CPT code 26861: Finger joint fusion, each additional joint2026 Medicare rate & RVUs in New Mexico
Reports fusion of an additional finger interphalangeal joint during the same operative session as the primary finger joint fusion.
In New Mexico, Medicare pays $87.57 for 26861 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26861 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 26861 covers
A hand surgeon fuses an additional interphalangeal joint in a finger by preparing the joint surfaces and stabilizing them so the bones can unite. The service may involve a proximal or distal interphalangeal joint; the thumb is coded separately. Internal fixation may be used. This add-on represents another finger joint treated during the operative session, not a later fusion or a separate visit.
Report 26861 with the primary finger interphalangeal fusion code, 26860, for each additional joint treated. The operative report should identify the digit and joint, document the fusion work, and distinguish each additional joint from the one represented by the primary code. CMS classifies 26861 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. When autogenous bone graft is used for the additional joint, compare the graft-specific add-on code instead.
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 26861
Across 109 of 109 payment localities, the facility rate for 26861 runs from $78.20 in Wisconsin to $111.35 in Alaska. New Mexico pays $87.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$87.57
- Los Angeles, CA · California$88.78+$1.21
- Washington, DC area · District of Columbia$94.52+$6.95
- Miami, FL · Florida$104.97+$17.40
- Chicago, IL · Illinois$102.04+$14.47
- Manhattan, NY · New York$100.16+$12.59
- Alaska · Alaska$111.35+$23.78
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $79.58 |
| ArkansasArkansas | — | $78.70 |
| ArizonaArizona | — | $84.63 |
| Bakersfield, CACalifornia | — | $85.28 |
| Chico, CACalifornia | — | $84.33 |
| El Centro, CACalifornia | — | $84.39 |
| Fresno, CACalifornia | — | $84.33 |
| Hanford, CACalifornia | — | $84.33 |
| Madera, CACalifornia | — | $84.33 |
| Merced, CACalifornia | — | $84.33 |
| Modesto, CACalifornia | — | $84.33 |
| Napa, CACalifornia | — | $90.78 |
| Oxnard, CACalifornia | — | $87.56 |
| Redding, CACalifornia | — | $84.33 |
| Rest of CaliforniaCalifornia | — | $84.33 |
| Riverside, CACalifornia | — | $87.99 |
| Sacramento, CACalifornia | — | $86.67 |
| Salinas, CACalifornia | — | $86.31 |
| San Diego, CACalifornia | — | $87.01 |
| Marin County, CACalifornia | — | $93.76 |
| San Francisco, CACalifornia | — | $93.38 |
| San Benito County, CACalifornia | — | $96.09 |
| Santa Clara County, CACalifornia | — | $94.51 |
| San Luis Obispo, CACalifornia | — | $85.14 |
| Santa Cruz, CACalifornia | — | $86.79 |
| Santa Maria, CACalifornia | — | $86.27 |
| Santa Rosa, CACalifornia | — | $87.54 |
| Stockton, CACalifornia | — | $84.33 |
| Vallejo, CACalifornia | — | $90.22 |
| Visalia, CACalifornia | — | $84.33 |
| Yuba City, CACalifornia | — | $84.33 |
| ColoradoColorado | — | $86.23 |
| ConnecticutConnecticut | — | $91.80 |
| DelawareDelaware | — | $85.75 |
| Fort Lauderdale, FLFlorida | — | $96.26 |
| Rest of FloridaFlorida | — | $91.73 |
| Atlanta, GAGeorgia | — | $89.59 |
| Rest of GeorgiaGeorgia | — | $87.00 |
| Hawaii, Guam, HIHawaii | — | $84.62 |
| IowaIowa | — | $78.40 |
| IdahoIdaho | — | $79.36 |
| East St. Louis, ILIllinois | — | $96.86 |
| Rest of IllinoisIllinois | — | $91.61 |
| Suburban Chicago, ILIllinois | — | $96.51 |
| IndianaIndiana | — | $79.64 |
| KansasKansas | — | $79.41 |
| KentuckyKentucky | — | $83.80 |
| New Orleans, LALouisiana | — | $87.28 |
| Rest of LouisianaLouisiana | — | $84.21 |
| Metropolitan Boston, MAMassachusetts | — | $91.55 |
| Rest of MassachusettsMassachusetts | — | $86.44 |
| Baltimore area, MDMaryland | — | $91.81 |
| Rest of MarylandMaryland | — | $86.70 |
| Rest of MaineMaine | — | $81.05 |
| Southern Maine, MEMaine | — | $82.48 |
| Detroit, MIMichigan | — | $93.98 |
| Rest of MichiganMichigan | — | $86.68 |
| MinnesotaMinnesota | — | $79.39 |
| Metropolitan Kansas City, MOMissouri | — | $85.44 |
| Metropolitan St. Louis, MOMissouri | — | $85.97 |
| Rest of MissouriMissouri | — | $83.97 |
| MississippiMississippi | — | $81.28 |
| MontanaMontana | — | $86.82 |
| North CarolinaNorth Carolina | — | $81.49 |
| North DakotaNorth Dakota | — | $80.10 |
| NebraskaNebraska | — | $78.34 |
| New HampshireNew Hampshire | — | $86.19 |
| Northern New JerseyNew Jersey | — | $94.18 |
| Rest of New JerseyNew Jersey | — | $91.94 |
| NevadaNevada | — | $84.96 |
| NYC suburbs and Long Island, NYNew York | — | $103.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $93.56 |
| Queens, NYNew York | — | $98.90 |
| Rest of New YorkNew York | — | $82.53 |
| OhioOhio | — | $85.31 |
| OklahomaOklahoma | — | $82.31 |
| Portland, OROregon | — | $86.92 |
| Rest of OregonOregon | — | $83.39 |
| Metropolitan Philadelphia, PAPennsylvania | — | $90.82 |
| Rest of PennsylvaniaPennsylvania | — | $84.68 |
| Puerto RicoPuerto Rico | — | $86.88 |
| Rhode IslandRhode Island | — | $87.31 |
| South CarolinaSouth Carolina | — | $83.72 |
| South DakotaSouth Dakota | — | $79.30 |
| TennesseeTennessee | — | $79.88 |
| Austin, TXTexas | — | $86.75 |
| Beaumont, TXTexas | — | $84.35 |
| Brazoria, TXTexas | — | $84.63 |
| Dallas, TXTexas | — | $85.67 |
| Fort Worth, TXTexas | — | $85.63 |
| Galveston, TXTexas | — | $85.21 |
| Houston, TXTexas | — | $91.44 |
| Rest of TexasTexas | — | $84.79 |
| UtahUtah | — | $84.56 |
| VirginiaVirginia | — | $83.19 |
| Virgin Islands, VIUnited States Virgin Islands | — | $86.88 |
| VermontVermont | — | $81.05 |
| Rest of WashingtonWashington | — | $85.86 |
| King County, WAWashington | — | $91.85 |
| WisconsinWisconsin | — | $78.20 |
| West VirginiaWest Virginia | — | $89.29 |
| WyomingWyoming | — | $83.89 |
26861 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 26861 rate is calculated
Each of 26861’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 · 26861
RVUs × geographic indexes × conversion factor
Work1.70
1.70 RVUs× 1.000 GPCI
Practice expense0.56
0.56 RVUs× 1.000 GPCI
Malpractice0.34
0.34 RVUs× 1.000 GPCI
Adjusted RVUs
2.6000
Conversion factor
$33.4009
Medicare rate
$86.84
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
2,699
- Code
- 26861
- Physician work
- 1.70
- Practice expense
- 0.56
- Malpractice
- 0.34
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.70 | × 1.000 | 1.7000 |
| Practice expense | 0.56 | × 0.917 | 0.5135 |
| Malpractice | 0.34 | × 1.201 | 0.4083 |
| Total RVUs | 2.6219 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$87.57
Facility: (1.7 × 1 + 0.56 × 0.917 + 0.34 × 1.201) × $33.4009 = $87.57
Payment rules and modifiers for 26861
The CMS indicators that decide how 26861 is paid alongside other services.
CMS payment indicators · 26861
Finger joint fusion, each additional joint
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 26861 has changed in New Mexico
26861 · 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 | $87.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $87.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $87.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $87.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $97.58 | RVU25D |
| 2025-07-01 | Not available in this setting | $97.58 | RVU25C |
| 2025-04-01 | Not available in this setting | $97.58 | RVU25B |
| 2025-01-01 | Not available in this setting | $97.58 | RVU25A |
| 2024-10-01 | Not available in this setting | $99.81 | RVU24D |
| 2024-07-01 | Not available in this setting | $99.81 | RVU24C |
| 2024-04-01 | Not available in this setting | $99.81 | RVU24B |
| 2024-03-09 | Not available in this setting | $99.81 | RVU24AR |
| 2024-01-01 | Not available in this setting | $98.18 | RVU24A |
| 2023-10-01 | Not available in this setting | $100.28 | RVU23D |
| 2023-07-01 | Not available in this setting | $100.28 | RVU23C |
| 2023-04-01 | Not available in this setting | $100.28 | RVU23B |
| 2023-01-01 | Not available in this setting | $100.28 | RVU23A |
| 2022-10-01 | Not available in this setting | $102.27 | RVU22D |
| 2022-07-01 | Not available in this setting | $102.27 | RVU22C |
| 2022-04-01 | Not available in this setting | $102.27 | RVU22B |
| 2022-01-01 | Not available in this setting | $102.27 | RVU22A |
| 2021-10-01 | Not available in this setting | $103.43 | RVU21D |
| 2021-07-01 | Not available in this setting | $103.43 | RVU21C |
| 2021-04-01 | Not available in this setting | $103.43 | RVU21B |
| 2021-01-01 | Not available in this setting | $103.43 | RVU21A |
| 2020-10-01 | Not available in this setting | $106.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $106.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $106.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $106.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $107.63 | RVU19D |
| 2019-07-01 | Not available in this setting | $107.63 | RVU19C |
| 2019-04-01 | Not available in this setting | $107.63 | RVU19B |
| 2019-01-01 | Not available in this setting | $107.63 | RVU19A |
| 2018-10-01 | Not available in this setting | $107.39 | RVU18D |
| 2018-07-01 | Not available in this setting | $107.39 | RVU18C |
| 2018-04-01 | Not available in this setting | $107.39 | RVU18B |
| 2018-01-01 | Not available in this setting | $107.39 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $106.98 | RVU17D |
| 2017-07-01 | Not available in this setting | $106.98 | RVU17C |
| 2017-04-01 | Not available in this setting | $106.98 | RVU17B |
| 2017-01-01 | Not available in this setting | $106.98 | RVU17A |
| 2016-10-01 | Not available in this setting | $105.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $105.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $105.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $105.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $106.59 | RVU15D |
| 2015-07-01 | Not available in this setting | $106.59 | RVU15C |
| 2015-04-01 | Not available in this setting | $106.06 | RVU15B |
| 2015-01-01 | Not available in this setting | $106.06 | RVU15A |
| 2014-10-01 | Not available in this setting | $104.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $104.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $104.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $104.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $100.26 | RVU13D |
| 2013-07-01 | Not available in this setting | $100.26 | RVU13C |
| 2013-04-01 | Not available in this setting | $100.26 | RVU13B |
| 2013-01-01 | Not available in this setting | $100.26 | 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
26861 billing questions
When should 26861 be reported instead of 26860?
Use 26860 for the primary finger interphalangeal joint fusion. Report 26861 for each additional finger interphalangeal joint fused in the same operative session.
Can 26861 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, 26860. CMS payment is within that primary procedure’s global period.
How is 26861 different from 26863?
Both represent an additional finger interphalangeal joint fusion. Use 26863 when the additional joint fusion includes autogenous bone graft; 26861 is the corresponding option without that graft.
What should the operative note identify?
Document the digit and interphalangeal joint fused, the fusion work performed, and which joint is the additional one. The note should support the primary procedure and each separately treated additional joint.
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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