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See a sample rate comparisonCPT 26596 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.
Xcision Of Constricting Ring Of Finger W/ Multi Z-Plasties, Excision Of Constricting Ring Of Finger With Multiple Z-Plasties
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 20 - Urgent Care Facility |
| Common Modifiers | None RT - Right side of body 51 - Multiple procedures LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26596 |
| Medicaid Fee Schedule | View Medicaid rates for 26596 |
National average reimbursement for CPT 26596 by major payers:
$1,066.84
$1,026.87
$1,074.54
$1,302.67
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CPT 26596
5 of 25 sample ratesHigher to lower in this preview
Oak Point Surgical Suites LLC
$1,955.00Published rateDelray Beach Asc, LLC, Delray Beach Surgery Center
$1,233.00Published rateWest Georgia Surgery Center, LLC
Tanner Medical Center
$922.00Published rateWest Clinic Astc, West Clinic, PC
The West Clinic, PLLC
$563.00Published rateKeystone Kidney Associates, PC
Keystone Kidney Associates PC
$350.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26596 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26596 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 26596 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 |
|---|---|---|
| 26596-CPT | High | Xcision Of Constricting Ring Of Finger W/ Multi Z-Plasties, Excision Of Constricting Ring Of Finger With Multiple Z-Plasties |
| 26600-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withoutmanipulation Each Bone Closed Treatment Ofmetacarpal Fracture Single Without |
| 26605-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withmanipulation Each Bone Closed Treatment Of Metacarpal Fracture Single With |
| 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 26596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26596 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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