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See a sample rate comparisonCPT 26715 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 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.
| 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 26715 |
| Medicaid Fee Schedule | View Medicaid rates for 26715 |
National average reimbursement for CPT 26715 by major payers:
$740.02
$750.70
$778.51
$933.11
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CPT 26715
5 of 25 sample ratesHigher to lower in this preview
Senate Street Surgery Center LLC, Clarian Health Partners Inc Mbr
Senate Street Surgery Center LLC
$8,705.00Published rateCentrum Surgery Center Ltd
$2,564.00Published ratePatient Partners LLC
$2,206.00Published rateSouthwestern Eye Center, Southwestern Eye Surgicenter-Show Low
Southwestern Eye Center, Ltd.
$1,505.00Published rateCpmsc Gwinnett, LLC
Cpmsc Gwinnett LLC
$900.00Published rate
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See a sample payer proposalCPT 26715 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26715 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 26715 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 26715. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26715 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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