$370.83–$408.28
Use 26727 for a neck fracture and 26725 for a shaft fracture of the proximal or middle phalanx; both involve manipulation.
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CMS RVU26D · Effective 2026-10-01
26727 Finger fracture care Medicare reimbursement rates in Texas
Reports closed treatment with manipulation of a neck fracture in a finger or thumb proximal or middle phalanx, billed for each fracture treated. Compare 26727 office and facility rates across CMS payment localities in Texas.
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 26727 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 26727 pays more and less in Texas
Hand fracture treatment
About 26727: Closed reduction of phalangeal neck fracture
Reports closed treatment with manipulation of a neck fracture in a finger or thumb proximal or middle phalanx, billed for each fracture treated.
This code covers closed treatment of a neck fracture in the proximal or middle phalanx of a finger or thumb when the clinician manipulates the fracture to improve alignment. An orthopedic or hand surgeon typically performs the reduction in an emergency department, office, or operating-room setting, then immobilizes the digit as appropriate. The fracture must be a neck fracture; shaft and joint-surface fracture patterns are classified separately.
Report the service for each fracture treated, with documentation identifying the digit, phalanx, fracture location, and manipulation performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 26727
- 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 RVU5.28 · 39%
- Practice expense (office) RVU7.36 · 54%
- Malpractice RVU1.04 · 8%
3.1K
Medicare services in 2024 · #2152 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.
26727 compared with similar codes
Office rates for Texas, from the same CMS release.
$219.68–$243.85
Code 26720 describes a shaft fracture treated without manipulation. This code requires manipulation and applies to a neck fracture.
$396.39–$434.80
Code 26742 is for a fracture involving a finger joint surface treated with manipulation. This code is for a phalangeal neck fracture.
Compare 26727 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $467.58 |
| Beaumont | Office Unavailable | Facility $432.33 |
| Brazoria | Office Unavailable | Facility $448.48 |
| Dallas | Office Unavailable | Facility $452.60 |
| Fort Worth | Office Unavailable | Facility $450.59 |
| Galveston | Office Unavailable | Facility $450.64 |
| Houston | Office Unavailable | Facility $469.68 |
| Rest Of Texas | Office Unavailable | Facility $441.02 |
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26727 billing questions
How is this code distinguished from 26725?
This code is for a manipulated neck fracture of the proximal or middle phalanx. Code 26725 describes treatment of a shaft fracture with manipulation.
Is this code reported once per patient or once per finger?
It is reported for each fracture treated. Document the specific digit and fracture so the units reflect the fractures receiving treatment.
Can modifier 50 be used for fractures in both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the treated fractures individually rather than applying modifier 50.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant-at-surgery or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are 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.
2,67526715,,Treat knuckle dislocation,A,,6.85,8.15,NA,8.15,,1.32,16.32,16.32,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67626720,,Treat finger fracture each,A,,1.72,4.97,,4.06,,0.36,7.05,6.14,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67726725,,Treat finger fracture each,A,,3.39,7.74,,5.53,,0.72,11.85,9.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67826727,,Treat finger fracture each,A,,5.28,7.36,NA,7.36,,1.04,13.68,13.68,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67926735,,Treat finger fracture each,A,,7.23,8.27,NA,8.27,,1.40,16.90,16.90,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68026740,,Treat finger fracture each,A,,2.02,5.44,,4.36,,0.39,7.85,6.77,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,68126742,,Treat finger fracture each,A,,3.89,7.95,,5.51,,0.80,12.64,10.20,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00