CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 26861 RVU and Medicare Payment (2026)
Fusion of finger jnt add-on — 1.7 work RVU, about $86.84 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.7
- PE RVU (non-facility)
- 0.56
- PE RVU (facility)
- 0.56
- MP RVU
- 0.34
- Office payment
- $86.84
- Facility payment
- $86.84
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 26861 in a non-facility setting with national GPCI: (1.7 + 0.56 + 0.34) × $33.4009 ≈ $86.84. The same code in a facility setting pays about $86.84 because facility PE RVU (0.56) replaces office PE RVU.
What changes by locality
GPCI moves 26861 non-facility payment from $78.2 to $111.35 across CMS localities — from Wisconsin to Alaska. 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 26861?
1.7. 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 26861 in 2026?
About $86.84 non-facility ($86.84 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 (1.7) and malpractice RVU stay fixed; only practice expense changes (0.56 office vs 0.56 facility). That is the entire office-vs-facility payment gap.