is needed to restore alignment, with fixation if performed. Compare 26785 office and facility rates across CMS payment localities in Ohio.
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 26785 in Ohio?
Ohio 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
$501.45
1 of 1 localities have a supported rate.
Payment area: Ohio
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 26785: Open treatment of finger joint dislocation
Reports open surgical reduction of a finger interphalangeal joint dislocation when direct exposure is needed to restore alignment, with fixation if performed.
This service treats a dislocated finger interphalangeal joint through an open surgical approach. A hand or orthopedic surgeon may need to expose the joint when closed reduction cannot restore alignment, such as when soft tissue is trapped between the joint surfaces. The procedure may include stabilization with internal fixation when needed. It is typically performed in an operating room, including a hospital outpatient or inpatient setting.
Choose this code for open treatment of an interphalangeal joint dislocation, rather than closed manipulation or percutaneous fixation. The operative report should identify the digit and joint, describe the open approach and reduction, and document any fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 26785
- 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 RVU6.44 · 41%
- Practice expense (office) RVU8.01 · 51%
- Malpractice RVU1.25 · 8%
577
Medicare services in 2024 · #3432 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.
26785 compared with similar codes
Office rates for Ohio, from the same CMS release.
$414.46
26775 is closed treatment of an interphalangeal dislocation requiring anesthesia. It does not describe open surgical reduction.
No office rate
26776 describes percutaneous skeletal fixation of an interphalangeal dislocation; 26785 is for open treatment, including fixation when performed.
No office rate
26715 is open treatment of a metacarpophalangeal dislocation. Use 26785 for an interphalangeal joint dislocation.
Compare 26785 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
Ohio →
Office / nonfacility
Unavailable
Facility
$501.45
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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 26785 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,690
- Code
- 26785
- Physician work
- 6.44
- Practice expense
- 8.01
- Malpractice
- 1.25
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.44 | × 1.000 | 6.4400 |
| Practice expense | 8.01 | × 0.913 | 7.3131 |
| Malpractice | 1.25 | × 1.008 | 1.2600 |
| Total RVUs | 15.0131 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$501.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.44 | 1 |
| Practice expense | 8.01 | 0.913 |
| Malpractice | 1.25 | 1.008 |
(6.44 × 1 + 8.01 × 0.913 + 1.25 × 1.008) × $33.4009 = $501.45
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.
26785 billing questions
When should this be chosen over closed treatment?
Use this code when the surgeon treats the interphalangeal dislocation through an open approach. Closed manipulation is represented by codes such as 26770 or 26775.
How does this differ from 26776?
26776 is for percutaneous skeletal fixation of an interphalangeal joint dislocation. This code describes open surgical treatment, with internal fixation included when performed.
What should the operative note establish?
Document the affected finger and interphalangeal joint, the open approach, the reduction performed, and any fixation used. The record should support why open treatment was performed.
Can modifier 50 be used for dislocations on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care. Medicare also applies its standard multiple procedure reduction when procedures are performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
CMS bars payment for an assistant at surgery for this code. Co-surgeon and team-surgery reporting 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.
2,68726770,,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
2,68826775,,Treat finger dislocation,A,,3.80,8.59,,6.14,,0.76,13.15,10.70,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68926776,,Pin finger dislocation,A,,4.87,7.22,NA,7.22,,0.93,13.02,13.02,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69026785,,Treat finger dislocation,A,,6.44,8.01,NA,8.01,,1.25,15.70,15.70,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69126820,,Thumb fusion with graft,A,,8.24,14.38,NA,14.38,,1.75,24.37,24.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69226841,,Fusion of thumb,A,,7.17,13.91,NA,13.91,,1.41,22.49,22.49,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69326842,,Thumb fusion with graft,A,,8.28,14.39,NA,14.39,,1.76,24.43,24.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703