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ASC Surgical · CPT/HCPCS

CPT 26516

Fusion of knuckle joint

CPT 26516 at a glance

Code
26516
Code type
CPT/HCPCS
Short descriptor
Fusion of knuckle joint
Category
ASC Surgical
ASC eligibility
ASC-eligible (surgical)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Medicare ASC rate
$1,644.87 national · 2026Q2

What is CPT code 26516?

CPT 26516 is a CPT/HCPCS procedure code. Its official short descriptor is "Fusion of knuckle joint". In the ASC context it is grouped under ASC Surgical.

Is CPT 26516 eligible in an ambulatory surgery center (ASC)?

CPT 26516 can be performed in a certified ambulatory surgery center.

Where is CPT 26516 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is the Medicare ASC payment rate for CPT 26516?

The national Medicare ASC payment rate for CPT 26516 is $1,644.87 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.

Which specialties use CPT 26516?

CPT 26516 is most associated with General Surgery, Ortho – Hand, Orthopaedic Surgery.

Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.

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