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See a sample rate comparisonCPT 26568 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.
Lengthening Metacarpalor Phalanx
| 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 26568 |
| Medicaid Fee Schedule | View Medicaid rates for 26568 |
National average reimbursement for CPT 26568 by major payers:
$1,214.03
$1,227.01
$1,258.63
$1,526.58
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CPT 26568
5 of 25 sample ratesHigher to lower in this preview
Alaska Surgery Center, Limited Partnership
Alaska Surgery Center Limited Partnership
$8,156.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$3,570.00Published rateEndoscopy Center Of The Rockies LLC, Endoscopy Center Of The Rockies Boulder
Endoscopy Center Of The Rockies LLC
$2,456.00Published rateAdvanced Surgery Center Of Central Iowa, LLC
Advanced Surgery Center Of Central Iowa LLC
$1,554.00Published rateHeather Mellish
Deaconess Hospital Inc
$707.91Published rate
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See a sample payer proposalCPT 26568 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26568 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 26568 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 |
|---|---|---|
| 26567-CPT | Moderate | Osteotomy For Correction Of Deformity; P |
| 26568-CPT | High | Lengthening Metacarpalor Phalanx |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26568. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26568 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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