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See a sample rate comparisonCPT 26517 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.
Capsulodesis For M-P Joint Stabilization
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 26517 |
| Medicaid Fee Schedule | View Medicaid rates for 26517 |
National average reimbursement for CPT 26517 by major payers:
$1,139.84
$1,125.81
$1,162.19
$1,408.39
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CPT 26517
5 of 25 sample ratesHigher to lower in this preview
Texas Health Flower Mound Orthopedic Surgery Center LLC
$6,342.00Published rateBerkshire Eye, LLC
$3,347.00Published rateLegent Outpatient Surgery Westover Hills, LLC
$2,277.00Published rateDigestive Disease Center
$1,335.00Published rateRiverside Ambulatory Surgery Center LLC
$588.00Published rate
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See a sample payer proposalCPT 26517 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26517 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 26517 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 |
|---|---|---|
| 26516-CPT | High | Capsulodesis M-P Joint 1 Digit |
| 26517-CPT | High | Capsulodesis For M-P Joint Stabilization |
| 26520-CPT | Moderate | Capsulectomy Or Capsulotomy; Metacarpophalang Joint Ea Joint, Capsulectomy Or Capsulotomy; Metacarpophalangeal Joint Each Joint |
| 26525-CPT | Moderate | Capsulectomy I-P Joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26517. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26517 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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