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See a sample rate comparisonCPT 26121 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.
Release Palm Contracture, Fasciectomy Palm Only With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft
| 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 26121 |
| Medicaid Fee Schedule | View Medicaid rates for 26121 |
National average reimbursement for CPT 26121 by major payers:
$787.17
$807.03
$845.69
$993.72
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CPT 26121
5 of 25 sample ratesHigher to lower in this preview
Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
$6,919.00Published rateRound Rock Surgery Center LLC, Advanced Surgical Center - Round Rock
Round Rock Surgery Center LLC
$2,606.00Published ratePalestine Laser & Surgery Center PLLC
Palestine Laser Surgery Center PLLC
$1,735.00Published rateWeir Asc, LLC, Southwest Eye Surgery Center
Weir Asc LLC
$1,300.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$765.00Published rate
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See a sample payer proposalCPT 26121 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26121 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 26121 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 |
|---|---|---|
| 26121-CPT | Moderate | Release Palm Contracture, Fasciectomy Palm Only With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft |
| 26123-CPT | High | Release Palm Contracture, Fasciectomy Partial Palmar With Release Of Single Digit Including Proximal Interphalangeal Joint With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft |
| 26125-CPT | Moderate | Release Palm Contracture, Fasciectomy Partial Palmar With Release Of Single Digit Including Proximal Interphalangeal Joint With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft Each Additional Digit List Separately In Addition To Code For Primary Procedure |
| 26340-CPT | Moderate | Finger Joint Physical Therapy, Manual Stretching And Rotation Of A Finger Joint Under Anesthesia To Regain Range Of Motion. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26121 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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