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See a sample rate comparisonCPT 26952 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.
Amputation Of Finger Thumb, Amputation Finger Or Thumb Primary Or Secondary Any Joint Or Phalanx Single Including Neurectomies With Local Advancement Flaps V Y Hood
| 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 F2 - Left hand, third digit F1 - Left hand, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26952 |
| Medicaid Fee Schedule | View Medicaid rates for 26952 |
National average reimbursement for CPT 26952 by major payers:
$976.06
$884.47
$925.63
$1,115.01
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CPT 26952
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$2,925.00Published rateAdvanced Surgical Care Of Clearwater LLC
$1,258.00Published rateSt. Mary'S Ambulatory Surgery Center, LLC
St Marys Ambulatory Surgery Center LLC
$1,000.00Published rateHollywood Regional Surgery Center LLC
$731.00Published rateChevy Chase Asc LLC, Chevy Chase Endoscopy Center
$533.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26952 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26952 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 26952 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 |
|---|---|---|
| 26860-CPT | Moderate | Fuse Bones Of Finger Joint, Surgery To Join Together Two Or More Bones Of Finger Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 26910-CPT | Moderate | Amputate Metacarpal Bone, Amputation Metacarpal With Finger Or Thumb Ray Amputation Single With Or Without Interosseous Transfer |
| 26951-CPT | Moderate | Amputation Of Finger Thumb, Amputation Finger Or Thumb Primary Or Secondary Any Joint Or Phalanx Single Including Neurectomies With Direct Closure |
| 26952-CPT | Moderate | Amputation Of Finger Thumb, Amputation Finger Or Thumb Primary Or Secondary Any Joint Or Phalanx Single Including Neurectomies With Local Advancement Flaps V Y Hood |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26952. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26952 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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