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See a sample rate comparisonCPT 26750 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 Distal Pha, Closed Treatment Of Distal Phalangeal Fracture Finger Orthumb Without Manipulation Each Closed Treatment Of Distal Phalangeal Fracture Finger Or
| 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 F2 - Left hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26750 |
| Medicaid Fee Schedule | View Medicaid rates for 26750 |
National average reimbursement for CPT 26750 by major payers:
$261.28
$243.66
$267.55
$306.48
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CPT 26750
5 of 25 sample ratesHigher to lower in this preview
Park Nicollet Methodist Hospital, Park Nicollet Same Day Surgery Center
Park Nicollet Health Services
$1,534.00Published ratePeninsula Surgery Center, LLC
$450.00Published rateNj Vein & Cosmetic Surgery Center, PA
Nj Vein Cosmetic Surgery Center PA
$261.00Published rateCleveland Asc LLC, Cleveland Surgical Suites
Cleveland Asc LLC
$150.00Published rateLangley Holdings, LLC
$86.00Published rate
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See a sample payer proposalCPT 26750 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26750 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 26750 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 |
|---|---|---|
| 26735-CPT | Moderate | Treat Finger Fracture Each, Open Treatment Of Phalangeal Shaft Fracture Proximal Or Middle Phalanx Finger Or Thumb Includes Internal Fixation When Performed Each |
| 26746-CPT | Moderate | Treat Finger Fracture Each, Open Treatment Of Articular Fracture Involving Metacarpophalangeal Or Interphalangeal Joint Includes Internal Fixation When Performed Each |
| 26750-CPT | Moderate | Closed Treatment Of Distal Pha, Closed Treatment Of Distal Phalangeal Fracture Finger Orthumb Without Manipulation Each Closed Treatment Of Distal Phalangeal Fracture Finger Or |
| 26755-CPT | Moderate | Closed Treatment Of Distal Pha, Closed Treatment Of Distal Phalangeal Fracture Finger Orthumb With Manipulation Each Closed Treatment Of Distal Phalangeal Fracture Finger Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26750 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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