CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26843 RVU and Medicare Payment (2026)
Fusion of hand joint — 7.59 work RVU, about $769.56 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.59
- PE RVU (non-facility)
- 13.83
- PE RVU (facility)
- 13.83
- MP RVU
- 1.62
- Office payment
- $769.56
- Facility payment
- $769.56
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 26843 in a non-facility setting with national GPCI: (7.59 + 13.83 + 1.62) × $33.4009 ≈ $769.56. The same code in a facility setting pays about $769.56 because facility PE RVU (13.83) replaces office PE RVU.
What changes by locality
GPCI moves 26843 non-facility payment from $678.18 to $976.51 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 26843?
7.59. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 26843 in 2026?
About $769.56 non-facility ($769.56 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (7.59) and malpractice RVU stay fixed; only practice expense changes (13.83 office vs 13.83 facility). That is the entire office-vs-facility payment gap.