CPT code 26508: Thumb contracture release, thumb soft-tissue contracture2026 Medicare rate & RVUs in New Mexico
Surgical release of a fixed thumb contracture, reported when shortened soft tissue restricts thumb position or motion and requires operative correction.
In New Mexico, Medicare pays $614.65 for 26508 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26508 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 26508 covers
This service surgically releases shortened tissue that holds the thumb in a restricted position, such as a scar-related limitation of thumb opening or opposition. It is typically performed by a hand, orthopedic, or plastic surgeon when the restriction causes functional impairment and needs operative correction. The operative report should identify the affected thumb, the contracture and its effect on motion or function, and the tissue released.
Report the code for the thumb contracture release itself, distinguishing it from a finger or knuckle contracture release and from a tendon transfer. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 26508
Across 109 of 109 payment localities, the facility rate for 26508 runs from $567.32 in Arkansas to $826.41 in San Benito County, CA. New Mexico pays $614.65. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$614.65
- Los Angeles, CA · California$712.03+$97.38
- Washington, DC area · District of Columbia$728.22+$113.57
- Miami, FL · Florida$711.02+$96.37
- Chicago, IL · Illinois$689.72+$75.07
- Manhattan, NY · New York$740.18+$125.53
- Alaska · Alaska$752.74+$138.09
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $575.58 |
| ArkansasArkansas | — | $567.32 |
| ArizonaArizona | — | $623.74 |
| Bakersfield, CACalifornia | — | $670.44 |
| Chico, CACalifornia | — | $667.50 |
| El Centro, CACalifornia | — | $667.67 |
| Fresno, CACalifornia | — | $667.50 |
| Hanford, CACalifornia | — | $667.50 |
| Madera, CACalifornia | — | $667.50 |
| Merced, CACalifornia | — | $667.50 |
| Modesto, CACalifornia | — | $667.50 |
| Napa, CACalifornia | — | $765.73 |
| Oxnard, CACalifornia | — | $707.58 |
| Redding, CACalifornia | — | $667.50 |
| Rest of CaliforniaCalifornia | — | $667.50 |
| Riverside, CACalifornia | — | $678.71 |
| Sacramento, CACalifornia | — | $698.47 |
| Salinas, CACalifornia | — | $695.84 |
| San Diego, CACalifornia | — | $710.84 |
| Marin County, CACalifornia | — | $807.75 |
| San Francisco, CACalifornia | — | $806.57 |
| San Benito County, CACalifornia | — | $826.41 |
| Santa Clara County, CACalifornia | — | $821.58 |
| San Luis Obispo, CACalifornia | — | $684.92 |
| Santa Cruz, CACalifornia | — | $716.52 |
| Santa Maria, CACalifornia | — | $698.07 |
| Santa Rosa, CACalifornia | — | $723.60 |
| Stockton, CACalifornia | — | $667.50 |
| Vallejo, CACalifornia | — | $764.03 |
| Visalia, CACalifornia | — | $667.50 |
| Yuba City, CACalifornia | — | $667.50 |
| ColoradoColorado | — | $662.04 |
| ConnecticutConnecticut | — | $683.82 |
| DelawareDelaware | — | $633.93 |
| Fort Lauderdale, FLFlorida | — | $674.63 |
| Rest of FloridaFlorida | — | $640.94 |
| Atlanta, GAGeorgia | — | $655.37 |
| Rest of GeorgiaGeorgia | — | $604.21 |
| Hawaii, Guam, HIHawaii | — | $682.18 |
| IowaIowa | — | $585.91 |
| IdahoIdaho | — | $590.58 |
| East St. Louis, ILIllinois | — | $644.11 |
| Rest of IllinoisIllinois | — | $625.61 |
| Suburban Chicago, ILIllinois | — | $680.46 |
| IndianaIndiana | — | $593.87 |
| KansasKansas | — | $585.17 |
| KentuckyKentucky | — | $593.37 |
| New Orleans, LALouisiana | — | $622.12 |
| Rest of LouisianaLouisiana | — | $593.25 |
| Metropolitan Boston, MAMassachusetts | — | $724.33 |
| Rest of MassachusettsMassachusetts | — | $658.94 |
| Baltimore area, MDMaryland | — | $682.33 |
| Rest of MarylandMaryland | — | $645.32 |
| Rest of MaineMaine | — | $595.75 |
| Southern Maine, MEMaine | — | $624.83 |
| Detroit, MIMichigan | — | $650.95 |
| Rest of MichiganMichigan | — | $610.53 |
| MinnesotaMinnesota | — | $628.59 |
| Metropolitan Kansas City, MOMissouri | — | $615.78 |
| Metropolitan St. Louis, MOMissouri | — | $621.92 |
| Rest of MissouriMissouri | — | $584.48 |
| MississippiMississippi | — | $575.91 |
| MontanaMontana | — | $641.23 |
| North CarolinaNorth Carolina | — | $601.61 |
| North DakotaNorth Dakota | — | $620.66 |
| NebraskaNebraska | — | $588.49 |
| New HampshireNew Hampshire | — | $653.57 |
| Northern New JerseyNew Jersey | — | $721.17 |
| Rest of New JerseyNew Jersey | — | $690.00 |
| NevadaNevada | — | $635.90 |
| NYC suburbs and Long Island, NYNew York | — | $760.53 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $696.14 |
| Queens, NYNew York | — | $743.28 |
| Rest of New YorkNew York | — | $610.72 |
| OhioOhio | — | $606.33 |
| OklahomaOklahoma | — | $590.20 |
| Portland, OROregon | — | $680.60 |
| Rest of OregonOregon | — | $629.36 |
| Metropolitan Philadelphia, PAPennsylvania | — | $668.24 |
| Rest of PennsylvaniaPennsylvania | — | $606.16 |
| Puerto RicoPuerto Rico | — | $645.23 |
| Rhode IslandRhode Island | — | $654.74 |
| South CarolinaSouth Carolina | — | $605.30 |
| South DakotaSouth Dakota | — | $618.23 |
| TennesseeTennessee | — | $588.35 |
| Austin, TXTexas | — | $661.24 |
| Beaumont, TXTexas | — | $602.37 |
| Brazoria, TXTexas | — | $631.62 |
| Dallas, TXTexas | — | $636.56 |
| Fort Worth, TXTexas | — | $632.96 |
| Galveston, TXTexas | — | $634.10 |
| Houston, TXTexas | — | $653.13 |
| Rest of TexasTexas | — | $617.26 |
| UtahUtah | — | $613.44 |
| VirginiaVirginia | — | $624.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $645.23 |
| VermontVermont | — | $620.09 |
| Rest of WashingtonWashington | — | $657.09 |
| King County, WAWashington | — | $736.98 |
| WisconsinWisconsin | — | $600.24 |
| West VirginiaWest Virginia | — | $603.19 |
| WyomingWyoming | — | $632.27 |
26508 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 26508 rate is calculated
Each of 26508’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 · 26508
RVUs × geographic indexes × conversion factor
Work6.03
6.03 RVUs× 1.000 GPCI
Practice expense12.13
12.13 RVUs× 1.000 GPCI
Malpractice1.04
1.04 RVUs× 1.000 GPCI
Adjusted RVUs
19.2000
Conversion factor
$33.4009
Medicare rate
$641.30
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
2,623
- Code
- 26508
- Physician work
- 6.03
- Practice expense
- 12.13
- Malpractice
- 1.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.03 | × 1.000 | 6.0300 |
| Practice expense | 12.13 | × 0.917 | 11.1232 |
| Malpractice | 1.04 | × 1.201 | 1.2490 |
| Total RVUs | 18.4023 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$614.65
Facility: (6.03 × 1 + 12.13 × 0.917 + 1.04 × 1.201) × $33.4009 = $614.65
Payment rules and modifiers for 26508
26508 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26508
Thumb contracture release, thumb soft-tissue contracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26508
Thumb contracture release, thumb soft-tissue contracture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
26508 without 50 · national facility
$641.30
Thumb contracture release, thumb soft-tissue contracture
26508-50 · Bilateral: 150%
$961.95
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 26508 has changed in New Mexico
26508 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $614.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $614.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $614.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $614.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $628.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $628.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $628.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $628.19 | RVU25A |
| 2024-10-01 | Not available in this setting | $652.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $652.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $652.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $652.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $641.63 | RVU24A |
| 2023-10-01 | Not available in this setting | $660.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $660.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $660.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $660.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $668.48 | RVU22D |
| 2022-07-01 | Not available in this setting | $668.48 | RVU22C |
| 2022-04-01 | Not available in this setting | $668.48 | RVU22B |
| 2022-01-01 | Not available in this setting | $668.48 | RVU22A |
| 2021-10-01 | Not available in this setting | $660.26 | RVU21D |
| 2021-07-01 | Not available in this setting | $660.26 | RVU21C |
| 2021-04-01 | Not available in this setting | $660.26 | RVU21B |
| 2021-01-01 | Not available in this setting | $660.26 | RVU21A |
| 2020-10-01 | Not available in this setting | $642.55 | RVU20D |
| 2020-07-01 | Not available in this setting | $642.55 | RVU20C |
| 2020-04-01 | Not available in this setting | $642.55 | RVU20B |
| 2020-01-01 | Not available in this setting | $642.55 | RVU20A |
| 2019-10-01 | Not available in this setting | $619.97 | RVU19D |
| 2019-07-01 | Not available in this setting | $619.97 | RVU19C |
| 2019-04-01 | Not available in this setting | $619.97 | RVU19B |
| 2019-01-01 | Not available in this setting | $619.97 | RVU19A |
| 2018-10-01 | Not available in this setting | $621.82 | RVU18D |
| 2018-07-01 | Not available in this setting | $621.82 | RVU18C |
| 2018-04-01 | Not available in this setting | $621.82 | RVU18B |
| 2018-01-01 | Not available in this setting | $621.82 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $615.47 | RVU17D |
| 2017-07-01 | Not available in this setting | $615.47 | RVU17C |
| 2017-04-01 | Not available in this setting | $615.47 | RVU17B |
| 2017-01-01 | Not available in this setting | $615.47 | RVU17A |
| 2016-10-01 | Not available in this setting | $624.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $624.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $624.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $624.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $616.44 | RVU15D |
| 2015-07-01 | Not available in this setting | $616.44 | RVU15C |
| 2015-04-01 | Not available in this setting | $613.37 | RVU15B |
| 2015-01-01 | Not available in this setting | $613.37 | RVU15A |
| 2014-10-01 | Not available in this setting | $610.23 | RVU14D |
| 2014-07-01 | Not available in this setting | $610.23 | RVU14C |
| 2014-04-01 | Not available in this setting | $610.23 | RVU14B |
| 2014-01-01 | Not available in this setting | $610.23 | RVU14A |
| 2013-10-01 | Not available in this setting | $612.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $612.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $612.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $612.21 | RVU13AR |
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
26508 billing questions
How does this differ from 26520 or 26525?
Use 26508 for a contracture of the thumb. Codes 26520 and 26525 address contractures at a knuckle joint or in a finger, respectively.
Is this the right code for a thumb tendon transfer?
No. This code represents release of contracted tissue; 26510 describes a thumb tendon transfer, which changes tendon mechanics rather than releasing the contracture.
What documentation supports reporting this code?
Document the thumb contracture, its effect on motion or function, the operative release performed, and the side treated.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction.
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
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