No office rate
Both CMS short descriptors identify partial finger-bone removal. Check the full CPT descriptor and operative report to determine which code matches the documented procedure.
On this page
CMS RVU26D · Effective 2026-10-01
26236 Finger bone excision Medicare reimbursement rates in Vermont
Report this service when a surgeon partially removes bone from a finger phalanx, such as debriding nonviable bone in a hand infection. Compare 26236 office and facility rates across CMS payment localities in Vermont.
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 26236 in Vermont?
Vermont 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
$402.93
1 of 1 localities have a supported rate.
Payment area: Vermont
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 26236: Partial finger phalanx bone excision
Report this service when a surgeon partially removes bone from a finger phalanx, such as debriding nonviable bone in a hand infection.
A hand surgeon or other qualified surgeon removes part of a finger phalanx while preserving the remaining bone. A typical indication is removal of nonviable or infected bone, such as a sequestrum in osteomyelitis. The procedure is generally performed in an operating room, with the operative report identifying the affected finger and phalanx and describing the bone removed.
Report the code when the documented operation is partial removal of finger bone, not simply curettage of a cyst or benign tumor, or removal of a metacarpal segment. The note should support the site, extent, and reason for the resection. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 26236
- 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 RVU5.32 · 42%
- Practice expense (office) RVU6.28 · 50%
- Malpractice RVU1.04 · 8%
3.9K
Medicare services in 2024 · #2008 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.
26236 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code concerns partial removal of finger bone; 26210 is for curettage or excision of a cyst or benign tumor in a finger phalanx.
No office rate
Use 26215 for curettage or excision of a finger phalanx cyst or benign tumor with bone grafting, rather than partial bone removal.
No office rate
Both involve partial bone removal, but 26230 concerns a metacarpal; this code concerns a finger phalanx.
Compare 26236 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
Vermont →
Office / nonfacility
Unavailable
Facility
$402.93
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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 26236 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,568
- Code
- 26236
- Physician work
- 5.32
- Practice expense
- 6.28
- Malpractice
- 1.04
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.32 | × 1.000 | 5.3200 |
| Practice expense | 6.28 | × 0.990 | 6.2172 |
| Malpractice | 1.04 | × 0.506 | 0.5262 |
| Total RVUs | 12.0634 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$402.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.32 | 1 |
| Practice expense | 6.28 | 0.99 |
| Malpractice | 1.04 | 0.506 |
(5.32 × 1 + 6.28 × 0.99 + 1.04 × 0.506) × $33.4009 = $402.93
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.
26236 billing questions
How is this different from 26235?
Both codes are described as partial removal of finger bone in the CMS short descriptors. Use the full CPT descriptor and operative details to select the code; document the bone and exact procedure performed.
Can this be reported for curettage of a finger bone lesion?
A cyst or benign tumor treated by curettage is represented by a different service, with or without bone grafting. This code describes partial removal of finger bone.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be used when both hands are treated?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
2,56526215,,Remove/graft finger lesion,A,,7.09,7.67,NA,7.67,,1.50,16.26,16.26,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56626230,,Partial removal of hand bone,A,,6.31,6.59,NA,6.59,,1.22,14.12,14.12,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56726235,,Partial removal finger bone,A,,6.17,6.55,NA,6.55,,1.19,13.91,13.91,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56826236,,Partial removal finger bone,A,,5.32,6.28,NA,6.28,,1.04,12.64,12.64,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56926250,,Extensive hand surgery,A,,14.83,11.53,NA,11.53,,3.16,29.52,29.52,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57026260,,Resect prox finger tumor,A,,10.88,9.12,NA,9.12,,2.33,22.33,22.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57126262,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817