Billing code 26775: Finger dislocationMedicare rate & RVUs in Oregon
Reports closed reduction of a finger interphalangeal joint dislocation when manipulation requires anesthesia, such as reduction of a dislocated PIP joint.
Medicare pays $430.53–$466.60 for 26775 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
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 26775 covers
This service is a closed reduction of a dislocated interphalangeal joint in a finger. The clinician manipulates the joint back into alignment without an open incision; the distinguishing feature is that anesthesia is required for the reduction. Orthopedic and hand surgeons may perform it, including in an emergency department or an operating room. A dislocated proximal interphalangeal (PIP) joint is a typical clinical situation when closed manipulation under anesthesia is needed.
Select the code based on the involved joint and the treatment performed: it is for an interphalangeal joint treated by closed manipulation requiring anesthesia, not a metacarpophalangeal joint or a dislocation treated with pin fixation or open surgery. Documentation should identify the joint, the dislocation, the closed reduction and manipulation, and the anesthesia requirement. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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.
Where 26775 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $466.60 | $375.69 |
| Rest Of Oregon | $430.53 | $349.03 |
How the 26775 rate is calculated
Each of 26775’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 · 26775
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.80Practice expense 8.59Malpractice 0.76
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26775
26775 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26775
Finger dislocation
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 26775
Finger dislocation
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 51 · payment effect
With and without the modifier
26775 without 51 · national office
$439.22
Finger dislocation
26775-51 · Second procedure: 50%
$219.61
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
26775 compared with similar codes
Compare codes
26775 vs 26770 vs 26776 vs 26705 vs 26785: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26770Finger dislocation
- Both are closed treatments of finger interphalangeal dislocations. Choose 26775 when anesthesia is required for manipulation; choose 26770 for treatment without anesthesia.
- 26776Finger dislocation
- 26776 describes percutaneous skeletal fixation of the interphalangeal dislocation. This code describes closed manipulation requiring anesthesia without that fixation approach.
- 26705Knuckle reduction
- 26705 is for a metacarpophalangeal (knuckle) dislocation requiring anesthesia. This code is for an interphalangeal joint dislocation.
- 26785Finger dislocation
- 26785 is used when the interphalangeal dislocation is treated by open surgery. This code describes a closed reduction.
26775 billing questions
How does this differ from 26770?
Both address closed reduction of a finger interphalangeal joint dislocation. Use 26775 when the reduction requires anesthesia; 26770 is the option for treatment without anesthesia.
Can this be reported for a knuckle dislocation?
No. This code is for an interphalangeal joint, such as a PIP joint. A metacarpophalangeal (MCP) joint dislocation is represented by a different code, such as 26705 when anesthesia is required.
When is 26776 a better fit?
Use 26776 when the dislocated interphalangeal joint is treated with percutaneous skeletal fixation. This code describes closed manipulation requiring anesthesia without that pin fixation approach.
What documentation supports reporting 26775?
Record the affected interphalangeal joint, the dislocation, the closed manipulation and reduction performed, and why anesthesia was required. The record should distinguish the procedure from open treatment or percutaneous fixation.
What postoperative care is included?
Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
Medicare payment for an assistant at surgery is restricted for this code. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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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