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CMS RVU26D · Effective 2026-10-01

26641 in El Centro

Office / nonfacility

$487.76

Base rate per service

Facility setting

$394.41

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Hand surgery

About 26641: Closed reduction of thumb carpometacarpal dislocation

Reports closed manipulation of a dislocated thumb carpometacarpal joint when reduction is performed under anesthesia and no fracture-dislocation is treated.

This service treats a dislocation at the base of the thumb, where the first metacarpal meets the wrist bones. The physician, commonly an orthopedic or hand surgeon, manipulates the joint back into position under anesthesia without open surgical exposure. It may be performed in an operating room or another setting equipped to provide the required anesthesia and manage the reduction.

Report the code for an isolated thumb carpometacarpal dislocation treated by closed manipulation under anesthesia, not for a fracture-dislocation or an open procedure. Documentation should identify the joint and side, establish the dislocation, and describe the reduction and anesthesia. CMS assigns a 90-day global period, including 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 are subject to the standard 50% reduction. 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.

CMS billing rules for 26641

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.03 · 29%
  • Practice expense (office) RVU9.16 · 65%
  • Malpractice RVU0.86 · 6%

72

Medicare services in 2024 · #5127 by national volume

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.

26641 compared with similar codes

Office rates for El Centro, from the same CMS release.

26645

Thumb fracture

Base of first metacarpal

$500.48

Use 26641 for an isolated thumb carpometacarpal dislocation. Use 26645 when the thumb injury is a fracture-dislocation.

26670

Hand dislocation

Non-thumb, without manipulation

$445.35

This code addresses a thumb carpometacarpal dislocation; 26670 is for a carpometacarpal dislocation at another hand site.

26685

Hand dislocation

Open treatment, excluding thumb

No office rate

This code describes closed manipulation of a thumb joint dislocation under anesthesia. Code 26685 is for open treatment of a non-thumb carpometacarpal dislocation.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 26641 is $489.98—$2.22 higher than the $487.76 rate in El Centro. Both use the same code, release and participation basis.

26641 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $487.76

  2. Bakersfield

    $489.98

    $2.22 higher than El Centro

  3. Chico

    $487.61

    $0.15 lower than El Centro

  4. Fresno

    $487.61

    $0.15 lower than El Centro

  5. Hanford-Corcoran

    $487.61

    $0.15 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $521.14

    $33.38 higher than El Centro

  7. Madera

    $487.61

    $0.15 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 26641 ranges from $412.21 in Arkansas to $605.99 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Modesto

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Napa

    California · 26641

    Office

    $560.92

    Facility

    $448.67

    $73.16 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 26641

    Office

    $517.91

    Facility

    $417.23

    $30.15 higher than El Centro for the office setting.

  • Redding

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Rest Of California

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 26641

    Office

    $496.85

    Facility

    $403.51

    $9.09 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 26641

    Office

    $510.67

    Facility

    $411.61

    $22.91 higher than El Centro for the office setting.

  • Salinas

    California · 26641

    Office

    $508.77

    Facility

    $410.06

    $21.01 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 26641

    Office

    $520.13

    Facility

    $418.27

    $32.37 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 26641

    Office

    $591.97

    Facility

    $471.88

    $104.21 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 26641

    Office

    $590.99

    Facility

    $470.90

    $103.23 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 26641

    Office

    $605.99

    Facility

    $483.17

    $118.23 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 26641

    Office

    $602.00

    Facility

    $479.18

    $114.24 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 26641

    Office

    $500.77

    Facility

    $403.76

    $13.01 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 26641

    Office

    $524.56

    Facility

    $421.08

    $36.80 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 26641

    Office

    $510.51

    Facility

    $411.20

    $22.75 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 26641

    Office

    $529.75

    Facility

    $425.16

    $41.99 higher than El Centro for the office setting.

  • Stockton

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Vallejo

    California · 26641

    Office

    $559.52

    Facility

    $447.26

    $71.76 higher than El Centro for the office setting.

  • Visalia

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Yuba City

    California · 26641

    Office

    $487.61

    Facility

    $394.27

    $0.15 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 26641

    Office

    $534.26

    Facility

    $433.92

    $46.50 higher than El Centro for the office setting.

  • Miami

    Florida · 26641

    Office

    $525.75

    Facility

    $437.08

    $37.99 higher than El Centro for the office setting.

  • Chicago

    Illinois · 26641

    Office

    $508.95

    Facility

    $423.36

    $21.19 higher than El Centro for the office setting.

  • Manhattan

    New York · 26641

    Office

    $544.29

    Facility

    $445.32

    $56.53 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 26641

    Office

    $543.57

    Facility

    $452.87

    $55.81 higher than El Centro for the office setting.

  • Alabama

    Alabama · 26641

    Office

    $418.57

    Facility

    $344.05

    $69.19 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 26641

    Office

    $412.21

    Facility

    $339.05

    $75.55 lower than El Centro for the office setting.

  • Arizona

    Arizona · 26641

    Office

    $455.66

    Facility

    $373.13

    $32.10 lower than El Centro for the office setting.

  • Colorado

    Colorado · 26641

    Office

    $484.19

    Facility

    $393.56

    $3.57 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 26641

    Office

    $501.57

    Facility

    $409.83

    $13.81 higher than El Centro for the office setting.

  • Delaware

    Delaware · 26641

    Office

    $463.38

    Facility

    $379.23

    $24.38 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 26641

    Office

    $496.47

    Facility

    $410.19

    $8.71 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 26641

    Office

    $470.27

    Facility

    $388.84

    $17.49 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 26641

    Office

    $480.36

    Facility

    $393.82

    $7.40 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 26641

    Office

    $441.75

    Facility

    $365.78

    $46.01 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 26641

    Office

    $499.10

    Facility

    $402.26

    $11.34 higher than El Centro for the office setting.

  • Iowa

    Iowa · 26641

    Office

    $425.96

    Facility

    $348.02

    $61.80 lower than El Centro for the office setting.

  • Idaho

    Idaho · 26641

    Office

    $429.67

    Facility

    $351.31

    $58.09 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 26641

    Office

    $473.93

    Facility

    $395.57

    $13.83 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 26641

    Office

    $458.84

    Facility

    $381.07

    $28.92 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 26641

    Office

    $500.66

    Facility

    $413.19

    $12.90 higher than El Centro for the office setting.

  • Indiana

    Indiana · 26641

    Office

    $432.18

    Facility

    $353.23

    $55.58 lower than El Centro for the office setting.

  • Kansas

    Kansas · 26641

    Office

    $425.66

    Facility

    $348.67

    $62.10 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 26641

    Office

    $432.88

    Facility

    $357.16

    $54.88 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 26641

    Office

    $455.14

    Facility

    $374.99

    $32.62 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 26641

    Office

    $432.89

    Facility

    $357.51

    $54.87 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 26641

    Office

    $531.00

    Facility

    $429.30

    $43.24 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 26641

    Office

    $481.82

    Facility

    $392.13

    $5.94 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 26641

    Office

    $500.58

    Facility

    $409.19

    $12.82 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 26641

    Office

    $471.94

    Facility

    $385.75

    $15.82 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 26641

    Office

    $433.95

    Facility

    $355.59

    $53.81 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 26641

    Office

    $455.93

    Facility

    $371.52

    $31.83 lower than El Centro for the office setting.

  • Detroit

    Michigan · 26641

    Office

    $478.28

    Facility

    $396.09

    $9.48 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 26641

    Office

    $446.37

    Facility

    $368.61

    $41.39 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 26641

    Office

    $457.93

    Facility

    $370.29

    $29.83 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 26641

    Office

    $449.96

    Facility

    $369.98

    $37.80 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 26641

    Office

    $454.65

    Facility

    $373.57

    $33.11 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 26641

    Office

    $426.31

    Facility

    $352.90

    $61.45 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 26641

    Office

    $419.26

    Facility

    $345.92

    $68.50 lower than El Centro for the office setting.

  • Montana**

    Montana · 26641

    Office

    $469.23

    Facility

    $384.05

    $18.53 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 26641

    Office

    $438.41

    Facility

    $358.95

    $49.35 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 26641

    Office

    $452.22

    Facility

    $367.05

    $35.54 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 26641

    Office

    $427.86

    Facility

    $349.24

    $59.90 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 26641

    Office

    $478.24

    Facility

    $389.57

    $9.52 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 26641

    Office

    $528.67

    Facility

    $429.87

    $40.91 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 26641

    Office

    $505.60

    Facility

    $412.59

    $17.84 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 26641

    Office

    $449.66

    Facility

    $371.56

    $38.10 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 26641

    Office

    $464.79

    Facility

    $379.53

    $22.97 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 26641

    Office

    $560.34

    Facility

    $459.07

    $72.58 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 26641

    Office

    $510.44

    Facility

    $417.17

    $22.68 higher than El Centro for the office setting.

  • Queens

    New York · 26641

    Office

    $546.28

    Facility

    $445.60

    $58.52 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 26641

    Office

    $445.45

    Facility

    $364.54

    $42.31 lower than El Centro for the office setting.

  • Ohio

    Ohio · 26641

    Office

    $442.89

    Facility

    $365.13

    $44.87 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 26641

    Office

    $430.14

    Facility

    $354.08

    $57.62 lower than El Centro for the office setting.

  • Portland

    Oregon · 26641

    Office

    $498.04

    Facility

    $403.42

    $10.28 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 26641

    Office

    $459.53

    Facility

    $374.70

    $28.23 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 26641

    Office

    $489.79

    Facility

    $401.13

    $2.03 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 26641

    Office

    $442.61

    Facility

    $364.43

    $45.15 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 26641

    Office

    $472.22

    Facility

    $386.11

    $15.54 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 26641

    Office

    $478.83

    Facility

    $390.85

    $8.93 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 26641

    Office

    $441.72

    Facility

    $363.02

    $46.04 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 26641

    Office

    $450.21

    Facility

    $365.04

    $37.55 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 26641

    Office

    $428.14

    Facility

    $350.72

    $59.62 lower than El Centro for the office setting.

  • Austin

    Texas · 26641

    Office

    $484.02

    Facility

    $393.91

    $3.74 lower than El Centro for the office setting.

  • Beaumont

    Texas · 26641

    Office

    $439.71

    Facility

    $362.20

    $48.05 lower than El Centro for the office setting.

  • Brazoria

    Texas · 26641

    Office

    $461.29

    Facility

    $376.88

    $26.47 lower than El Centro for the office setting.

  • Dallas

    Texas · 26641

    Office

    $465.19

    Facility

    $380.36

    $22.57 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 26641

    Office

    $462.51

    Facility

    $378.53

    $25.25 lower than El Centro for the office setting.

  • Galveston

    Texas · 26641

    Office

    $463.28

    Facility

    $378.70

    $24.48 lower than El Centro for the office setting.

  • Houston

    Texas · 26641

    Office

    $479.02

    Facility

    $394.44

    $8.74 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 26641

    Office

    $450.89

    Facility

    $370.06

    $36.87 lower than El Centro for the office setting.

  • Utah

    Utah · 26641

    Office

    $448.00

    Facility

    $367.93

    $39.76 lower than El Centro for the office setting.

  • Virginia

    Virginia · 26641

    Office

    $455.64

    Facility

    $371.91

    $32.12 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 26641

    Office

    $472.22

    Facility

    $386.11

    $15.54 lower than El Centro for the office setting.

  • Vermont

    Vermont · 26641

    Office

    $452.03

    Facility

    $367.71

    $35.73 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 26641

    Office

    $480.38

    Facility

    $390.70

    $7.38 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 26641

    Office

    $540.21

    Facility

    $435.70

    $52.45 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 26641

    Office

    $436.56

    Facility

    $354.96

    $51.20 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 26641

    Office

    $441.58

    Facility

    $367.57

    $46.18 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 26641

    Office

    $461.81

    Facility

    $376.64

    $25.95 lower than El Centro for the office setting.

See how rates vary across the country

26641 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$412.21

$546.80

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$543.571
AL$418.571
AR$412.211
AZ$455.661
CA$487.61–$605.9929
CO$484.191
CT$501.571
DC$534.261
DE$463.381
FL$470.27–$525.753
GA$441.75–$480.362
GU$499.101
HI$499.101
IA$425.961
ID$429.671
IL$458.84–$508.954
IN$432.181
KS$425.661
KY$432.881
LA$432.89–$455.142
MA$481.82–$531.002
MD$471.94–$534.263
ME$433.95–$455.932
MI$446.37–$478.282
MN$457.931
MO$426.31–$454.653
MS$419.261
MT$469.231
NC$438.411
ND$452.221
NE$427.861
NH$478.241
NJ$505.60–$528.672
NM$449.661
NV$464.791
NY$445.45–$560.345
OH$442.891
OK$430.141
OR$459.53–$498.042
PA$442.61–$489.792
PR$472.221
RI$478.831
SC$441.721
SD$450.211
TN$428.141
TX$439.71–$484.028
UT$448.001
VA$455.64–$534.262
VI$472.221
VT$452.031
WA$480.38–$540.212
WI$436.561
WV$441.581
WY$461.811

Explore 26641 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 26641 in El Centro, the physician’s office rate is $487.76 and the facility-setting rate is $394.41: a difference of $93.35.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 26641 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$536.54

$487.76 × 110% = $536.54

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26641 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

2,663

Code
26641
Physician work
4.03
Practice expense
9.16
Malpractice
0.86

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 26641 in El Centro
ComponentRVULocality factorAdjusted
Physician work4.03× 1.0174.0985
Practice expense9.16× 1.09610.0394
Malpractice0.86× 0.5410.4653
Total RVUs14.6031
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$487.76

Open 26641 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.031.017
Practice expense9.161.096
Malpractice0.860.541

(4.03 × 1.017 + 9.16 × 1.096 + 0.86 × 0.541) × $33.4009 = $487.76

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.031.017
Practice expense6.611.096
Malpractice0.860.541

(4.03 × 1.017 + 6.61 × 1.096 + 0.86 × 0.541) × $33.4009 = $394.41

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

26641 · Office / nonfacility

$487.76

Effective 2026-10-01

The base rate is $45.13 higher than on 2025-10-01, moving from $442.63 to $487.76 (10.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $442.63changed to$487.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.13 changed to 4.03
    • Practice expense RVU 8.25 changed to 9.16
    • Malpractice RVU 0.84 changed to 0.86
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $442.63

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$487.76$394.41RVU26D
2026-07-01$487.76$394.41RVU26C
2026-04-01$487.76$394.41RVU26B
2026-01-01$487.76$394.41RVU26A
2025-10-01$442.63$401.26RVU25D
2025-07-01$442.63$401.26RVU25C
2025-04-01$442.63$401.26RVU25B
2025-01-01$442.63$401.26RVU25A

26641 billing questions

How does this differ from code 26645?

This code is for an isolated thumb carpometacarpal dislocation. Code 26645 is for a thumb carpometacarpal fracture-dislocation, where a fracture accompanies the dislocation.

Can routine follow-up be billed separately?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

How is bilateral treatment reported?

Use modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.

When may an assistant-at-surgery be paid?

Payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 26641PPRRVU2026_Oct_nonQPP.csv, line 2,663 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet