$368.98
Use 26770 for closed treatment of a single interphalangeal joint dislocation without anesthesia. Use 26776 when percutaneous pin fixation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
26776 Finger dislocation Medicare reimbursement rates in Rhode Island
Reports percutaneous pin fixation of a single interphalangeal joint dislocation when the joint needs stabilization after reduction. Compare 26776 office and facility rates across CMS payment localities in Rhode Island.
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 26776 in Rhode Island?
Rhode Island 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
$442.57
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 26776: Percutaneous fixation of finger joint dislocation
Reports percutaneous pin fixation of a single interphalangeal joint dislocation when the joint needs stabilization after reduction.
An orthopedic or hand surgeon uses a pin placed through the skin to hold a dislocated finger interphalangeal joint in alignment. This approach is used when the joint needs mechanical stabilization after reduction, without opening the joint to perform the fixation. The service is commonly performed in an operating room or other procedural setting.
Report this code for fixation of one interphalangeal joint dislocation; document the affected joint, dislocation, reduction and percutaneous fixation performed. The code includes the treatment of the dislocation with pin fixation, so do not separately report a closed reduction of that same dislocation. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26776
- 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 RVU4.87 · 37%
- Practice expense (office) RVU7.22 · 55%
- Malpractice RVU0.93 · 7%
308
Medicare services in 2024 · #3975 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.
26776 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$448.36
Code 26775 describes closed treatment requiring anesthesia; 26776 describes percutaneous fixation of the dislocated joint.
No office rate
Use 26785 when the dislocation is treated through an open approach. Code 26776 is for percutaneous pin fixation.
No office rate
Both involve percutaneous fixation of a dislocation, but 26706 is for a metacarpophalangeal joint and 26776 for an interphalangeal joint.
Compare 26776 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$442.57
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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 26776 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,689
- Code
- 26776
- Physician work
- 4.87
- Practice expense
- 7.22
- Malpractice
- 0.93
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.87 | × 1.019 | 4.9625 |
| Practice expense | 7.22 | × 1.033 | 7.4583 |
| Malpractice | 0.93 | × 0.892 | 0.8296 |
| Total RVUs | 13.2503 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$442.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.87 | 1.019 |
| Practice expense | 7.22 | 1.033 |
| Malpractice | 0.93 | 0.892 |
(4.87 × 1.019 + 7.22 × 1.033 + 0.93 × 0.892) × $33.4009 = $442.57
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.
26776 billing questions
How does this differ from 26775?
26776 is for percutaneous pin fixation of the dislocated interphalangeal joint. Code 26775 describes closed treatment requiring anesthesia, without the percutaneous fixation reported by 26776.
Can I report the reduction separately?
Do not separately report closed reduction of the same dislocation with the percutaneous fixation. The fixation service includes treatment of that dislocation.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate.
What documentation supports this code?
Document the interphalangeal joint dislocated, the treatment performed, and the percutaneous pin fixation used to stabilize it.
Is an assistant surgeon payable?
No. Medicare has a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon and team-surgery billing are also 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.
2,68626765,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537