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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 26341 |
| Medicaid Fee Schedule | View Medicaid rates for 26341 |
National average reimbursement for CPT 26341 by major payers:

$139.74

$142.87

$153.38

$143.01
Choose a payer to see a sample of rates for CPT 26341.
The Surgery Center, LLC
Westgate Surgery Center LLC
Eye Associates Surgery Center Inc
Coppel Surgical Solutions
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 26341 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26341 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 26341 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 |
| 26341-CPT | Low | Tendon Procedure After Shot, Surgical Movement Of A Hand Tendon After Giving An Enzyme Injection. The Procedure Is A Treatment For A Problem With The Hand Or A Finger Contracting Too Much. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26341. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26341 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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