No office rate
26040 is a percutaneous palmar release; 26045 is the open release. Select based on the operative approach documented.
On this page
CMS RVU26D · Effective 2026-10-01
26045 Palmar release Medicare reimbursement rates in Pennsylvania
Reports open division of a contracted palmar fascial cord, typically for Dupuytren disease causing restricted finger extension. Compare 26045 office and facility rates across CMS payment localities in Pennsylvania.
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 26045 in Pennsylvania?
Pennsylvania 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
$432.40–$473.17
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 26045: Open palmar contracture release
Reports open division of a contracted palmar fascial cord, typically for Dupuytren disease causing restricted finger extension.
CPT 26045 represents an open palmar fasciotomy: the surgeon makes an incision over a contracted palmar fascial cord and divides it to release the contracture. The procedure is commonly performed for Dupuytren disease when a fixed contracture limits hand or finger extension. Hand, orthopedic, and plastic surgeons may perform it in an operating room or another surgical setting.
Choose this code when the documented work is open division of the contracted fascia, rather than percutaneous release or excision of diseased fascia. The operative note should identify the treated palm, the contracture and cord released, and the open technique. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 26045
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU5.59 · 41%
- Practice expense (office) RVU6.87 · 51%
- Malpractice RVU1.11 · 8%
913
Medicare services in 2024 · #3035 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.
26045 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
26121 describes excision of palmar fascia. 26045 describes open division of contracted fascia without fasciectomy.
No office rate
26123 describes palmar fasciectomy with release extending into a digit, including the PIP joint. 26045 is an open palmar fasciotomy.
Compare 26045 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$473.17
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$432.40
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26045 billing questions
How does 26045 differ from 26040?
26045 describes open division of the palmar fascia. 26040 is used for percutaneous palmar release.
When is a fasciectomy code more appropriate?
Use a fasciectomy code when the surgeon removes diseased palmar fascia rather than simply dividing the contracted cord. The operative report should support the work performed.
Does the 90-day global include postoperative visits?
Related postoperative care for 90 days is included, as is the day-before preoperative visit.
How is bilateral 26045 reported?
Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
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.
2,53326035,,Decompress fingers/hand,A,,11.09,10.96,NA,10.96,,2.36,24.41,24.41,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53426037,,Decompress fingers/hand,A,,7.38,6.96,NA,6.96,,1.44,15.78,15.78,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53526040,,Release palm contracture,A,,3.37,5.25,NA,5.25,,0.62,9.24,9.24,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53626045,,Release palm contracture,A,,5.59,6.87,NA,6.87,,1.11,13.57,13.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53726055,,Incise finger tendon sheath,A,,3.03,15.24,,5.00,,0.58,18.85,8.61,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53826060,,Incision of finger tendon,A,,2.84,4.00,NA,4.00,,0.45,7.29,7.29,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,53926070,,Explore/treat hand joint,A,,3.71,4.98,NA,4.98,,0.68,9.37,9.37,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00