CPT code 26863: Finger joint fusion, each additional joint with graft2026 Medicare rate & RVUs in Bartlett, Illinois
CPT 26863: $211.78–$223.09 facility across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.
CMS doesn’t publish an office rate for 26863 in Bartlett, Illinois.
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 6 sections
Where 26863 pays more and less in Bartlett, Illinois
Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | $223.09 |
| Suburban Chicago, IL | Unavailable | $211.78 |
How payment areas work in Bartlett
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Chicago · Cook County
- Suburban Chicago · DuPage County, Kane County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 26863 rate is calculated
Each of 26863’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 · 26863
RVUs × geographic indexes × conversion factor
Work3.79
3.79 RVUs× 1.000 GPCI
Practice expense1.25
1.25 RVUs× 1.000 GPCI
Malpractice0.70
0.70 RVUs× 1.000 GPCI
Adjusted RVUs
5.7400
Conversion factor
$33.4009
Medicare rate
$191.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26863
The CMS indicators that decide how 26863 is paid alongside other services.
CMS payment indicators · 26863
Finger joint fusion, each additional joint with graft
| 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) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
26863 without 80 · national facility
$191.72
Finger joint fusion, each additional joint with graft
26863-80 · Assistant: 16%
$30.68
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
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
Fee sheets · Coming soon
Put 26863 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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