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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only F5 - Right hand, thumb |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26700 |
| Medicaid Fee Schedule | View Medicaid rates for 26700 |
National average reimbursement for CPT 26700 by major payers:

$446.35

$431.95

$472.55

$540.91
Choose a payer to see a sample of rates for CPT 26700.
Memorial Hermann Surgery Center Texas Medical Center LLP
The Outpatient Center Of Boynton Beach, Ltd.
North Country Ec LLC
Concourse Diagnostic & Surgery Center
Ncbh Outpatient Endoscopy Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 26700 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26700 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 26700 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 |
|---|---|---|
| 26700-CPT | Moderate | Closed Treatment Of Metacarpop, Closed Treatment Of Metacarpophalangeal Dislocation Singlewith Manipulation Without Anesthesia Closed Treatment Of Metacarpophalangeal Dislocation Single |
| 26705-CPT | Moderate | Closed Treatment Of Metacarpop, Closed Treatment Of Metacarpophalangeal Dislocation Singlewith Manipulation Requiring Anesthesia Closed Treatment Of Metacarpophalangeal Dislocati On Single |
| 26706-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Metacarpophalangealdislocation Single With Manipulation Percutaneous Skeletal Fixation Of Metacarpophalangeal |
| 26715-CPT | Moderate | Surgery To Correct Dislocation, Surgery To Correct A Dislocated Hand Or Finger Joint. Pins Wires Or Screws May Be Used To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26700 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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