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See a sample rate comparisonCPT 26125 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 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
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26125 |
| Medicaid Fee Schedule | View Medicaid rates for 26125 |
National average reimbursement for CPT 26125 by major payers:
$367.90
$373.90
$387.29
$444.49
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CPT 26125
5 of 25 sample ratesHigher to lower in this preview
Senate Street Surgery Center LLC, Clarian Health Partners Inc Mbr
Senate Street Surgery Center LLC
$4,613.00Published rateBon Secours Surgery Center At Harbour View, LLC, Bon Secours Surgery Center At Harbour View
Bon Secours Surgery Center At Harbour View LLC
$586.00Published rateOptumcare Colorado Asc, LLC
$361.00Published rateE. Ronald Salvitti, M.D., Inc., Southwestern PA Eye Surgery Center
E. Ronald Salvitti, M.D., Inc.
$104.00Published rateEdgeworth Commons Group LLC, Surgery Center At Edgworth Commons
Edgeworth Commons Group LLC
$50.00Published rate
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See a sample payer proposalCPT 26125 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26125 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 26125 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 26125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26125 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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