$89.32–$98.26
20527 represents injection of an enzyme into a Dupuytren cord. Code 26341 represents the later manipulation of the treated cord.
On this page
CMS RVU26D · Effective 2026-10-01
26341 Cord manipulation Medicare reimbursement rates in Pennsylvania
Reports manipulation of a Dupuytren palmar cord after enzyme injection to improve contracture in a treated finger. Compare 26341 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 26341 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
$116.65–$129.53
2 of 2 localities have a supported rate.
Facility setting
$69.74–$76.33
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 26341: Post-injection palmar cord manipulation
Reports manipulation of a Dupuytren palmar cord after enzyme injection to improve contracture in a treated finger.
A hand surgeon or other qualified physician manipulates the treated finger and palmar tissue to disrupt a Dupuytren cord after an enzyme injection, such as collagenase. The service is directed at the contracture caused by the injected cord, rather than a stiff finger joint unrelated to enzyme treatment. It is commonly performed in an office or other procedural setting as the follow-up treatment to the injection.
Report this code for one treated digit in a hand; manipulation may address multiple cords in that hand. Documentation should identify the treated hand and digit, the prior enzyme injection, and the manipulation performed. The related postoperative visits are included for 10 days. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 26341
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU0.89 · 24%
- Practice expense (office) RVU2.66 · 72%
- Malpractice RVU0.17 · 5%
7.8K
Medicare services in 2024 · #1600 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.
26341 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
26340 applies to manipulation of a finger joint under anesthesia. Choose 26341 when the target is a palmar cord after enzyme injection.
No office rate
26123 describes surgical removal or release of palmar fascia for Dupuytren contracture; 26341 describes manipulation after enzyme treatment.
Compare 26341 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
$129.53
Facility
$76.33
Rest Of Pennsylvania →
Office / nonfacility
$116.65
Facility
$69.74
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26341 billing questions
How does this differ from 26340?
Use 26341 for manipulation of a palmar Dupuytren cord after enzyme injection. Code 26340 describes manipulation of a finger joint under anesthesia, not post-injection cord disruption.
Is the enzyme injection included?
No. Code 26341 represents the subsequent manipulation; report the injection separately with 20527 when performed and otherwise reportable.
What documentation supports the code?
Document the enzyme-treated Dupuytren cord, the hand and digit treated, and the manipulation performed. Identify multiple cords if they were addressed in the same hand.
How is bilateral treatment handled?
For treatment of both hands, CMS pays modifier 50 at 150%. The service is described per hand, for a single digit, including multiple cords.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50%. Related postoperative visits are included during the 10-day global period.
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.
2,57126262,,Resect distal finger tumor,A,,8.08,8.23,NA,8.23,,1.72,18.03,18.03,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57626352,,Repair/graft hand tendon,A,,7.67,14.94,NA,14.94,,1.48,24.09,24.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57726356,,Repair finger/hand tendon,A,,9.32,11.45,NA,11.45,,1.79,22.56,22.56,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00