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See a sample rate comparisonCPT 26565 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.
Osteotomy Metacarpal Deformity
| 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 26565 |
| Medicaid Fee Schedule | View Medicaid rates for 26565 |
National average reimbursement for CPT 26565 by major payers:
$914.90
$928.49
$963.63
$1,168.07
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CPT 26565
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Clinic Ambulatory Surgery Center
Emory University
$6,225.00Published rateEffingham Surgical Partners LLC
Effingham Surgical Partners, LLC
$2,411.00Published rateUrology Associates Of Central California, Inc, Urology Associates Of Central California Ambulatory Surgical Center
Urology Associates Of Central California Inc
$1,776.00Published rateEndoscopy Center Monroe LLC, Carolina Endoscopy Center Monroe
Endoscopy Center Monroe LLC
$1,050.00Published rateSan Luis Obispo Ca Endoscopy Asc Lp, Templeton Endoscopy Center
San Luis Obispo Ca Endoscopy Asc Lp
$624.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26565 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26565 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 26565 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 |
|---|---|---|
| 26565-CPT | Moderate | Osteotomy Metacarpal Deformity |
| 26600-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withoutmanipulation Each Bone Closed Treatment Ofmetacarpal Fracture Single Without |
| 26607-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture With Manipulation With Internal Or External Fixation Eachbone Closed Treatment Of Metacarpal Fracture Wi Th Manipulation |
| 26700-CPT | Moderate | Closed Treatment Of Metacarpop, Closed Treatment Of Metacarpophalangeal Dislocation Singlewith Manipulation Without Anesthesia Closed Treatment Of Metacarpophalangeal Dislocation Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26565 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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