The escalating issue of global climate change necessitates urgent measures to reduce carbon emissions globally. Within this context, the construction industry emerges as a critical sector to address given its high energy consumption, substantial CO2 emissions, and low utilization rate. Therefore, it is pivotal to foster energy conservation and reduce emissions in this sector. To this end, this paper delineates two primary objectives: (1) identifying optimal research methodologies and index parameters for evaluating carbon emission efficiency in the construction industry, and (2) assessing the variance in carbon emission efficiency at disparate stages and regions. Leveraging the Malmquist index, we scrutinize the carbon emission data from 30 Chinese provinces spanning from 2010 to 2019. Our findings indicate a geographical dichotomy in China’s construction industry’s carbon emission efficiency—lower in the west and higher in the east. Additionally, this study delves into the distinguishing features of emission efficiency alterations across regions, the main influencing factors, and avenues for enhancement. Subsequently, it proposes policy recommendations tailored to the unique attributes of various regions and the overarching framework.