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See a sample rate comparisonCPT 26045 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26045 |
| Medicaid Fee Schedule | View Medicaid rates for 26045 |
National average reimbursement for CPT 26045 by major payers:
$650.91
$630.02
$657.48
$780.73
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CPT 26045
5 of 25 sample ratesHigher to lower in this preview
North State Surgery Centers, Lp, Mercy Surgery Center
$6,718.00Published rateSurgical Elite Of Avondale, LLC
Surgical Elite Of Avondale LLC
$3,347.00Published rateVesc LLC, Adventhealth Surgery Center Ormond Beach
Vesc LLC
$2,112.00Published rateHattiesburg Ambulatory Surgery Center Lp, South Mississippi Surgery Center
Hattiesburg Ambulatory Surgery Center Lp
$1,430.00Published rateWooster Ophthalmologists, Inc., Eye Surgery Center Of Wooster
Wooster Ophthalmologists, Inc.
$844.00Published rate
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See a sample payer proposalCPT 26045 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26045 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 26045 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 |
|---|---|---|
| 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. |
| 26045-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. |
| 26055-CPT | Moderate | Surgery For Trigger Finger, Surgery To Release A Tendon In The Finger That Is Causing The Finger To Lock In A Bent Position. |
| 26060-CPT | Moderate | Surgery On Finger Tendon, Surgery To Cut The Tendon In The Finger. The Procedure Lengthens The Tendon Or Releases A Contracted Tendon. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26045 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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