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See a sample rate comparisonCPT 26545 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.
Reconstruct Hand Ligament, Surgery To Reconstruct A Collateral Ligament Of The Hand Or Finger Using A Graft. These Ligaments Help Stabilize The Bones When The Hand Or Finger Moves From Side-To-Side.
| 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 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26545 |
| Medicaid Fee Schedule | View Medicaid rates for 26545 |
National average reimbursement for CPT 26545 by major payers:
$982.56
$961.99
$994.64
$1,201.56
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CPT 26545
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$11,198.00Published rateDtc Surgery Center, LLC, Occ Surgery Center At Inverness
Dtc Surgery Center LLC
$2,549.00Published rateMid County Surgery Center
$2,050.00Published rateCypress Surgery Center LLC
$1,337.00Published ratePain Care Center Of Georgia LLC
$950.00Published rate
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See a sample payer proposalCPT 26545 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26545 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 26545 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 |
|---|---|---|
| 26542-CPT | Moderate | Reconstruct Hand Ligament, Surgery To Reconstruct A Collateral Ligament Of The Hand Or Finger Using A Graft. These Ligaments Help Stabilize The Bones When The Hand Or Finger Moves From Side-To-Side. |
| 26545-CPT | Moderate | Reconstruct Hand Ligament, Surgery To Reconstruct A Collateral Ligament Of The Hand Or Finger Using A Graft. These Ligaments Help Stabilize The Bones When The Hand Or Finger Moves From Side-To-Side. |
| 26548-CPT | High | Rpair & Reconstr Finger Volar Plat Interphalang Joint, Repair And Reconstruction Finger Volar Plate Interphalangeal Joint |
| 26550-CPT | High | Pollicization Of A Digit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26545 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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