No office rate
Choose 26860 for interphalangeal fusion without the autogenous bone graft distinction; 26862 is for fusion using the patient's graft.
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CMS RVU26D · Effective 2026-10-01
26862 Finger fusion Medicare reimbursement rates in Connecticut
Reports fusion of a finger interphalangeal joint using the patient's bone graft, typically for painful arthritis, deformity, or instability. Compare 26862 office and facility rates across CMS payment localities in Connecticut.
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 26862 in Connecticut?
Connecticut 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
$786.42
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 26862: Finger interphalangeal fusion with autograft
Reports fusion of a finger interphalangeal joint using the patient's bone graft, typically for painful arthritis, deformity, or instability.
A hand surgeon prepares a finger interphalangeal joint for fusion and uses the patient's bone graft to support bone union. This procedure may be chosen for a painful, damaged proximal or distal interphalangeal joint, including cases involving arthritis, deformity, or instability. The graft is autogenous, and obtaining it is included in this service. Fixation may be used to maintain alignment while the joint heals.
Report this code for the grafted fusion of the primary interphalangeal joint. For another interphalangeal joint fused with autogenous graft during the same operative session, 26863 is the add-on code; 26860 describes fusion without the autograft distinction. The operative report should identify each joint treated, the graft used and its harvest, and the clinical reason for fusion. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26862
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.37 · 33%
- Practice expense (office) RVU13.32 · 60%
- Malpractice RVU1.39 · 6%
1.2K
Medicare services in 2024 · #2821 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.
26862 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
26863 reports each additional grafted interphalangeal joint. Use it with the primary grafted fusion code rather than for the primary joint.
No office rate
26844 is for grafted metacarpophalangeal joint fusion. This code is for an interphalangeal joint.
Compare 26862 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$786.42
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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 26862 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,700
- Code
- 26862
- Physician work
- 7.37
- Practice expense
- 13.32
- Malpractice
- 1.39
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.37 | × 1.020 | 7.5174 |
| Practice expense | 13.32 | × 1.077 | 14.3456 |
| Malpractice | 1.39 | × 1.210 | 1.6819 |
| Total RVUs | 23.5449 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$786.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.37 | 1.02 |
| Practice expense | 13.32 | 1.077 |
| Malpractice | 1.39 | 1.21 |
(7.37 × 1.02 + 13.32 × 1.077 + 1.39 × 1.21) × $33.4009 = $786.42
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.
26862 billing questions
When should 26862 be selected instead of 26860?
Use 26862 for interphalangeal fusion with the patient's bone graft. Code 26860 describes interphalangeal fusion without that graft distinction.
How is another grafted finger joint reported?
Report 26863 for each additional interphalangeal joint fused with autogenous bone graft, in addition to the primary procedure.
Is graft harvest separately reported?
Obtaining the autogenous graft is included in 26862. Document the graft and its harvest in the operative report.
What documentation supports this code?
Document the interphalangeal joint fused, the indication, use of autogenous bone graft, and the graft harvest. Identify each additional joint treated.
Can modifier 50 be used for both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What global and multiple-procedure rules apply?
The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others 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.
2,69726852,,Fusion of knuckle with graft,A,,8.49,13.71,NA,13.71,,1.61,23.81,23.81,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,69826860,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808