No office rate
Code 26210 applies to removal or curettage of a bone lesion in a finger phalanx. This code describes partial phalanx removal, such as an ostectomy.
On this page
CMS RVU26D · Effective 2026-10-01
26235 Finger bone surgery Medicare reimbursement rates in Virginia
Reports surgical removal of part of a finger phalanx, such as an ostectomy to address a symptomatic bony prominence or localized bone deformity. Compare 26235 office and facility rates across CMS payment localities in Virginia.
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 26235 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$449.20–$519.17
2 of 2 localities have a 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.
Hand surgery
About 26235: Partial phalanx excision
Reports surgical removal of part of a finger phalanx, such as an ostectomy to address a symptomatic bony prominence or localized bone deformity.
A hand surgeon removes a limited portion of a finger phalanx, rather than the entire bone. The procedure may address a symptomatic bony prominence or localized phalangeal deformity when partial bone removal is the operative objective. It is typically performed in an operating room or procedure setting by an orthopedic or plastic surgeon specializing in hand surgery. The operative report should identify the finger and phalanx treated and describe the portion of bone removed and the reason for the excision.
Report this service when the documented procedure is partial removal of a finger bone; distinguish it from a procedure directed at curettage or excision of a defined bone lesion. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26235
- 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 RVU6.17 · 44%
- Practice expense (office) RVU6.55 · 47%
- Malpractice RVU1.19 · 9%
2.4K
Medicare services in 2024 · #2328 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.
26235 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 26230 addresses partial excision of a metacarpal. This code applies when the partially removed bone is a finger phalanx.
No office rate
Both are nearby codes for partial finger-bone removal. Verify the full CPT descriptor and operative details to identify the applicable distinction.
Compare 26235 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$519.17
Virginia →
Office / nonfacility
Unavailable
Facility
$449.20
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26235 billing questions
How does this differ from code 26210?
Use this code for partial removal of a finger phalanx, such as an ostectomy. Code 26210 is for removal or curettage of a bone lesion in a finger phalanx.
What should the operative report document?
Document the finger and phalanx treated, the indication, and the specific portion of bone removed. The note should make clear that the work was partial bone excision.
Can modifier 50 be reported for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
When is an assistant at surgery payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
2,56426210,,Removal of finger lesion,A,,5.19,6.64,NA,6.64,,1.00,12.83,12.83,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56526215,,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