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See a sample rate comparisonCPT 26590 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.
Repair Macrodactylia Finger
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None F5 - Right hand, thumb F1 - Left hand, second digit F3 - Left hand, fourth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26590 |
| Medicaid Fee Schedule | View Medicaid rates for 26590 |
National average reimbursement for CPT 26590 by major payers:
$1,894.46
$1,846.09
$1,902.30
$2,285.83
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CPT 26590
5 of 25 sample ratesHigher to lower in this preview
Surgical Center At Columbia Orthopaedic Group LLC
$2,197.00Published rateMedstar Surgery Center At Timonium, LLC
Medstar Surgery Center At Timo
$1,369.00Published rateMichigan Surgical Center,LLC
Michigan Surgical Center
$890.00Published rateBattle Creek Endoscopy & Surgery LLC
Battle Creek Endoscopy & Surgery Center PLLC
$593.00Published rateSouthwest Surgery Center LLC
$300.00Published rate
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See a sample payer proposalCPT 26590 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26590 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 26590 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 |
|---|---|---|
| 26562-CPT | High | Rpair Of Syndactyly (Web Finger) Ea Web Spac; Complx (Eg Invol, Repair Of Syndactyly (Web Finger) Each Web Space; Complex (Eg Involvi |
| 26587-CPT | High | Reconstruct.Supernumerary Digit,Soft Tis |
| 26590-CPT | High | Repair Macrodactylia Finger |
| 26591-CPT | Moderate | Repair,Intrinsic Muscles Of Hand Specif |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26590 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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