Billing code 26125: Palmar fasciectomyMedicare rate & RVUs in Texas
Reports fasciectomy and contracture release in each additional finger affected by Dupuytren disease, after the first digit is treated with the primary procedure.
CMS doesn’t publish an office rate for 26125 in Texas.
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 26125 covers
This add-on describes extending an open fasciectomy and contracture release to an additional digit affected by Dupuytren disease. A hand surgeon typically removes diseased palmar and digital fascia that is restricting finger extension. It is used when more than one digit requires treatment during the operative session, beyond the first digit addressed by the primary procedure.
Report 26125 with 26123 for the first digit treated; it is not reported as a standalone service. Documentation should identify each additional digit treated and support fascial excision and contracture release at those sites. CMS classifies this as an add-on code: it must be billed with a primary procedure, and its payment falls within that procedure’s global period.
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 26125 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $228.02 |
| Beaumont | Unavailable | $221.64 |
| Brazoria | Unavailable | $222.56 |
| Dallas | Unavailable | $225.20 |
| Fort Worth | Unavailable | $225.08 |
| Galveston | Unavailable | $224.04 |
| Houston | Unavailable | $239.78 |
| Rest Of Texas | Unavailable | $222.82 |
How the 26125 rate is calculated
Each of 26125’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 · 26125
RVUs × geographic indexes × conversion factor
Work4.49
4.49 RVUs× 1.000 GPCI
Practice expense1.48
1.48 RVUs× 1.000 GPCI
Malpractice0.86
0.86 RVUs× 1.000 GPCI
Adjusted RVUs
6.8300
Conversion factor
$33.4009
Medicare rate
$228.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26125
The CMS indicators that decide how 26125 is paid alongside other services.
CMS payment indicators · 26125
Palmar fasciectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
26125 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 26123Dupuytren release
- Use 26123 for the first digit treated with palm-and-finger fasciectomy and contracture release. Add 26125 for each additional digit treated.
- 26121Palmar fasciectomy
- 26121 is limited to fasciectomy in the palm. 26125 applies to additional digits when the primary palm-and-finger procedure is reported with 26123.
- 26040Palm contracture release
- 26040 describes a percutaneous palmar fasciotomy, rather than the open fasciectomy and additional-digit release reported with 26125.
26125 billing questions
What primary code is reported with 26125?
Report 26125 with 26123, which covers the first digit treated with fasciectomy and contracture release. Do not report 26125 by itself.
When is 26125 used instead of 26121?
26125 is for each additional digit treated after the first digit under 26123. 26121 describes fasciectomy limited to the palm, without the palm-and-finger treatment represented by this code family’s digit services.
How should the additional digits be documented?
Identify each additional digit treated and document the diseased fascia excised and the contracture release performed. The record should distinguish those digits from the first digit reported with 26123.
Is 26125 an add-on code?
Yes. It must be billed with a primary procedure, and CMS payment is within that procedure’s global period.
Can 26125 be reported for multiple additional digits?
The code represents each additional digit. The operative documentation should support the number of additional digits treated.
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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