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See a sample rate comparisonCPT 26665 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.
Surgery For Broken Thumb, Surgery To Correct A Broken And Dislocated Joint In The Thumb. Pins Wires Or Screws May Be Used To Hold The Bones In Place. A Splint Is Applied To The Hand.
| 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 F5 - Right hand, thumb |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26665 |
| Medicaid Fee Schedule | View Medicaid rates for 26665 |
National average reimbursement for CPT 26665 by major payers:
$865.43
$833.07
$862.59
$1,031.79
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CPT 26665
5 of 25 sample ratesHigher to lower in this preview
90210 Surgery Medical Center, LLC, 90210 Surgery Medical Center At Linden
90210 Surgery Medical Center
$10,277.00Published rateOrthopedic Healthcare Ancillary Services, LLC, Slocum Ambulatory Surgery Center
Orthopedic Healthcare Ancillary Services LLC
$4,739.00Published rateProcedure Center Of Irvine Inc., Procedure Center Of Irvine
Procedure Center Of Irvine Inc
$3,585.00Published rateCvp Surgery Center Ivy Pointe, LLC
Cincinnati Eye Institute
$1,760.00Published rateCarolyn Cole
Deaconess Hospital Inc
$501.89Published rate
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See a sample payer proposalCPT 26665 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26665 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 26665 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 |
|---|---|---|
| 26641-CPT | Moderate | Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Dislocation Thumb Withmanipulation Closed Treatment Of Carpometacarpal Dislocation Thumb With |
| 26645-CPT | Moderate | Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Fracture Dislocationthumb (Bennett Fracture) With Manipulationclosed Treatment Of Carpometacarpal Fracture Dis Location |
| 26650-CPT | Moderate | Set Broken Thumb With Wire, Treatment To Set A Broken And Dislocated Bone (Carpometacarpal) In Thumb Using Wire Inserted Through The Skin. The Bone Is Moved Into Place Manually. |
| 26665-CPT | Moderate | Surgery For Broken Thumb, Surgery To Correct A Broken And Dislocated Joint In The Thumb. Pins Wires Or Screws May Be Used To Hold The Bones In Place. A Splint Is Applied To The Hand. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26665 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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