CPT code 26352: Tendon repair, secondary, without free graft2026 Medicare rate & RVUs

Medicare pays $804.63 for 26352 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 26352 covers

This code describes secondary repair of a flexor tendon in the hand or finger without using a free tendon graft. A hand surgeon may perform it when a tendon needs repair after the initial injury or operation, rather than as a primary repair. The service is typically performed in an operating room, with the operative report identifying the tendon and the nature of the secondary repair.

Report one unit for each tendon repaired. Documentation should establish that the procedure is secondary, identify the hand or finger tendon treated, and support that no free graft was used. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 26352 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

26352 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 26352 rate is calculated

Each of 26352’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 26352

26352 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

26352 compared with similar codes

How to choose

26350Flexor tendon repairPrimary, zones 1-2

26350 is for primary flexor tendon repair without a free graft. Use 26352 when the documented procedure is secondary.

26357Flexor tendon repairZone II, secondary, no graft

Both describe secondary flexor tendon procedures without a free graft; 26357 includes repair or advancement, while 26352 describes secondary repair.

26358Hand tendon repairRepair or graft

26358 describes flexor tendon repair or advancement with a free graft. This code is for secondary repair without a free graft.

26372Hand tendon repairSecondary profundus repair with graft

26372 is a graft repair or advancement code for an extensor tendon. This code concerns secondary flexor tendon repair without a free graft.

Codes related to 26352

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates