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See a sample rate comparisonCPT 26035 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Dcompress Fingers &/Or Hand Inject Njury (Eg Grease Gun), Decompression Fingers And/Or Hand Injection Injury (Eg Grease Gun)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None F1 - Left hand, second digit LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26035 |
| Medicaid Fee Schedule | View Medicaid rates for 26035 |
National average reimbursement for CPT 26035 by major payers:
$1,186.06
$1,131.19
$1,165.80
$1,394.86
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CPT 26035
5 of 25 sample ratesHigher to lower in this preview
Fort Worth Endoscopy Centers, LLC, Fort Worth Endoscopy Center
Fort Worth Endoscopy Centers LLC
$2,392.00Published rateChandler Endoscopy Center, L.L.C.
$1,276.00Published rateEndoscopy Center Of Dayton Ltd
$767.00Published rateAsc Lone Tree LLC, Icon Surgery Center Of Denver
Asc Lone Tree LLC
$555.00Published rateConway Cardiovascular Surgery Center, LLC
Conway Cardiovascular Surgery Center LLC
$410.00Published rate
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See a sample payer proposalCPT 26035 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26035 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 26035 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 26034-CPT | Moderate | Ncision Bone Cortex Hand/ Finger (Eg Osteomyeli Or Bone Absce, Incision Bone Cortex Hand Or Finger (Eg Osteomyelitis Or Bone Absce |
| 26035-CPT | High | Dcompress Fingers &/Or Hand Inject Njury (Eg Grease Gun), Decompression Fingers And/Or Hand Injection Injury (Eg Grease Gun) |
| 26037-CPT | Moderate | Surgery To Relieve Hand Pain, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hand To Relieve Pressure. |
| 26040-CPT | Moderate | Remove Extra Tissue In Hand, Surgery To Cut Or Remove The Abnormally Thick Tissue Underneath The Skin Of The Palm And Fingers To Relieve Contracture. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26035 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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