No office rate
26862 represents the primary grafted interphalangeal joint fusion. Use 26863 for each additional grafted joint in the same operative service.
On this page
CMS RVU26D · Effective 2026-10-01
26863 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$185.64
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 26863: Additional finger joint fusion with bone graft
Reports grafted fusion of each additional finger interphalangeal joint performed with a primary joint fusion, when the operative documentation supports the extra joint.
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.
CMS billing rules for 26863
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.79 · 66%
- Practice expense (office) RVU1.25 · 22%
- Malpractice RVU0.70 · 12%
140
Medicare services in 2024 · #4607 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.
26863 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
26861 represents an additional interphalangeal joint fusion without autogenous graft; 26863 is for an additional joint treated with graft.
No office rate
26860 is a primary interphalangeal joint fusion without the graft distinction. It does not represent an additional grafted joint.
The same code, a different location
How does Wyoming** compare?
26863 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 · 26863
Office
Unavailable
Facility
$176.36
No comparable office rate is available.
Arkansas
Arkansas · 26863
Office
Unavailable
Facility
$174.49
No comparable office rate is available.
Arizona
Arizona · 26863
Office
Unavailable
Facility
$187.06
No comparable office rate is available.
Bakersfield
California · 26863
Office
Unavailable
Facility
$188.99
No comparable office rate is available.
Chico
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
El Centro
California · 26863
Office
Unavailable
Facility
$187.15
No comparable office rate is available.
Fresno
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Hanford-Corcoran
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Madera
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Merced
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Modesto
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Napa
California · 26863
Office
Unavailable
Facility
$201.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26863
Office
Unavailable
Facility
$194.05
No comparable office rate is available.
Redding
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Rest Of California
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26863
Office
Unavailable
Facility
$194.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26863
Office
Unavailable
Facility
$192.24
No comparable office rate is available.
Salinas
California · 26863
Office
Unavailable
Facility
$191.44
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26863
Office
Unavailable
Facility
$192.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26863
Office
Unavailable
Facility
$208.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26863
Office
Unavailable
Facility
$207.42
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26863
Office
Unavailable
Facility
$213.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26863
Office
Unavailable
Facility
$210.00
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26863
Office
Unavailable
Facility
$188.83
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26863
Office
Unavailable
Facility
$192.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26863
Office
Unavailable
Facility
$191.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26863
Office
Unavailable
Facility
$194.19
No comparable office rate is available.
Stockton
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Vallejo
California · 26863
Office
Unavailable
Facility
$200.32
No comparable office rate is available.
Visalia
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Yuba City
California · 26863
Office
Unavailable
Facility
$187.03
No comparable office rate is available.
Colorado
Colorado · 26863
Office
Unavailable
Facility
$190.79
No comparable office rate is available.
Connecticut
Connecticut · 26863
Office
Unavailable
Facility
$202.38
No comparable office rate is available.
Delaware
Delaware · 26863
Office
Unavailable
Facility
$189.49
No comparable office rate is available.
Fort Lauderdale
Florida · 26863
Office
Unavailable
Facility
$211.16
No comparable office rate is available.
Rest Of Florida
Florida · 26863
Office
Unavailable
Facility
$201.64
No comparable office rate is available.
Atlanta
Georgia · 26863
Office
Unavailable
Facility
$197.47
No comparable office rate is available.
Rest Of Georgia
Georgia · 26863
Office
Unavailable
Facility
$191.70
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26863
Office
Unavailable
Facility
$187.60
No comparable office rate is available.
Iowa
Iowa · 26863
Office
Unavailable
Facility
$174.07
No comparable office rate is available.
Idaho
Idaho · 26863
Office
Unavailable
Facility
$176.06
No comparable office rate is available.
East St. Louis
Illinois · 26863
Office
Unavailable
Facility
$212.09
No comparable office rate is available.
Rest Of Illinois
Illinois · 26863
Office
Unavailable
Facility
$201.25
No comparable office rate is available.
Suburban Chicago
Illinois · 26863
Office
Unavailable
Facility
$211.78
No comparable office rate is available.
Indiana
Indiana · 26863
Office
Unavailable
Facility
$176.66
No comparable office rate is available.
Kansas
Kansas · 26863
Office
Unavailable
Facility
$176.12
No comparable office rate is available.
Kentucky
Kentucky · 26863
Office
Unavailable
Facility
$185.10
No comparable office rate is available.
New Orleans
Louisiana · 26863
Office
Unavailable
Facility
$192.44
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26863
Office
Unavailable
Facility
$185.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26863
Office
Unavailable
Facility
$202.44
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26863
Office
Unavailable
Facility
$191.21
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26863
Office
Unavailable
Facility
$202.34
No comparable office rate is available.
Rest Of Maryland
Maryland · 26863
Office
Unavailable
Facility
$191.57
No comparable office rate is available.
Rest Of Maine
Maine · 26863
Office
Unavailable
Facility
$179.54
No comparable office rate is available.
Southern Maine
Maine · 26863
Office
Unavailable
Facility
$182.72
No comparable office rate is available.
Detroit
Michigan · 26863
Office
Unavailable
Facility
$206.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 26863
Office
Unavailable
Facility
$191.10
No comparable office rate is available.
Minnesota
Minnesota · 26863
Office
Unavailable
Facility
$176.47
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26863
Office
Unavailable
Facility
$188.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26863
Office
Unavailable
Facility
$189.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 26863
Office
Unavailable
Facility
$185.35
No comparable office rate is available.
Mississippi
Mississippi · 26863
Office
Unavailable
Facility
$179.82
No comparable office rate is available.
Montana**
Montana · 26863
Office
Unavailable
Facility
$191.67
No comparable office rate is available.
North Carolina
North Carolina · 26863
Office
Unavailable
Facility
$180.48
No comparable office rate is available.
North Dakota**
North Dakota · 26863
Office
Unavailable
Facility
$177.83
No comparable office rate is available.
Nebraska
Nebraska · 26863
Office
Unavailable
Facility
$173.96
No comparable office rate is available.
New Hampshire
New Hampshire · 26863
Office
Unavailable
Facility
$190.51
No comparable office rate is available.
Northern Nj
New Jersey · 26863
Office
Unavailable
Facility
$207.97
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26863
Office
Unavailable
Facility
$202.89
No comparable office rate is available.
New Mexico
New Mexico · 26863
Office
Unavailable
Facility
$192.96
No comparable office rate is available.
Nevada**
Nevada · 26863
Office
Unavailable
Facility
$187.86
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26863
Office
Unavailable
Facility
$227.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26863
Office
Unavailable
Facility
$206.29
No comparable office rate is available.
Queens
New York · 26863
Office
Unavailable
Facility
$217.76
No comparable office rate is available.
Rest Of New York
New York · 26863
Office
Unavailable
Facility
$182.69
No comparable office rate is available.
Ohio
Ohio · 26863
Office
Unavailable
Facility
$188.28
No comparable office rate is available.
Oklahoma
Oklahoma · 26863
Office
Unavailable
Facility
$182.04
No comparable office rate is available.
Portland
Oregon · 26863
Office
Unavailable
Facility
$192.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 26863
Office
Unavailable
Facility
$184.61
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26863
Office
Unavailable
Facility
$200.22
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26863
Office
Unavailable
Facility
$187.01
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26863
Office
Unavailable
Facility
$191.83
No comparable office rate is available.
Rhode Island
Rhode Island · 26863
Office
Unavailable
Facility
$192.98
No comparable office rate is available.
South Carolina
South Carolina · 26863
Office
Unavailable
Facility
$185.04
No comparable office rate is available.
South Dakota**
South Dakota · 26863
Office
Unavailable
Facility
$176.20
No comparable office rate is available.
Tennessee
Tennessee · 26863
Office
Unavailable
Facility
$177.10
No comparable office rate is available.
Austin
Texas · 26863
Office
Unavailable
Facility
$191.73
No comparable office rate is available.
Beaumont
Texas · 26863
Office
Unavailable
Facility
$186.30
No comparable office rate is available.
Brazoria
Texas · 26863
Office
Unavailable
Facility
$187.21
No comparable office rate is available.
Dallas
Texas · 26863
Office
Unavailable
Facility
$189.37
No comparable office rate is available.
Fort Worth
Texas · 26863
Office
Unavailable
Facility
$189.26
No comparable office rate is available.
Galveston
Texas · 26863
Office
Unavailable
Facility
$188.42
No comparable office rate is available.
Houston
Texas · 26863
Office
Unavailable
Facility
$201.23
No comparable office rate is available.
Rest Of Texas
Texas · 26863
Office
Unavailable
Facility
$187.32
No comparable office rate is available.
Utah
Utah · 26863
Office
Unavailable
Facility
$186.83
No comparable office rate is available.
Virginia
Virginia · 26863
Office
Unavailable
Facility
$184.14
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26863
Office
Unavailable
Facility
$191.83
No comparable office rate is available.
Vermont
Vermont · 26863
Office
Unavailable
Facility
$179.75
No comparable office rate is available.
Rest Of Washington
Washington · 26863
Office
Unavailable
Facility
$189.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26863
Office
Unavailable
Facility
$203.25
No comparable office rate is available.
Wisconsin
Wisconsin · 26863
Office
Unavailable
Facility
$173.79
No comparable office rate is available.
West Virginia
West Virginia · 26863
Office
Unavailable
Facility
$196.33
No comparable office rate is available.
See how rates vary across the country
26863 · 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 26863 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$204.20
$185.64 × 110% = $204.20
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 26863 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,701
- Code
- 26863
- Physician work
- 3.79
- Practice expense
- 1.25
- Malpractice
- 0.70
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.79 | × 1.000 | 3.7900 |
| Practice expense | 1.25 | × 1.000 | 1.2500 |
| Malpractice | 0.70 | × 0.740 | 0.5180 |
| Total RVUs | 5.5580 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$185.64
Open 26863 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.79 | 1 |
| Practice expense | 1.25 | 1 |
| Malpractice | 0.7 | 0.74 |
(3.79 × 1 + 1.25 × 1 + 0.7 × 0.74) × $33.4009 = $185.64
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
26863 · 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 | $185.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $185.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $185.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $185.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $213.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $213.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $213.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $213.55 | RVU25A |
26863 billing questions
Which primary code must accompany 26863?
Report 26863 with 26862, the primary finger interphalangeal joint fusion code with autogenous graft. It is not reported by itself.
How many units should be reported?
Report one unit for each additional interphalangeal joint fused beyond the primary joint. The operative note should identify each joint treated.
When is 26861 a better fit?
Use 26861 for an additional interphalangeal joint fusion when the service does not include autogenous bone graft. Code 26863 is the grafted additional-joint counterpart.
Is graft harvesting separately represented by 26863?
The documentation should establish that autogenous graft was used for the additional joint. Report 26863 with 26862; payment is within the primary procedure’s global period.
What documentation supports reporting an additional joint?
The operative report should name the primary fused joint and each additional interphalangeal joint, describe the fusion performed, and support autogenous graft use.
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.
2,69826860,,Fusion of finger joint,A,,4.76,12.49,NA,12.49,,0.91,18.16,18.16,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69926861,,Fusion of finger jnt add-on,A,,1.70,0.56,NA,0.56,,0.34,2.60,2.60,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70026862,,Fusion/graft of finger joint,A,,7.37,13.32,NA,13.32,,1.39,22.08,22.08,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70126863,,Fuse/graft added joint,A,,3.79,1.25,NA,1.25,,0.70,5.74,5.74,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70226910,,Amputate metacarpal bone,A,,7.60,13.08,NA,13.08,,1.49,22.17,22.17,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70326951,,Amputation of finger/thumb,A,,5.89,13.88,NA,13.88,,1.17,20.94,20.94,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70426952,,Amputation of finger/thumb,A,,6.32,12.44,NA,12.44,,1.23,19.99,19.99,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,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.,,,,,,