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26863 Fuse/graft added joint

Surgery +Add-on

Also known as: additional DIP fusion with graft, add-on finger fusion with graft, multiple joint fusion

Surgical fusion of each additional interphalangeal joint with autogenous bone graft as an add-on procedure to a primary fusion code.

In Plain Language

fusing additional finger joints with bone graft; multiple joint fusion with bone

Clinical Context

Used when multiple interphalangeal joints require fusion with bone graft during the same operative session for complex multi-joint disease.

RVU Breakdown

Work RVU3.79
Total RVU3.79

Est. Medicare Payment

$126.59

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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 3.79, this code ranks in the 26th percentile among Surgery codes — 2.1x 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 26863?

CPT 26863 (Fuse/graft added joint) is a Surgery code. Surgical fusion of each additional interphalangeal joint with autogenous bone graft as an add-on procedure to a primary fusion code.

What is the wRVU value for CPT 26863?

The work RVU for CPT 26863 is 3.79. This code is primarily used by Hand Surgery, Orthopedic Surgery.

When is CPT 26863 used?

Used when multiple interphalangeal joints require fusion with bone graft during the same operative session for complex multi-joint disease.

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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.