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

Secondary repair of a flexor tendon in the hand or finger without a free graft, reported for each tendon treated during a delayed procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality171 Medicare services in 2024

In Alabama, Medicare pays $720.80 for 26352 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$720.80Hospital or facility

Check a contract rate as a % of Medicare · 26352 nationwide

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

We’ll open 26352 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 26352 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Alabama compares for 26352

Across 109 of 109 payment localities, the facility rate for 26352 runs from $710.29 in Arkansas to $1,030.43 in San Benito County, CA. Alabama pays $720.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

26352 in Alabama vs other payment areas
  1. Alabama · this page$720.80
  2. Los Angeles, CA · California$889.84+$169.04
  3. Washington, DC area · District of Columbia$912.87+$192.07
  4. Miami, FL · Florida$900.67+$179.87
  5. Chicago, IL · Illinois$872.93+$152.13
  6. Manhattan, NY · New York$930.83+$210.03
  7. Alaska · Alaska$942.96+$222.16

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

26352 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$710.29
ArizonaArizona—$782.04
Bakersfield, CACalifornia—$838.07
Chico, CACalifornia—$833.95
El Centro, CACalifornia—$834.20
Fresno, CACalifornia—$833.95
Hanford, CACalifornia—$833.95
Madera, CACalifornia—$833.95

26352 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
26352 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 26352 in every payment locality

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.

How the rate is built · 26352

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.67

7.67 RVUs× 1.000 GPCI

Practice expense14.94

14.94 RVUs× 1.000 GPCI

Malpractice1.48

1.48 RVUs× 1.000 GPCI

Adjusted RVUs

24.0900

Conversion factor

$33.4009

Medicare rate

$804.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,576

Code
26352
Physician work
7.67
Practice expense
14.94
Malpractice
1.48

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Facility calculation for 26352 in Alabama
ComponentRVULocality factorAdjusted
Physician work7.67× 1.0007.6700
Practice expense14.94× 0.87513.0725
Malpractice1.48× 0.5660.8377
Total RVUs21.5802
Conversion factor× 33.4009

Facility rate, Alabama$720.80

Facility: (7.67 × 1 + 14.94 × 0.875 + 1.48 × 0.566) × $33.4009 = $720.80

Open 26352 in the RVU calculator

Payment rules and modifiers for 26352

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

CMS payment indicators · 26352

Tendon repair, secondary, without free graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26352

Tendon repair, secondary, without free graft

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

26352 without 51 · national facility

$804.63

Tendon repair, secondary, without free graft

26352-51 · Second procedure: 50%

$402.32

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 26352 has changed in Alabama

26352 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$720.80RVU26D
2026-07-01Not available in this setting$720.80RVU26C
2026-04-01Not available in this setting$720.80RVU26B
2026-01-01Not available in this setting$720.80RVU26A
2025-10-01Not available in this setting$726.31RVU25D
2025-07-01Not available in this setting$726.31RVU25C
2025-04-01Not available in this setting$726.31RVU25B
2025-01-01Not available in this setting$726.31RVU25A
2024-10-01Not available in this setting$750.43RVU24D
2024-07-01Not available in this setting$750.43RVU24C
2024-04-01Not available in this setting$750.43RVU24B
2024-03-09Not available in this setting$750.43RVU24AR
2024-01-01Not available in this setting$738.18RVU24A
2023-10-01Not available in this setting$780.85RVU23D
2023-07-01Not available in this setting$780.85RVU23C
2023-04-01Not available in this setting$780.85RVU23B
2023-01-01Not available in this setting$780.85RVU23A
2022-10-01Not available in this setting$808.09RVU22D
2022-07-01Not available in this setting$808.09RVU22C
2022-04-01Not available in this setting$808.09RVU22B
2022-01-01Not available in this setting$808.09RVU22A
2021-10-01Not available in this setting$806.43RVU21D
2021-07-01Not available in this setting$806.43RVU21C
2021-04-01Not available in this setting$806.43RVU21B
2021-01-01Not available in this setting$806.43RVU21A
2020-10-01Not available in this setting$770.46RVU20D
2020-07-01Not available in this setting$770.46RVU20C
2020-04-01Not available in this setting$770.46RVU20B
2020-01-01Not available in this setting$770.46RVU20A
2019-10-01Not available in this setting$747.75RVU19D
2019-07-01Not available in this setting$747.75RVU19C
2019-04-01Not available in this setting$746.86RVU19B
2019-01-01Not available in this setting$746.86RVU19A
2018-10-01Not available in this setting$751.56RVU18D
2018-07-01Not available in this setting$751.56RVU18C
2018-04-01Not available in this setting$751.56RVU18B
2018-01-01Not available in this settingRate data unavailableRVU18AR1
2017-10-01Not available in this settingRate data unavailableRVU17D
2017-07-01Not available in this settingRate data unavailableRVU17C
2017-04-01Not available in this settingRate data unavailableRVU17B
2017-01-01Not available in this settingRate data unavailableRVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 26352 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

26352 billing questions

How does this differ from a primary tendon repair?

This code is for secondary repair without a free graft. Use the primary-repair code when the operative service is a primary repair rather than a secondary procedure.

Is the code reported per tendon?

Yes. Report one unit for each flexor tendon repaired, with the operative documentation identifying the tendon or tendons treated.

Can modifier 50 be used when both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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

Show the CMS file lines behind this rate
RVUs for 26352PPRRVU2026_Oct_nonQPP.csv, line 2,576 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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