No office rate
Use 26951 for a single finger or thumb amputation at a joint or phalanx when the metacarpal remains. Use 26910 when the removal includes the metacarpal.
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CMS RVU26D · Effective 2026-10-01
26910 Ray amputation Medicare reimbursement rates in Connecticut
Reports removal of a finger or thumb together with its metacarpal, creating a ray amputation for destructive injury, infection, ischemia, or tumor. Compare 26910 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 26910 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
$789.67
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 26910: Finger ray amputation with metacarpal
Reports removal of a finger or thumb together with its metacarpal, creating a ray amputation for destructive injury, infection, ischemia, or tumor.
This operation removes a digit as a ray, including its associated metacarpal, rather than ending the amputation at a finger joint or phalanx. Hand, orthopedic, and plastic surgeons perform it in an operating room when trauma, severe infection, ischemic tissue loss, or a tumor makes preservation of the ray impractical. The surgeon removes the digit and metacarpal and prepares the remaining hand for closure and function.
Choose 26910 when the operation removes the metacarpal with its digit; an amputation limited to a digit is a different service. The operative report should identify the affected ray, extent of metacarpal removal, indication, and closure or reconstruction performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 26910
- 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 RVU7.60 · 34%
- Practice expense (office) RVU13.08 · 59%
- Malpractice RVU1.49 · 7%
829
Medicare services in 2024 · #3116 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.
26910 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Use 26952 for a digit amputation requiring a local advancement flap, with the metacarpal left in place. Removal of the digit together with its metacarpal points to 26910.
26989
No office rateUnlisted px hands/fingers
Use 26989 only when the hand or finger procedure has no specific CPT code that describes it; 26910 specifically describes a ray amputation that includes the metacarpal.
Compare 26910 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
$789.67
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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 26910 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,702
- Code
- 26910
- Physician work
- 7.60
- Practice expense
- 13.08
- Malpractice
- 1.49
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.60 | × 1.020 | 7.7520 |
| Practice expense | 13.08 | × 1.077 | 14.0872 |
| Malpractice | 1.49 | × 1.210 | 1.8029 |
| Total RVUs | 23.6421 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$789.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.6 | 1.02 |
| Practice expense | 13.08 | 1.077 |
| Malpractice | 1.49 | 1.21 |
(7.6 × 1.02 + 13.08 × 1.077 + 1.49 × 1.21) × $33.4009 = $789.67
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.
26910 billing questions
When should I report 26910 instead of a finger-amputation code?
Report 26910 when the digit is removed with its associated metacarpal. If the amputation stops at a finger joint or phalanx and leaves the metacarpal, consider the digit-amputation codes instead.
What operative details support 26910?
Document the affected digit or ray, how much of the metacarpal was removed, the clinical indication, and the closure or reconstruction performed.
Does 26910 have a global period?
Yes. CMS assigns a 90-day major-surgery global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is 26910 handled with other procedures in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can I use modifier 50 or report an assistant surgeon?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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.
2,69926861,,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
2,70526989,,Unlisted px hands/fingers,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,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