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See a sample rate comparisonCPT 26235 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.
Partial Removal Finger Bone, Partial Excision Craterization Saucerization Or Diaphysectomy Bone Eg Osteomyelitis Proximal Or Middle Phalanx Of Finger
| 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 F7 - Right hand, third digit F5 - Right hand, thumb |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26235 |
| Medicaid Fee Schedule | View Medicaid rates for 26235 |
National average reimbursement for CPT 26235 by major payers:
$671.33
$663.24
$699.16
$815.54
Compare published rates across providers.
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CPT 26235
5 of 25 sample ratesHigher to lower in this preview
Ascension Wisconsin Surgery Center-Mount Pleasant LLC, Ascension Wisconsin Surgery Center-Mount Pleasant
Ascension Wisconsin Surgery Centermount Pleasant LLC
$2,502.00Published rateAscension Saint Thomas Lebanon Surgery Center LLC, Lebanon Surgery Center
$1,233.00Published rateShore Health System, Inc., Shore Health System Surgery Center
Shore Health System Inc
$736.00Published rateUrological Institute Of Maryland
$623.00Published rateSurgery Center Of Coral Gables LLC, Surgery Center Of Coral Gables LLC
$438.00Published rate
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See a sample payer proposalCPT 26235 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26235 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 26235 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 |
|---|---|---|
| 26200-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones In The Hand. |
| 26205-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Hand. The Area Is Repaired With A Bone Graft. |
| 26210-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Finger Bones. The Area May Be Repaired With A Bone Graft. |
| 26235-CPT | Moderate | Partial Removal Finger Bone, Partial Excision Craterization Saucerization Or Diaphysectomy Bone Eg Osteomyelitis Proximal Or Middle Phalanx Of Finger |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26235 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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