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See a sample rate comparisonCPT 26123 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.
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
| 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 F9 - Right hand, fifth digit F4 - Left hand, fifth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26123 |
| Medicaid Fee Schedule | View Medicaid rates for 26123 |
National average reimbursement for CPT 26123 by major payers:
$1,127.60
$1,110.01
$1,196.19
$1,370.62
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CPT 26123
5 of 25 sample ratesHigher to lower in this preview
Proliance Surgeons Inc Ps, Plastic & Reconstructive Surgeons Asc
Proliance Surgeons, Inc., P.S.
$3,623.00Published rateChesapeake Regional Surgery Center At Virginia Beach, LLC
Chesapeake Regional Surgery Center At Virginia Beach LLC
$2,720.00Published rateThe Ocular Surgery Center, LLC
The Ocular Surgery Center LLC
$1,550.00Published rateCherry Hill Women'S Center, Inc.
Cherry Hill Womens Center Inc
$887.00Published rateWake Endoscopy Center, LLC
$510.00Published rate
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See a sample payer proposalCPT 26123 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26123 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 26123 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 26123. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26123 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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