No office rate
Choose 26540 for collateral ligament repair without a tendon graft; 26542 captures repair using a tendon graft.
On this page
CMS RVU26D · Effective 2026-10-01
26542 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$685.45
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 26542: Hand joint ligament repair with tendon graft
Reports repair of a hand joint collateral ligament using a tendon graft when the surgeon restores stability at a metacarpophalangeal or interphalangeal joint.
The surgeon repairs a deficient collateral ligament at a metacarpophalangeal or interphalangeal joint using a tendon graft. This may be needed for chronic instability or a ligament injury that cannot be adequately repaired with the patient’s existing tissue. Hand surgeons typically perform the operation in a hospital outpatient department or ambulatory surgery center; a tendon graft may be harvested as part of the procedure.
Report the code when the operative work includes ligament repair with a tendon graft, rather than direct repair or augmentation using local tissue. The operative report should identify the joint, ligament, instability or injury, graft, and repair technique. 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26542
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU6.78 · 33%
- Practice expense (office) RVU12.78 · 61%
- Malpractice RVU1.30 · 6%
248
Medicare services in 2024 · #4143 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.
26542 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Choose 26541 when local tissue is used for the ligament repair. A tendon graft points to 26542.
No office rate
26545 describes collateral ligament reconstruction at the metacarpophalangeal joint with a tendon graft. Distinguish it from 26542 by the procedure performed and the joint involved.
The same code, a different location
How does Wyoming** compare?
26542 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Alabama
Alabama · 26542
Office
Unavailable
Facility
$624.54
No comparable office rate is available.
Arkansas
Arkansas · 26542
Office
Unavailable
Facility
$615.50
No comparable office rate is available.
Arizona
Arizona · 26542
Office
Unavailable
Facility
$677.26
No comparable office rate is available.
Bakersfield
California · 26542
Office
Unavailable
Facility
$725.05
No comparable office rate is available.
Chico
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
El Centro
California · 26542
Office
Unavailable
Facility
$721.64
No comparable office rate is available.
Fresno
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Hanford-Corcoran
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Madera
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Merced
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Modesto
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Napa
California · 26542
Office
Unavailable
Facility
$825.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26542
Office
Unavailable
Facility
$764.40
No comparable office rate is available.
Redding
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Rest Of California
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26542
Office
Unavailable
Facility
$735.42
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26542
Office
Unavailable
Facility
$754.33
No comparable office rate is available.
Salinas
California · 26542
Office
Unavailable
Facility
$751.49
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26542
Office
Unavailable
Facility
$767.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26542
Office
Unavailable
Facility
$869.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26542
Office
Unavailable
Facility
$868.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26542
Office
Unavailable
Facility
$890.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26542
Office
Unavailable
Facility
$884.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26542
Office
Unavailable
Facility
$739.78
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26542
Office
Unavailable
Facility
$773.13
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26542
Office
Unavailable
Facility
$753.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26542
Office
Unavailable
Facility
$780.71
No comparable office rate is available.
Stockton
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Vallejo
California · 26542
Office
Unavailable
Facility
$823.26
No comparable office rate is available.
Visalia
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Yuba City
California · 26542
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Colorado
Colorado · 26542
Office
Unavailable
Facility
$717.27
No comparable office rate is available.
Connecticut
Connecticut · 26542
Office
Unavailable
Facility
$743.26
No comparable office rate is available.
Delaware
Delaware · 26542
Office
Unavailable
Facility
$688.37
No comparable office rate is available.
Fort Lauderdale
Florida · 26542
Office
Unavailable
Facility
$737.38
No comparable office rate is available.
Rest Of Florida
Florida · 26542
Office
Unavailable
Facility
$699.80
No comparable office rate is available.
Atlanta
Georgia · 26542
Office
Unavailable
Facility
$712.98
No comparable office rate is available.
Rest Of Georgia
Georgia · 26542
Office
Unavailable
Facility
$658.98
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26542
Office
Unavailable
Facility
$736.94
No comparable office rate is available.
Iowa
Iowa · 26542
Office
Unavailable
Facility
$634.28
No comparable office rate is available.
Idaho
Idaho · 26542
Office
Unavailable
Facility
$639.71
No comparable office rate is available.
East St. Louis
Illinois · 26542
Office
Unavailable
Facility
$706.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 26542
Office
Unavailable
Facility
$684.05
No comparable office rate is available.
Suburban Chicago
Illinois · 26542
Office
Unavailable
Facility
$743.37
No comparable office rate is available.
Indiana
Indiana · 26542
Office
Unavailable
Facility
$643.26
No comparable office rate is available.
Kansas
Kansas · 26542
Office
Unavailable
Facility
$634.23
No comparable office rate is available.
Kentucky
Kentucky · 26542
Office
Unavailable
Facility
$645.67
No comparable office rate is available.
New Orleans
Louisiana · 26542
Office
Unavailable
Facility
$677.46
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26542
Office
Unavailable
Facility
$645.83
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26542
Office
Unavailable
Facility
$784.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26542
Office
Unavailable
Facility
$714.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26542
Office
Unavailable
Facility
$741.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 26542
Office
Unavailable
Facility
$700.57
No comparable office rate is available.
Rest Of Maine
Maine · 26542
Office
Unavailable
Facility
$646.18
No comparable office rate is available.
Southern Maine
Maine · 26542
Office
Unavailable
Facility
$676.88
No comparable office rate is available.
Detroit
Michigan · 26542
Office
Unavailable
Facility
$711.59
No comparable office rate is available.
Rest Of Michigan
Michigan · 26542
Office
Unavailable
Facility
$665.21
No comparable office rate is available.
Minnesota
Minnesota · 26542
Office
Unavailable
Facility
$678.55
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26542
Office
Unavailable
Facility
$669.71
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26542
Office
Unavailable
Facility
$676.34
No comparable office rate is available.
Rest Of Missouri
Missouri · 26542
Office
Unavailable
Facility
$636.71
No comparable office rate is available.
Mississippi
Mississippi · 26542
Office
Unavailable
Facility
$626.08
No comparable office rate is available.
Montana**
Montana · 26542
Office
Unavailable
Facility
$696.66
No comparable office rate is available.
North Carolina
North Carolina · 26542
Office
Unavailable
Facility
$652.47
No comparable office rate is available.
North Dakota**
North Dakota · 26542
Office
Unavailable
Facility
$670.95
No comparable office rate is available.
Nebraska
Nebraska · 26542
Office
Unavailable
Facility
$636.87
No comparable office rate is available.
New Hampshire
New Hampshire · 26542
Office
Unavailable
Facility
$708.82
No comparable office rate is available.
Northern Nj
New Jersey · 26542
Office
Unavailable
Facility
$782.26
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26542
Office
Unavailable
Facility
$749.28
No comparable office rate is available.
New Mexico
New Mexico · 26542
Office
Unavailable
Facility
$670.04
No comparable office rate is available.
Nevada**
Nevada · 26542
Office
Unavailable
Facility
$689.92
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26542
Office
Unavailable
Facility
$829.13
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26542
Office
Unavailable
Facility
$756.60
No comparable office rate is available.
Queens
New York · 26542
Office
Unavailable
Facility
$808.12
No comparable office rate is available.
Rest Of New York
New York · 26542
Office
Unavailable
Facility
$662.50
No comparable office rate is available.
Ohio
Ohio · 26542
Office
Unavailable
Facility
$659.95
No comparable office rate is available.
Oklahoma
Oklahoma · 26542
Office
Unavailable
Facility
$641.39
No comparable office rate is available.
Portland
Oregon · 26542
Office
Unavailable
Facility
$736.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 26542
Office
Unavailable
Facility
$682.14
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26542
Office
Unavailable
Facility
$726.70
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26542
Office
Unavailable
Facility
$659.35
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26542
Office
Unavailable
Facility
$700.79
No comparable office rate is available.
Rhode Island
Rhode Island · 26542
Office
Unavailable
Facility
$710.44
No comparable office rate is available.
South Carolina
South Carolina · 26542
Office
Unavailable
Facility
$657.79
No comparable office rate is available.
South Dakota**
South Dakota · 26542
Office
Unavailable
Facility
$667.91
No comparable office rate is available.
Tennessee
Tennessee · 26542
Office
Unavailable
Facility
$637.79
No comparable office rate is available.
Austin
Texas · 26542
Office
Unavailable
Facility
$717.00
No comparable office rate is available.
Beaumont
Texas · 26542
Office
Unavailable
Facility
$655.24
No comparable office rate is available.
Brazoria
Texas · 26542
Office
Unavailable
Facility
$685.16
No comparable office rate is available.
Dallas
Texas · 26542
Office
Unavailable
Facility
$690.91
No comparable office rate is available.
Fort Worth
Texas · 26542
Office
Unavailable
Facility
$687.20
No comparable office rate is available.
Galveston
Texas · 26542
Office
Unavailable
Facility
$688.10
No comparable office rate is available.
Houston
Texas · 26542
Office
Unavailable
Facility
$711.89
No comparable office rate is available.
Rest Of Texas
Texas · 26542
Office
Unavailable
Facility
$670.76
No comparable office rate is available.
Utah
Utah · 26542
Office
Unavailable
Facility
$666.70
No comparable office rate is available.
Virginia
Virginia · 26542
Office
Unavailable
Facility
$676.72
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26542
Office
Unavailable
Facility
$700.79
No comparable office rate is available.
Vermont
Vermont · 26542
Office
Unavailable
Facility
$671.02
No comparable office rate is available.
Rest Of Washington
Washington · 26542
Office
Unavailable
Facility
$711.93
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26542
Office
Unavailable
Facility
$797.02
No comparable office rate is available.
Wisconsin
Wisconsin · 26542
Office
Unavailable
Facility
$648.77
No comparable office rate is available.
West Virginia
West Virginia · 26542
Office
Unavailable
Facility
$659.54
No comparable office rate is available.
See how rates vary across the country
26542 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 26542 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$754.00
$685.45 × 110% = $754.00
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.
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 26542 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,636
- Code
- 26542
- Physician work
- 6.78
- Practice expense
- 12.78
- Malpractice
- 1.30
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.78 | × 1.000 | 6.7800 |
| Practice expense | 12.78 | × 1.000 | 12.7800 |
| Malpractice | 1.30 | × 0.740 | 0.9620 |
| Total RVUs | 20.5220 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$685.45
Open 26542 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.78 | 1 |
| Practice expense | 12.78 | 1 |
| Malpractice | 1.3 | 0.74 |
(6.78 × 1 + 12.78 × 1 + 1.3 × 0.74) × $33.4009 = $685.45
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
26542 · 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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $685.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $685.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $685.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $685.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $698.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $698.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $698.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $698.06 | RVU25A |
26542 billing questions
How does this differ from 26540?
Use 26542 when the collateral ligament repair uses a tendon graft. Code 26540 describes collateral ligament repair without that graft technique.
How does this differ from 26541?
Code 26541 is for collateral ligament repair using local tissue. Code 26542 identifies repair with a tendon graft.
What should the operative note document?
Document the affected metacarpophalangeal or interphalangeal joint, the collateral ligament and its deficiency, and the tendon graft repair performed.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy makes modifier 50 unsuitable.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others are paid at 50%. Assistant-at-surgery payment requires documented medical necessity.
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.
2,63326536,,Revise/implant finger joint,A,,6.40,14.27,NA,14.27,,1.22,21.89,21.89,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63426540,,Repair hand joint,A,,6.44,12.66,NA,12.66,,1.24,20.34,20.34,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63526541,,Repair hand joint with graft,A,,8.59,13.70,NA,13.70,,1.65,23.94,23.94,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63626542,,Repair hand joint with graft,A,,6.78,12.78,NA,12.78,,1.30,20.86,20.86,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63726545,,Reconstruct finger joint,A,,6.93,12.94,NA,12.94,,1.31,21.18,21.18,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63826546,,Repair nonunion hand,A,,10.56,17.16,NA,17.16,,2.02,29.74,29.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,63926548,,Reconstruct finger joint,A,,8.01,13.39,NA,13.39,,1.53,22.93,22.93,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,