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See a sample rate comparisonCPT 26775 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 Interphala, Closed Treatment Of Interphalangeal Joint Dislocationsingle With Manipulation Requiring Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None F4 - Left hand, fifth digit F9 - Right hand, fifth digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26775 |
| Medicaid Fee Schedule | View Medicaid rates for 26775 |
National average reimbursement for CPT 26775 by major payers:
$518.00
$506.70
$539.20
$632.52
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CPT 26775
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$3,922.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$555.00Published rateEndoscopy Center Of Western Colorado Inc
$219.00Published rateSurgery Center Of Columbia County, LLC, Surgery Center Of Columbia County
Surgery Center Of Columbia Cty
$144.00Published rateCei Physicians Psc, LLC, Cvp Surgery Center
Cincinnati Eye Institute
$67.00Published rate
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See a sample payer proposalCPT 26775 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26775 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 26775 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 |
|---|---|---|
| 26756-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Distal Phalangealfracture Finger Or Thumb Each Percutaneous Skeletal Fixation Of Distal Phalangeal |
| 26765-CPT | Moderate | Treat Finger Fracture Each, Open Treatment Of Distal Phalangeal Fracture Finger Or Thumb Includes Internal Fixation When Performed Each |
| 26770-CPT | Moderate | Closed Treatment Of Interphala, Closed Treatment Of Interphalangeal Joint Dislocationsingle With Manipulation Without Anesthesia Closed Treatment Of Interphalangeal Joint Disloca Tion |
| 26775-CPT | Moderate | Closed Treatment Of Interphala, Closed Treatment Of Interphalangeal Joint Dislocationsingle With Manipulation Requiring Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26775. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26775 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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