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See a sample rate comparisonCPT 26591 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.
Repair,Intrinsic Muscles Of Hand Specif
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26591 |
| Medicaid Fee Schedule | View Medicaid rates for 26591 |
National average reimbursement for CPT 26591 by major payers:
$632.31
$609.91
$650.16
$791.06
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CPT 26591
5 of 25 sample ratesHigher to lower in this preview
Medical Ambulatory Surgical Suites LLP, Kirby Surgical Center
Kirby Surgical Center
$3,039.00Published rateSaint Thomas Surgery Center New Salem, LLC
Saint Thomas Surgery Center New Salem LLC
$2,353.00Published rateGeorgia Urology, PA, Georgia Urology Asc Conyers
$1,647.00Published rateHeart Health Center, LLC
Heart Health Center LLC
$845.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 26591 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26591 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 26591 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 |
|---|---|---|
| 26560-CPT | Moderate | Rpair Of Syndactyly (Web Finger) Ea Web Spac; W/ Skin Flaps, Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps |
| 26561-CPT | High | Rpair Of Syndactyly (Web Finger) Ea Web Spac; W/ Skin Flaps, Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps And |
| 26580-CPT | High | Repair Cleft Hand |
| 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 26591. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26591 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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