26520 Release knuckle contracture
Also known as: Knuckle contracture release, MCP contracture release, Joint contracture release
Surgical release of contracture affecting the metacarpophalangeal joint or knuckle, performed to restore joint mobility and hand function when joint contracture has developed.
In Plain Language
Freeing up a tight knuckle joint; Surgery to improve knuckle bending
Clinical Context
Indicated for metacarpophalangeal joint contracture from burn injury, spasticity, Dupuytren's disease, or post-traumatic scarring limiting joint flexion.
RVU Breakdown
| Work RVU | 5.33 |
| Total RVU | 5.33 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.33, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26520?
CPT 26520 (Release knuckle contracture) is a Surgery code. Surgical release of contracture affecting the metacarpophalangeal joint or knuckle, performed to restore joint mobility and hand function when joint contracture has developed.
What is the wRVU value for CPT 26520?
The work RVU for CPT 26520 is 5.33. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26520 used?
Indicated for metacarpophalangeal joint contracture from burn injury, spasticity, Dupuytren's disease, or post-traumatic scarring limiting joint flexion.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.