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26531 Revise knuckle with implant

Surgery Global 90d

Also known as: Knuckle implant arthroplasty, MCP implant replacement, Prosthetic knuckle joint

Surgical arthroplasty of the metacarpophalangeal knuckle joint with placement of an implant, such as a prosthetic joint replacement, to restore function.

In Plain Language

Replacing a damaged knuckle with an artificial joint; Knuckle joint implant surgery

Clinical Context

Performed for severe metacarpophalangeal joint arthropathy where joint replacement provides better functional outcome than fusion or simple arthroplasty.

RVU Breakdown

Work RVU7.93
Total RVU7.93

Est. Medicare Payment

$264.86

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 7.93, this code ranks in the 50th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Hand SurgeryOrthopedic Surgery

Frequently Asked Questions

What is CPT code 26531?

CPT 26531 (Revise knuckle with implant) is a Surgery code. Surgical arthroplasty of the metacarpophalangeal knuckle joint with placement of an implant, such as a prosthetic joint replacement, to restore function.

What is the wRVU value for CPT 26531?

The work RVU for CPT 26531 is 7.93. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.

When is CPT 26531 used?

Performed for severe metacarpophalangeal joint arthropathy where joint replacement provides better functional outcome than fusion or simple 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.