$390.58
This code is for MCP dislocation treatment with percutaneous pin fixation. Code 26700 describes closed treatment without that fixation.
On this page
CMS RVU26D · Effective 2026-10-01
26706 Knuckle dislocation Medicare reimbursement rates in Vermont
Percutaneous fixation of a metacarpophalangeal joint dislocation is reported when a pin is used to maintain reduction of the affected knuckle. Compare 26706 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 26706 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
$401.34
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 26706: Percutaneous fixation of knuckle dislocation
Percutaneous fixation of a metacarpophalangeal joint dislocation is reported when a pin is used to maintain reduction of the affected knuckle.
This procedure treats a dislocation of a metacarpophalangeal (MCP) joint—the knuckle where a finger meets the hand—by placing a pin through the skin to hold the joint reduced. It is typically performed by an orthopedic or hand surgeon when reduction needs percutaneous stabilization. The operative record should identify the affected digit and side, confirm the MCP dislocation, and describe the reduction and pin fixation performed.
Choose this code when percutaneous skeletal fixation is used, rather than a closed-treatment code or open treatment of the MCP dislocation. Report one service for the single dislocation, not one unit per pin. The 90-day global period includes 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 others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 26706
- 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 RVU5.18 · 41%
- Practice expense (office) RVU6.45 · 52%
- Malpractice RVU0.89 · 7%
101
Medicare services in 2024 · #4876 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.
26706 compared with similar codes
Office rates for Vermont, from the same CMS release.
$470.48
Choose 26705 for the closed-treatment circumstance described by that code; choose this code when percutaneous skeletal fixation is performed.
No office rate
Code 26715 is for open treatment of an MCP dislocation. This code is for percutaneous fixation.
No office rate
Both involve percutaneous fixation of a dislocation, but 26776 is for an interphalangeal joint; this code is for the MCP joint.
Compare 26706 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
$401.34
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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 26706 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,674
- Code
- 26706
- Physician work
- 5.18
- Practice expense
- 6.45
- Malpractice
- 0.89
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.18 | × 1.000 | 5.1800 |
| Practice expense | 6.45 | × 0.990 | 6.3855 |
| Malpractice | 0.89 | × 0.506 | 0.4503 |
| Total RVUs | 12.0158 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$401.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.18 | 1 |
| Practice expense | 6.45 | 0.99 |
| Malpractice | 0.89 | 0.506 |
(5.18 × 1 + 6.45 × 0.99 + 0.89 × 0.506) × $33.4009 = $401.34
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.
26706 billing questions
How is this different from closed treatment of an MCP dislocation?
Use this code when a pin is placed percutaneously to stabilize the reduced MCP joint. Codes 26700 and 26705 describe closed-treatment options; select based on the treatment and anesthesia circumstances documented.
When should open treatment be reported instead?
Use code 26715 when the MCP dislocation is treated through an open approach. This code represents percutaneous fixation, not open exposure and treatment.
Can the closed reduction be billed separately?
Do not separately report closed treatment of the same dislocation as an additional service merely because reduction preceded pin placement in the same procedure.
Is the code reported per pin or per finger?
It describes treatment of a single MCP dislocation, not each pin used. Document the digit and side treated.
Does modifier 50 apply if both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. The code describes treatment of a single dislocation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,67126686,,Treat hand dislocation,A,,7.97,8.08,NA,8.08,,1.69,17.74,17.74,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67226700,,Treat knuckle dislocation,A,,3.73,7.62,,5.87,,0.83,12.18,10.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67326705,,Treat knuckle dislocation,A,,4.27,9.45,,6.69,,0.91,14.63,11.87,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67426706,,Pin knuckle dislocation,A,,5.18,6.45,NA,6.45,,0.89,12.52,12.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,67526715,,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
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