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See a sample rate comparisonCPT 26075 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.
Explore Treat Finger Joint, Arthrotomy With Exploration Drainage Or Removal Of Loose Or Foreign Body Metacarpophalangeal Joint Each
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26075 |
| Medicaid Fee Schedule | View Medicaid rates for 26075 |
National average reimbursement for CPT 26075 by major payers:
$467.32
$443.38
$474.19
$571.36
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CPT 26075
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$3,416.00Published rateCalifornia Specialty Surgery Center, LLC, California Specialty Surgery Center, LLC
California Specialty Surgery Center, Lp
$1,928.00Published rateEnti Surgery Center LLC
$834.00Published rateRebecca Hopper
Deaconess Hospital Inc
$583.15Published rateDoctors Gi Partnership Ltd, Hf Surgery Center At Babcock
Doctors Gi Partnership Ltd
$314.00Published rate
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See a sample payer proposalCPT 26075 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26075 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 26075 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 |
|---|---|---|
| 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. |
| 26070-CPT | Moderate | Arthrotomy W/ Explora Drain Or Remval Of Loose Or Foreign, Arthrotomy With Exploration Drainage Or Removal Of Loose Or Foreign |
| 26075-CPT | Moderate | Explore Treat Finger Joint, Arthrotomy With Exploration Drainage Or Removal Of Loose Or Foreign Body Metacarpophalangeal Joint Each |
| 26080-CPT | Moderate | Explore Treat Finger Joint, Arthrotomy With Exploration Drainage Or Removal Of Loose Or Foreign Body Interphalangeal Joint Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26075. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26075 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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