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See a sample rate comparisonCPT 26989 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.
Unlisted Proc Hands Or Fingers, Unlisted Procedure Hands Or Fingers
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26989 |
| Medicaid Fee Schedule | View Medicaid rates for 26989 |
National average reimbursement for CPT 26989 by major payers:
$519.32
$153.09
$6,000.00
$1,284.09
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CPT 26989
5 of 25 sample ratesHigher to lower in this preview
Grass Valley Outpatient Surgery Center Lp, Grass Valley Surgery Center
$1,875.00Published rateValley Ambulatory Surgery Center, Lp, Valley Ambulatory Surgery Center
Valley Ambulatory Surgery Center
$375.00Published rateFw Specialty Surgicare, LLC
Fw Specialty Surgicare LLC
$209.00Published rateCommunity Surgery & Laser Center, LLC
Community Surgery Laser Center LLC
$96.70Published rateAdvanced Surgery Center Of Palm Beach County, LLC, Advanced Surgery Center
Advanced Surgery Center Of Palm Beach County LLC
$75.00Published rate
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See a sample payer proposalCPT 26989 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26989 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 26989 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 |
|---|---|---|
| 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 |
| 26989-CPT | Moderate | Unlisted Proc Hands Or Fingers, Unlisted Procedure Hands Or Fingers |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26989. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26989 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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