CPT code 26358: Hand tendon repair, repair or graft2026 Medicare rate & RVUs in New Mexico
Reports operative repair or grafting of a hand tendon when the surgeon restores tendon continuity or function through the service represented by this code.
In New Mexico, Medicare pays $914.59 for 26358 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26358 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 26358 covers
A hand surgeon reports this service for an operation to repair or reconstruct a tendon in the hand, with a graft included when the procedure requires one. The work may address a tendon disrupted by injury or impaired by a defect that prevents direct repair. The operative report should identify the treated tendon, the hand site, the nature of the tendon problem, and the repair or graft technique. This code describes operative tendon work, not manipulation of a finger or removal of an implant.
Report the code that matches the operation documented; related codes distinguish other hand and finger tendon repair or graft services. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. Bilateral adjustment is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are 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 New Mexico compares for 26358
Across 109 of 109 payment localities, the facility rate for 26358 runs from $829.53 in Arkansas to $1,130.44 in San Benito County, CA. New Mexico pays $914.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$914.59
- Los Angeles, CA · California$1,000.47+$85.88
- Washington, DC area · District of Columbia$1,042.77+$128.18
- Miami, FL · Florida$1,084.37+$169.78
- Chicago, IL · Illinois$1,051.17+$136.58
- Manhattan, NY · New York$1,081.14+$166.55
- Alaska · Alaska$1,127.64+$213.05
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $840.94 |
| ArkansasArkansas | — | $829.53 |
| ArizonaArizona | — | $907.17 |
| Bakersfield, CACalifornia | — | $948.75 |
| Chico, CACalifornia | — | $941.56 |
| El Centro, CACalifornia | — | $942.00 |
| Fresno, CACalifornia | — | $941.56 |
| Hanford, CACalifornia | — | $941.56 |
| Madera, CACalifornia | — | $941.56 |
| Merced, CACalifornia | — | $941.56 |
| Modesto, CACalifornia | — | $941.56 |
| Napa, CACalifornia | — | $1,054.70 |
| Oxnard, CACalifornia | — | $991.12 |
| Redding, CACalifornia | — | $941.56 |
| Rest of CaliforniaCalifornia | — | $941.56 |
| Riverside, CACalifornia | — | $969.61 |
| Sacramento, CACalifornia | — | $978.54 |
| Salinas, CACalifornia | — | $974.75 |
| San Diego, CACalifornia | — | $990.98 |
| Marin County, CACalifornia | — | $1,103.63 |
| San Francisco, CACalifornia | — | $1,100.67 |
| San Benito County, CACalifornia | — | $1,130.44 |
| Santa Clara County, CACalifornia | — | $1,118.32 |
| San Luis Obispo, CACalifornia | — | $960.29 |
| Santa Cruz, CACalifornia | — | $995.03 |
| Santa Maria, CACalifornia | — | $976.57 |
| Santa Rosa, CACalifornia | — | $1,004.39 |
| Stockton, CACalifornia | — | $941.56 |
| Vallejo, CACalifornia | — | $1,050.42 |
| Visalia, CACalifornia | — | $941.56 |
| Yuba City, CACalifornia | — | $941.56 |
| ColoradoColorado | — | $946.93 |
| ConnecticutConnecticut | — | $993.28 |
| DelawareDelaware | — | $921.24 |
| Fort Lauderdale, FLFlorida | — | $1,009.32 |
| Rest of FloridaFlorida | — | $957.91 |
| Atlanta, GAGeorgia | — | $958.94 |
| Rest of GeorgiaGeorgia | — | $902.92 |
| Hawaii, Guam, HIHawaii | — | $956.19 |
| IowaIowa | — | $843.63 |
| IdahoIdaho | — | $852.44 |
| East St. Louis, ILIllinois | — | $986.77 |
| Rest of IllinoisIllinois | — | $944.41 |
| Suburban Chicago, ILIllinois | — | $1,015.15 |
| IndianaIndiana | — | $856.62 |
| KansasKansas | — | $848.17 |
| KentuckyKentucky | — | $877.47 |
| New Orleans, LALouisiana | — | $919.38 |
| Rest of LouisianaLouisiana | — | $879.47 |
| Metropolitan Boston, MAMassachusetts | — | $1,024.96 |
| Rest of MassachusettsMassachusetts | — | $945.18 |
| Baltimore area, MDMaryland | — | $992.24 |
| Rest of MarylandMaryland | — | $935.40 |
| Rest of MaineMaine | — | $865.42 |
| Southern Maine, MEMaine | — | $897.13 |
| Detroit, MIMichigan | — | $977.78 |
| Rest of MichiganMichigan | — | $906.57 |
| MinnesotaMinnesota | — | $884.48 |
| Metropolitan Kansas City, MOMissouri | — | $904.65 |
| Metropolitan St. Louis, MOMissouri | — | $912.49 |
| Rest of MissouriMissouri | — | $870.85 |
| MississippiMississippi | — | $849.93 |
| MontanaMontana | — | $933.05 |
| North CarolinaNorth Carolina | — | $872.57 |
| North DakotaNorth Dakota | — | $881.44 |
| NebraskaNebraska | — | $845.46 |
| New HampshireNew Hampshire | — | $940.18 |
| Northern New JerseyNew Jersey | — | $1,034.70 |
| Rest of New JerseyNew Jersey | — | $998.17 |
| NevadaNevada | — | $919.10 |
| NYC suburbs and Long Island, NYNew York | — | $1,116.52 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,011.38 |
| Queens, NYNew York | — | $1,077.29 |
| Rest of New YorkNew York | — | $885.55 |
| OhioOhio | — | $896.03 |
| OklahomaOklahoma | — | $867.18 |
| Portland, OROregon | — | $965.82 |
| Rest of OregonOregon | — | $905.59 |
| Metropolitan Philadelphia, PAPennsylvania | — | $975.29 |
| Rest of PennsylvaniaPennsylvania | — | $892.71 |
| Puerto RicoPuerto Rico | — | $936.70 |
| Rhode IslandRhode Island | — | $945.98 |
| South CarolinaSouth Carolina | — | $887.04 |
| South DakotaSouth Dakota | — | $875.34 |
| TennesseeTennessee | — | $853.22 |
| Austin, TXTexas | — | $949.37 |
| Beaumont, TXTexas | — | $887.83 |
| Brazoria, TXTexas | — | $913.41 |
| Dallas, TXTexas | — | $922.79 |
| Fort Worth, TXTexas | — | $919.57 |
| Galveston, TXTexas | — | $918.46 |
| Houston, TXTexas | — | $966.23 |
| Rest of TexasTexas | — | $902.55 |
| UtahUtah | — | $898.20 |
| VirginiaVirginia | — | $900.19 |
| Virgin Islands, VIUnited States Virgin Islands | — | $936.70 |
| VermontVermont | — | $885.80 |
| Rest of WashingtonWashington | — | $940.81 |
| King County, WAWashington | — | $1,036.66 |
| WisconsinWisconsin | — | $854.60 |
| West VirginiaWest Virginia | — | $913.74 |
| WyomingWyoming | — | $910.56 |
26358 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 26358 rate is calculated
Each of 26358’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 · 26358
RVUs × geographic indexes × conversion factor
Work12.29
12.29 RVUs× 1.000 GPCI
Practice expense13.04
13.04 RVUs× 1.000 GPCI
Malpractice2.61
2.61 RVUs× 1.000 GPCI
Adjusted RVUs
27.9400
Conversion factor
$33.4009
Medicare rate
$933.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,579
- Code
- 26358
- Physician work
- 12.29
- Practice expense
- 13.04
- Malpractice
- 2.61
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.29 | × 1.000 | 12.2900 |
| Practice expense | 13.04 | × 0.917 | 11.9577 |
| Malpractice | 2.61 | × 1.201 | 3.1346 |
| Total RVUs | 27.3823 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$914.59
Facility: (12.29 × 1 + 13.04 × 0.917 + 2.61 × 1.201) × $33.4009 = $914.59
Payment rules and modifiers for 26358
26358 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26358
Hand tendon repair, repair or graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26358
Hand tendon repair, repair or 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
26358 without 51 · national facility
$933.22
Hand tendon repair, repair or graft
26358-51 · Second procedure: 50%
$466.61
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%).
How 26358 has changed in New Mexico
26358 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $914.59 | RVU26D |
| 2026-07-01 | Not available in this setting | $914.59 | RVU26C |
| 2026-04-01 | Not available in this setting | $914.59 | RVU26B |
| 2026-01-01 | Not available in this setting | $914.59 | RVU26A |
| 2025-10-01 | Not available in this setting | $943.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $943.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $943.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $943.79 | RVU25A |
| 2024-10-01 | Not available in this setting | $965.47 | RVU24D |
| 2024-07-01 | Not available in this setting | $965.47 | RVU24C |
| 2024-04-01 | Not available in this setting | $965.47 | RVU24B |
| 2024-03-09 | Not available in this setting | $965.47 | RVU24AR |
| 2024-01-01 | Not available in this setting | $949.71 | RVU24A |
| 2023-10-01 | Not available in this setting | $971.33 | RVU23D |
| 2023-07-01 | Not available in this setting | $971.33 | RVU23C |
| 2023-04-01 | Not available in this setting | $971.33 | RVU23B |
| 2023-01-01 | Not available in this setting | $971.33 | RVU23A |
| 2022-10-01 | Not available in this setting | $980.11 | RVU22D |
| 2022-07-01 | Not available in this setting | $980.11 | RVU22C |
| 2022-04-01 | Not available in this setting | $980.11 | RVU22B |
| 2022-01-01 | Not available in this setting | $980.11 | RVU22A |
| 2021-10-01 | Not available in this setting | $982.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $982.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $982.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $982.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $998.15 | RVU20D |
| 2020-07-01 | Not available in this setting | $998.15 | RVU20C |
| 2020-04-01 | Not available in this setting | $998.15 | RVU20B |
| 2020-01-01 | Not available in this setting | $998.15 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,006.30 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,006.30 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,001.36 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,001.36 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,002.86 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,002.86 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,002.86 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,002.86 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $980.50 | RVU17D |
| 2017-07-01 | Not available in this setting | $980.50 | RVU17C |
| 2017-04-01 | Not available in this setting | $980.50 | RVU17B |
| 2017-01-01 | Not available in this setting | $980.50 | RVU17A |
| 2016-10-01 | Not available in this setting | $956.18 | RVU16D |
| 2016-07-01 | Not available in this setting | $956.18 | RVU16C |
| 2016-04-01 | Not available in this setting | $956.18 | RVU16B |
| 2016-01-01 | Not available in this setting | $956.18 | RVU16A |
| 2015-10-01 | Not available in this setting | $877.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $877.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $872.71 | RVU15B |
| 2015-01-01 | Not available in this setting | $872.71 | RVU15A |
| 2014-10-01 | Not available in this setting | $882.53 | RVU14D |
| 2014-07-01 | Not available in this setting | $882.53 | RVU14C |
| 2014-04-01 | Not available in this setting | $882.53 | RVU14B |
| 2014-01-01 | Not available in this setting | $882.53 | RVU14A |
| 2013-10-01 | Not available in this setting | $881.72 | RVU13D |
| 2013-07-01 | Not available in this setting | $881.72 | RVU13C |
| 2013-04-01 | Not available in this setting | $881.72 | RVU13B |
| 2013-01-01 | Not available in this setting | $881.72 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
26358 billing questions
What documentation supports reporting this code?
The operative report should identify the hand tendon treated, the underlying tendon problem, and the repair or graft work performed. Document the method and the extent of the procedure.
How is this distinguished from nearby tendon repair codes?
Codes 26350, 26352, 26356, 26357, 26372, and 26392 identify other tendon repair or graft services. Choose the code whose full CPT descriptor matches the documented operation rather than relying on the shared short descriptor.
Can this code be reported with modifier 50?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used to report bilateral payment.
Are related postoperative visits separately 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. CMS does not permit co-surgeons or team surgery for this code.
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
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