No office rate
Both represent radical resection of a hand or finger soft-tissue tumor; the size threshold is 3 cm, with this code for smaller tumors and 26118 for tumors measuring 3 cm or more.
On this page
CMS RVU26D · Effective 2026-10-01
26117 Hand tumor resection Medicare reimbursement rates in Alaska
Reports radical removal of a soft-tissue tumor in the hand or finger when the tumor measures less than 3 cm and the operative extent supports radical resection. Compare 26117 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 26117 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$849.10
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Hand surgery
About 26117: Radical resection of hand soft-tissue tumor
Reports radical removal of a soft-tissue tumor in the hand or finger when the tumor measures less than 3 cm and the operative extent supports radical resection.
A hand surgeon or other qualified surgeon removes a small soft-tissue tumor from the hand or finger using a radical resection approach, taking the tumor and surrounding tissue as indicated by the operative plan. This is an operative service, commonly performed in a hospital or ambulatory surgery center when the tumor’s location or extent calls for surgical treatment. The tumor’s size alone does not establish this code; the documented extent of resection must support the radical procedure rather than a conventional local excision.
Report this code when the resected tumor is under 3 cm and the operative report supports radical resection. Document the tumor’s measured size, site, involved tissue, extent of removal, and relevant margin or specimen details. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 descriptor and anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 26117
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.88 · 48%
- Practice expense (office) RVU8.93 · 43%
- Malpractice RVU1.98 · 10%
180
Medicare services in 2024 · #4419 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.
26117 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
26116 describes conventional excision of a deep hand tumor under 1.5 cm. Use this code only when the operative extent supports radical resection.
No office rate
26113 describes conventional excision of a deep hand tumor measuring 1.5 cm or more. Tumor size does not by itself support radical resection under this code.
$669.63
26115 is for excision of a small subcutaneous hand lesion, not radical resection of a soft-tissue tumor.
Compare 26117 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$849.10
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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 26117 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,549
- Code
- 26117
- Physician work
- 9.88
- Practice expense
- 8.93
- Malpractice
- 1.98
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.88 | × 1.500 | 14.8200 |
| Practice expense | 8.93 | × 1.065 | 9.5104 |
| Malpractice | 1.98 | × 0.551 | 1.0910 |
| Total RVUs | 25.4214 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$849.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.88 | 1.5 |
| Practice expense | 8.93 | 1.065 |
| Malpractice | 1.98 | 0.551 |
(9.88 × 1.5 + 8.93 × 1.065 + 1.98 × 0.551) × $33.4009 = $849.10
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.
26117 billing questions
How is this code distinguished from a conventional tumor excision?
This code is for radical resection of a hand or finger soft-tissue tumor under 3 cm. A conventional excision code is more appropriate when the operative service does not support radical resection.
Which size determines whether this code or 26118 is reported?
Use this code for a tumor under 3 cm and 26118 for a tumor measuring 3 cm or more. The operative documentation should state the tumor size.
What documentation supports reporting this service?
The operative report should identify the hand or finger site, tumor size, tissue involved, and extent of resection. It should support radical resection rather than a routine local excision.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 is inappropriate for this descriptor and anatomy. Medicare does not pay an assistant at surgery for this service.
How is this code affected by another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
2,54626113,,Exc hand tum deep 1.5 cm/>,A,,6.95,7.07,NA,7.07,,1.31,15.33,15.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54726115,,Exc hand les sc < 1.5 cm,A,,3.86,13.00,,5.01,,0.75,17.61,9.62,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54826116,,Exc hand tum deep < 1.5 cm,A,,6.57,6.97,NA,6.97,,1.25,14.79,14.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54926117,,Rad resect hand tumor < 3 cm,A,,9.88,8.93,NA,8.93,,1.98,20.79,20.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55026118,,Rad resect hand tumor 3 cm/>,A,,14.44,11.81,NA,11.81,,2.91,29.16,29.16,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55126121,,Release palm contracture,A,,7.54,7.84,NA,7.84,,1.44,16.82,16.82,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55226123,,Release palm contracture,A,,10.61,10.76,NA,10.76,,2.02,23.39,23.39,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609