No office rate
The key distinction is the bone treated: 26567 is for a finger phalanx, while 26565 is for a metacarpal.
On this page
CMS RVU26D · Effective 2026-10-01
26567 Finger osteotomy Medicare reimbursement rates in Vermont
Reports osteotomy of a finger phalanx to correct a bony deformity, with or without fixation, such as angular or rotational malalignment. Compare 26567 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 26567 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
$673.86
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 26567: Finger phalanx corrective osteotomy
Reports osteotomy of a finger phalanx to correct a bony deformity, with or without fixation, such as angular or rotational malalignment.
A hand surgeon uses this procedure to cut and realign a finger phalanx when the bone’s shape or position causes a deformity. Common situations include correction of angular malalignment after a fracture has healed in a poor position or correction of a congenital phalangeal deformity. The surgeon may stabilize the corrected bone with fixation; fixation is included in the service described by this code. These procedures are generally performed in an operating room or ambulatory surgery setting.
Choose this code when the operative work is an osteotomy of a finger phalanx, rather than an osteotomy of a metacarpal or a procedure that primarily lengthens or shortens bone. The operative report should identify the affected phalanx, the deformity being corrected, and the osteotomy and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26567
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.82 · 33%
- Practice expense (office) RVU12.81 · 61%
- Malpractice RVU1.33 · 6%
206
Medicare services in 2024 · #4300 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.
26567 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 26567 for a corrective osteotomy of a finger phalanx. Code 26568 describes bone lengthening or shortening.
No office rate
26567 corrects a phalangeal deformity through osteotomy; 26545 concerns reconstruction of a finger joint.
Compare 26567 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
$673.86
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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 26567 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,650
- Code
- 26567
- Physician work
- 6.82
- Practice expense
- 12.81
- Malpractice
- 1.33
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.82 | × 1.000 | 6.8200 |
| Practice expense | 12.81 | × 0.990 | 12.6819 |
| Malpractice | 1.33 | × 0.506 | 0.6730 |
| Total RVUs | 20.1749 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$673.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.82 | 1 |
| Practice expense | 12.81 | 0.99 |
| Malpractice | 1.33 | 0.506 |
(6.82 × 1 + 12.81 × 0.99 + 1.33 × 0.506) × $33.4009 = $673.86
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.
26567 billing questions
When should this code be chosen over 26565?
Use 26567 for an osteotomy of a finger phalanx. Code 26565 is for an osteotomy of a metacarpal.
Is fixation separately reported?
No separate fixation service is described here; the code covers the phalangeal osteotomy with or without fixation.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What documentation supports reporting this procedure?
Document the specific finger phalanx, the bony deformity and its clinical context, and the osteotomy and any fixation performed.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. 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.
2,64726561,,Repair of web finger,A,,10.82,15.20,NA,15.20,,2.31,28.33,28.33,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64826562,,Repair of web finger,A,,16.26,19.49,NA,19.49,,3.46,39.21,39.21,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64926565,,Correct metacarpal flaw,A,,6.74,12.62,NA,12.62,,1.31,20.67,20.67,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65026567,,Correct finger deformity,A,,6.82,12.81,NA,12.81,,1.33,20.96,20.96,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65126568,,Lengthen metacarpal/finger,A,,9.04,16.32,NA,16.32,,1.92,27.28,27.28,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65226580,,Repair cleft hand,A,,19.26,19.99,NA,19.99,,4.10,43.35,43.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65326587,,Reconstruct extra finger,A,,14.14,11.93,NA,11.93,,3.01,29.08,29.08,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,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