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See a sample rate comparisonCPT 26320 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.
Remove Implant Fingeror Hand
| 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 26320 |
| Medicaid Fee Schedule | View Medicaid rates for 26320 |
National average reimbursement for CPT 26320 by major payers:
$474.04
$466.53
$483.42
$581.20
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CPT 26320
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Plano, LLC, Baylor Scott & White Surgicare - Plano
$1,955.00Published rateBanner Mesa Surgery Center LLC
$947.00Published rateVision Surgery & Laser Center, LLC
Vision Surgery Laser Center LLC
$734.00Published rateArizona Skin Cancer Surgery Center, P.C.
Arizona Skin Cancer Surgery Center PC
$592.00Published rateEye Surgery Limited LLC, Virginia Center For Eye Surgery
Eye Surgery Limited, LLC
$396.00Published rate
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See a sample payer proposalCPT 26320 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26320 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 26320 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 |
|---|---|---|
| 26185-CPT | Moderate | Sesamoidectomy, Thumb Or Finger |
| 26236-CPT | Moderate | Partial Removal Finger Bone, Partial Excision Craterization Saucerization Or Diaphysectomy Bone Eg Osteomyelitis Distal Phalanx Of Finger |
| 26250-CPT | High | Resect Metacarpal Radical |
| 26320-CPT | Moderate | Remove Implant Fingeror Hand |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26320 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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