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See a sample rate comparisonCPT 26675 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.
Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Dislocation Other Than Thumb (Bennett Fracture) Single With Manipulation Requiring Anesthesia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body F9 - Right hand, fifth digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26675 |
| Medicaid Fee Schedule | View Medicaid rates for 26675 |
National average reimbursement for CPT 26675 by major payers:
$610.82
$600.95
$638.42
$769.93
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CPT 26675
5 of 25 sample ratesHigher to lower in this preview
Manatee Surgicare Ltd
$2,965.00Published rateShawnee Mission Surgery Center LLC, Adventhealth Surgery Center Shawnee Mission
Shawnee Mission Surgery Center LLC
$569.00Published rateMetropolitan Medical Center, LLC
Metropolitan Medical Center LLC
$433.00Published rateThe Clearwater Orthopaedic Asc LLC, C Med Ambulatory Surgery Center
The Clearwater Orthopaedic Ass
$175.00Published rateCardiovascular Surgical Suites LLC
Cardiovascular Surgical Suites L
$92.00Published rate
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See a sample payer proposalCPT 26675 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26675 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 26675 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 |
| 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. |
| 26675-CPT | Moderate | Closed Treatment Of Carpometac, Closed Treatment Of Carpometacarpal Dislocation Other Than Thumb (Bennett Fracture) Single With Manipulation Requiring Anesthesia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26675 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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