$341.10–$377.71
Both are closed treatments of finger interphalangeal dislocations. Choose 26775 when anesthesia is required for manipulation; choose 26770 for treatment without anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
26775 Finger dislocation Medicare reimbursement rates in Pennsylvania
Reports closed reduction of a finger interphalangeal joint dislocation when manipulation requires anesthesia, such as reduction of a dislocated PIP joint. Compare 26775 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 26775 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
$414.30–$458.17
2 of 2 localities have a supported rate.
Facility setting
$339.18–$372.98
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.
Orthopedic surgery
About 26775: Finger interphalangeal dislocation reduction under anesthesia
Reports closed reduction of a finger interphalangeal joint dislocation when manipulation requires anesthesia, such as reduction of a dislocated PIP joint.
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.
CMS billing rules for 26775
- 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 RVU3.80 · 29%
- Practice expense (office) RVU8.59 · 65%
- Malpractice RVU0.76 · 6%
350
Medicare services in 2024 · #3863 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.
26775 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
26776 describes percutaneous skeletal fixation of the interphalangeal dislocation. This code describes closed manipulation requiring anesthesia without that fixation approach.
$461.10–$510.03
26705 is for a metacarpophalangeal (knuckle) dislocation requiring anesthesia. This code is for an interphalangeal joint dislocation.
No office rate
26785 is used when the interphalangeal dislocation is treated by open surgery. This code describes a closed reduction.
Compare 26775 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
$458.17
Facility
$372.98
Rest Of Pennsylvania →
Office / nonfacility
$414.30
Facility
$339.18
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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 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.
2,68526756,,Pin finger fracture each,A,,4.47,7.08,NA,7.08,,0.87,12.42,12.42,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68626765,,Treat finger fracture each,A,,5.71,7.74,NA,7.74,,1.12,14.57,14.57,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68726770,,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