26517 Fusion of knuckle joints
Also known as: Multiple knuckle fusion, Multi-joint arthrodesis, Extensive joint fusion
Surgical fusion of multiple knuckle joints, typically involving arthrodesis of more than one metacarpophalangeal or interphalangeal joint for pain relief and stability.
In Plain Language
Fusing multiple knuckle joints together; Locking together several finger joints
Clinical Context
Performed for multiple painful hand joints, polyarticular arthropathy, or when functional outcome is improved by fusing multiple joints.
RVU Breakdown
| Work RVU | 8.85 |
| Total RVU | 8.85 |
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 8.85, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26517?
CPT 26517 (Fusion of knuckle joints) is a Surgery code. Surgical fusion of multiple knuckle joints, typically involving arthrodesis of more than one metacarpophalangeal or interphalangeal joint for pain relief and stability.
What is the wRVU value for CPT 26517?
The work RVU for CPT 26517 is 8.85. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26517 used?
Performed for multiple painful hand joints, polyarticular arthropathy, or when functional outcome is improved by fusing multiple joints.
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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.