CPT code 26841: Thumb fusion, carpometacarpal joint2026 Medicare rate & RVUs in New Mexico

Reports surgical fusion of the thumb carpometacarpal joint, commonly for painful basal-joint arthritis or instability requiring a stable thumb base.

CMS RVU26DEffective Oct 1, 2026One payment locality122 Medicare services in 2024

In New Mexico, Medicare pays $722.09 for 26841 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$722.09Hospital or facility

Check a contract rate as a % of Medicare · 26841 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 26841 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 26841 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 26841 covers

This procedure fuses the joint at the base of the thumb, where the first metacarpal meets the wrist-side carpal bone. The surgeon prepares the joint surfaces and may use internal fixation to hold the bones in position while they heal together. Hand surgeons commonly perform it in an operating room for selected patients with painful thumb-base arthritis, instability, or joint damage after trauma.

Report 26841 for the thumb carpometacarpal fusion when the service does not include the autogenous bone graft described by the graft-specific code. The operative report should identify the joint fused, the indication, the preparation and fixation performed, and whether a graft was used. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For procedures 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 identifies bilateral performance, paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeon payment requires supporting documentation. Team surgery is 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 26841

Across 109 of 109 payment localities, the facility rate for 26841 runs from $662.84 in Arkansas to $961.03 in San Benito County, CA. New Mexico pays $722.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

26841 in New Mexico vs other payment areas
  1. New Mexico · this page$722.09
  2. Los Angeles, CA · California$830.20+$108.11
  3. Washington, DC area · District of Columbia$852.14+$130.05
  4. Miami, FL · Florida$842.24+$120.15
  5. Chicago, IL · Illinois$816.17+$94.08
  6. Manhattan, NY · New York$869.38+$147.29
  7. Alaska · Alaska$879.98+$157.89

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

Every other payment area

26841 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$672.67
ArkansasArkansas—$662.84
ArizonaArizona—$730.00
Bakersfield, CACalifornia—$781.92
Chico, CACalifornia—$778.01
El Centro, CACalifornia—$778.24
Fresno, CACalifornia—$778.01
Hanford, CACalifornia—$778.01

26841 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.

View every state and territory as a table
26841 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 26841 in every payment locality

How the 26841 rate is calculated

Each of 26841’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 · 26841

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.17

7.17 RVUs× 1.000 GPCI

Practice expense13.91

13.91 RVUs× 1.000 GPCI

Malpractice1.41

1.41 RVUs× 1.000 GPCI

Adjusted RVUs

22.4900

Conversion factor

$33.4009

Medicare rate

$751.19

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

2,692

Code
26841
Physician work
7.17
Practice expense
13.91
Malpractice
1.41

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 26841 in New Mexico
ComponentRVULocality factorAdjusted
Physician work7.17× 1.0007.1700
Practice expense13.91× 0.91712.7555
Malpractice1.41× 1.2011.6934
Total RVUs21.6189
Conversion factor× 33.4009

Facility rate, New Mexico$722.09

Facility: (7.17 × 1 + 13.91 × 0.917 + 1.41 × 1.201) × $33.4009 = $722.09

Open 26841 in the RVU calculator

Payment rules and modifiers for 26841

26841 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26841

Thumb fusion, carpometacarpal joint

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26841

Thumb fusion, carpometacarpal joint

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

26841 without 50 · national facility

$751.19

Thumb fusion, carpometacarpal joint

26841-50 · Bilateral: 150%

$1,126.79

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).

When to use modifier 50

How 26841 has changed in New Mexico

26841 · 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$722.09RVU26D
2026-07-01Not available in this setting$722.09RVU26C
2026-04-01Not available in this setting$722.09RVU26B
2026-01-01Not available in this setting$722.09RVU26A
2025-10-01Not available in this setting$722.53RVU25D
2025-07-01Not available in this setting$722.53RVU25C
2025-04-01Not available in this setting$722.53RVU25B
2025-01-01Not available in this setting$722.53RVU25A
2024-10-01Not available in this setting$748.17RVU24D
2024-07-01Not available in this setting$748.17RVU24C
2024-04-01Not available in this setting$748.17RVU24B
2024-03-09Not available in this setting$748.17RVU24AR
2024-01-01Not available in this setting$735.96RVU24A
2023-10-01Not available in this setting$755.20RVU23D
2023-07-01Not available in this setting$755.20RVU23C
2023-04-01Not available in this setting$755.20RVU23B
2023-01-01Not available in this setting$755.20RVU23A
2022-10-01Not available in this setting$765.41RVU22D
2022-07-01Not available in this setting$765.41RVU22C
2022-04-01Not available in this setting$765.41RVU22B
2022-01-01Not available in this setting$765.41RVU22A
2021-10-01Not available in this setting$756.34RVU21D
2021-07-01Not available in this setting$756.34RVU21C
2021-04-01Not available in this setting$756.34RVU21B
2021-01-01Not available in this setting$756.34RVU21A
2020-10-01Not available in this setting$735.43RVU20D
2020-07-01Not available in this setting$735.43RVU20C
2020-04-01Not available in this setting$735.43RVU20B
2020-01-01Not available in this setting$735.43RVU20A
2019-10-01Not available in this setting$716.66RVU19D
2019-07-01Not available in this setting$716.66RVU19C
2019-04-01Not available in this setting$716.66RVU19B
2019-01-01Not available in this setting$716.66RVU19A
2018-10-01Not available in this setting$717.63RVU18D
2018-07-01Not available in this setting$717.63RVU18C
2018-04-01Not available in this setting$717.63RVU18B
2018-01-01Not available in this setting$717.63RVU18AR1
2017-10-01Not available in this setting$710.30RVU17D
2017-07-01Not available in this setting$710.30RVU17C
2017-04-01Not available in this setting$710.30RVU17B
2017-01-01Not available in this setting$710.30RVU17A
2016-10-01Not available in this setting$705.66RVU16D
2016-07-01Not available in this setting$705.66RVU16C
2016-04-01Not available in this setting$705.66RVU16B
2016-01-01Not available in this setting$705.66RVU16A
2015-10-01Not available in this setting$707.95RVU15D
2015-07-01Not available in this setting$707.95RVU15C
2015-04-01Not available in this setting$704.42RVU15B
2015-01-01Not available in this setting$704.42RVU15A
2014-10-01Not available in this setting$697.82RVU14D
2014-07-01Not available in this setting$697.82RVU14C
2014-04-01Not available in this setting$697.82RVU14B
2014-01-01Not available in this setting$697.82RVU14A
2013-10-01Not available in this setting$698.00RVU13D
2013-07-01Not available in this setting$698.00RVU13C
2013-04-01Not available in this setting$698.00RVU13B
2013-01-01Not available in this setting$698.00RVU13AR

Price 26841 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

26841 billing questions

When should 26841 be chosen over 26842?

Use 26841 for thumb carpometacarpal fusion without the autogenous bone graft specified for 26842. If an autogenous graft is used, select the graft-specific code.

What documentation supports reporting 26841?

Document the thumb carpometacarpal joint fused, the clinical reason for fusion, the operative work, fixation used, and whether a bone graft was performed.

Does the code include related postoperative visits?

Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral thumb fusion reported?

Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation.

Is payment reduced when another procedure is performed in the same session?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 26841PPRRVU2026_Oct_nonQPP.csv, line 2,692 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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