26841 Fusion of thumb
Also known as: thumb fusion, thumb arthrodesis, thumb joint fusion
Surgical fusion of the thumb interphalangeal or metacarpophalangeal joint without bone graft using direct bone-to-bone apposition.
In Plain Language
fusing thumb joint; joining thumb bones together
Clinical Context
Indicated for thumb joint arthritis, chronic pain, or instability where bony union is desired without the need for additional graft material.
RVU Breakdown
| Work RVU | 7.17 |
| Total RVU | 7.17 |
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 7.17, 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 26841?
CPT 26841 (Fusion of thumb) is a Surgery code. Surgical fusion of the thumb interphalangeal or metacarpophalangeal joint without bone graft using direct bone-to-bone apposition.
What is the wRVU value for CPT 26841?
The work RVU for CPT 26841 is 7.17. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26841 used?
Indicated for thumb joint arthritis, chronic pain, or instability where bony union is desired without the need for additional graft material.
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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.