CPT code 26863: Finger joint fusion, each additional joint with graft2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $179.75 for 26863 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26863 nationwide

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

What 26863 covers

This add-on represents fusion of an additional interphalangeal joint of a finger using autogenous bone graft. Hand or orthopedic surgeons may perform it when more than one finger joint requires stabilization, such as for painful joint disease or deformity. The procedure is generally performed in an operating room; the operative report should identify the joints fused and document graft use.

Report 26863 with the primary grafted joint-fusion procedure, 26862, for each additional joint treated. The operative note should distinguish the primary joint from each additional joint and support the number of units billed. This code is an add-on, not a stand-alone service, and payment falls within the primary 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 Vermont compares for 26863

Across 109 of 109 payment localities, the facility rate for 26863 runs from $173.79 in Wisconsin to $247.23 in Alaska. Vermont pays $179.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26863 rates by state

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

See 26863 in every payment locality

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.

Payment rules and modifiers for 26863

The CMS indicators that decide how 26863 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 26863

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 26863 has changed in Vermont

Price 26863 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates