26516 Fusion of knuckle joint
Also known as: Knuckle fusion, Joint arthrodesis, Finger joint fusion
Surgical arthrodesis or fusion of a single metacarpophalangeal or interphalangeal knuckle joint to eliminate motion and reduce pain while maintaining overall hand function.
In Plain Language
Fusing a knuckle joint to reduce pain and improve stability; Locking together a finger joint
Clinical Context
Indicated for painful joint arthropathy, instability, or post-traumatic arthritis affecting a single knuckle joint where fusion is preferable to arthroplasty.
RVU Breakdown
| Work RVU | 7.14 |
| Total RVU | 7.14 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.14, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26516?
CPT 26516 (Fusion of knuckle joint) is a Surgery code. Surgical arthrodesis or fusion of a single metacarpophalangeal or interphalangeal knuckle joint to eliminate motion and reduce pain while maintaining overall hand function.
What is the wRVU value for CPT 26516?
The work RVU for CPT 26516 is 7.14. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26516 used?
Indicated for painful joint arthropathy, instability, or post-traumatic arthritis affecting a single knuckle joint where fusion is preferable to arthroplasty.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.