CPT code 26125: Palmar fasciectomy, each additional digit2026 Medicare rate & RVUs in New Mexico

Reports fasciectomy and contracture release in each additional finger affected by Dupuytren disease, after the first digit is treated with the primary procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality5.5K Medicare services in 2024

In New Mexico, Medicare pays $229.80 for 26125 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$229.80Hospital or facility

Check a contract rate as a % of Medicare · 26125 nationwide

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

We’ll open 26125 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 26125 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 26125 covers

This add-on describes extending an open fasciectomy and contracture release to an additional digit affected by Dupuytren disease. A hand surgeon typically removes diseased palmar and digital fascia that is restricting finger extension. It is used when more than one digit requires treatment during the operative session, beyond the first digit addressed by the primary procedure.

Report 26125 with 26123 for the first digit treated; it is not reported as a standalone service. Documentation should identify each additional digit treated and support fascial excision and contracture release at those sites. CMS classifies this as an add-on code: it must be billed with a primary procedure, and its payment falls within that procedure’s global period.

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 26125

Across 109 of 109 payment localities, the facility rate for 26125 runs from $206.17 in Wisconsin to $293.43 in Alaska. New Mexico pays $229.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

26125 in New Mexico vs other payment areas
  1. New Mexico · this page$229.80
  2. Los Angeles, CA · California$233.67+$3.87
  3. Washington, DC area · District of Columbia$248.27+$18.47
  4. Miami, FL · Florida$274.08+$44.28
  5. Chicago, IL · Illinois$266.62+$36.82
  6. Manhattan, NY · New York$262.57+$32.77
  7. Alaska · Alaska$293.43+$63.63

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

26125 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$209.48
ArkansasArkansas—$207.23
ArizonaArizona—$222.46
Bakersfield, CACalifornia—$224.49
Chico, CACalifornia—$222.09
El Centro, CACalifornia—$222.24
Fresno, CACalifornia—$222.09
Hanford, CACalifornia—$222.09

26125 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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26125 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 26125 in every payment locality

How the 26125 rate is calculated

Each of 26125’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.

How the rate is built · 26125

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.49

4.49 RVUs× 1.000 GPCI

Practice expense1.48

1.48 RVUs× 1.000 GPCI

Malpractice0.86

0.86 RVUs× 1.000 GPCI

Adjusted RVUs

6.8300

Conversion factor

$33.4009

Medicare rate

$228.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,553

Code
26125
Physician work
4.49
Practice expense
1.48
Malpractice
0.86

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 26125 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.49× 1.0004.4900
Practice expense1.48× 0.9171.3572
Malpractice0.86× 1.2011.0329
Total RVUs6.8800
Conversion factor× 33.4009

Facility rate, New Mexico$229.80

Facility: (4.49 × 1 + 1.48 × 0.917 + 0.86 × 1.201) × $33.4009 = $229.80

Open 26125 in the RVU calculator

Payment rules and modifiers for 26125

The CMS indicators that decide how 26125 is paid alongside other services.

CMS payment indicators · 26125

Palmar fasciectomy, each additional digit

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 26125 has changed in New Mexico

26125 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$229.80RVU26D
2026-07-01Not available in this setting$229.80RVU26C
2026-04-01Not available in this setting$229.80RVU26B
2026-01-01Not available in this setting$229.80RVU26A
2025-10-01Not available in this setting$257.67RVU25D
2025-07-01Not available in this setting$257.67RVU25C
2025-04-01Not available in this setting$257.67RVU25B
2025-01-01Not available in this setting$257.67RVU25A
2024-10-01Not available in this setting$263.53RVU24D
2024-07-01Not available in this setting$263.53RVU24C
2024-04-01Not available in this setting$263.53RVU24B
2024-03-09Not available in this setting$263.53RVU24AR
2024-01-01Not available in this setting$259.23RVU24A
2023-10-01Not available in this setting$266.80RVU23D
2023-07-01Not available in this setting$266.80RVU23C
2023-04-01Not available in this setting$266.80RVU23B
2023-01-01Not available in this setting$266.80RVU23A
2022-10-01Not available in this setting$270.48RVU22D
2022-07-01Not available in this setting$270.48RVU22C
2022-04-01Not available in this setting$270.48RVU22B
2022-01-01Not available in this setting$270.48RVU22A
2021-10-01Not available in this setting$272.03RVU21D
2021-07-01Not available in this setting$272.03RVU21C
2021-04-01Not available in this setting$272.03RVU21B
2021-01-01Not available in this setting$272.03RVU21A
2020-10-01Not available in this setting$282.02RVU20D
2020-07-01Not available in this setting$282.02RVU20C
2020-04-01Not available in this setting$282.02RVU20B
2020-01-01Not available in this setting$282.02RVU20A
2019-10-01Not available in this setting$284.73RVU19D
2019-07-01Not available in this setting$284.73RVU19C
2019-04-01Not available in this setting$284.73RVU19B
2019-01-01Not available in this setting$284.73RVU19A
2018-10-01Not available in this setting$285.42RVU18D
2018-07-01Not available in this setting$285.42RVU18C
2018-04-01Not available in this setting$285.42RVU18B
2018-01-01Not available in this setting$285.42RVU18AR1
2017-10-01Not available in this setting$283.27RVU17D
2017-07-01Not available in this setting$283.27RVU17C
2017-04-01Not available in this setting$283.27RVU17B
2017-01-01Not available in this setting$283.27RVU17A
2016-10-01Not available in this setting$280.98RVU16D
2016-07-01Not available in this setting$280.98RVU16C
2016-04-01Not available in this setting$280.98RVU16B
2016-01-01Not available in this setting$280.98RVU16A
2015-10-01Not available in this setting$281.90RVU15D
2015-07-01Not available in this setting$281.90RVU15C
2015-04-01Not available in this setting$280.50RVU15B
2015-01-01Not available in this setting$280.50RVU15A
2014-10-01Not available in this setting$275.83RVU14D
2014-07-01Not available in this setting$275.83RVU14C
2014-04-01Not available in this setting$275.83RVU14B
2014-01-01Not available in this setting$275.83RVU14A
2013-10-01Not available in this setting$265.35RVU13D
2013-07-01Not available in this setting$265.35RVU13C
2013-04-01Not available in this setting$265.35RVU13B
2013-01-01Not available in this setting$265.35RVU13AR

Price 26125 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

26125 billing questions

What primary code is reported with 26125?

Report 26125 with 26123, which covers the first digit treated with fasciectomy and contracture release. Do not report 26125 by itself.

When is 26125 used instead of 26121?

26125 is for each additional digit treated after the first digit under 26123. 26121 describes fasciectomy limited to the palm, without the palm-and-finger treatment represented by this code family’s digit services.

How should the additional digits be documented?

Identify each additional digit treated and document the diseased fascia excised and the contracture release performed. The record should distinguish those digits from the first digit reported with 26123.

Is 26125 an add-on code?

Yes. It must be billed with a primary procedure, and CMS payment is within that procedure’s global period.

Can 26125 be reported for multiple additional digits?

The code represents each additional digit. The operative documentation should support the number of additional digits treated.

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

Show the CMS file lines behind this rate
RVUs for 26125PPRRVU2026_Oct_nonQPP.csv, line 2,553 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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