CPT code 26116: Hand tumor excision, deep, under 1.5 cm2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $483.07 for 26116 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26116 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 26116 covers

A hand surgeon, orthopedic surgeon, or plastic surgeon uses this code for excision of a soft-tissue tumor located beneath the fascia in the hand or a finger, with a tumor measuring less than 1.5 cm. The service involves surgically removing the mass; the operative report should establish its hand or finger location, deep position, and size. A specimen may be submitted for pathologic examination, but the code selection is based on the excision’s site, depth, and size rather than the eventual diagnosis.

Choose this code for a deep tumor under 1.5 cm, not a superficial mass or a larger deep tumor. Document the tumor’s dimensions and its relationship to the fascia. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 26116

Across 109 of 109 payment localities, the facility rate for 26116 runs from $440.92 in Arkansas to $601.67 in San Benito County, CA. New Mexico pays $483.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26116 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 26116 in every payment locality

How the 26116 rate is calculated

Each of 26116’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 26116

26116 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 26116

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 26116 has changed in New Mexico

Price 26116 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates