CPT code 26372: Hand tendon repair, secondary profundus repair with graft2026 Medicare rate & RVUs

Medicare pays $897.82 for 26372 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 26372 covers

This operation restores flexion at the fingertip after an earlier profundus tendon injury that cannot be repaired directly. A hand surgeon reconstructs the profundus tendon with a free tendon graft while the superficialis tendon remains intact. It is typically performed in a surgical facility for a finger that has lost active fingertip flexion after a prior laceration. Obtaining the graft is included in the repair.

Select 26372 for a secondary repair with a free graft, rather than a primary repair or a secondary repair without a graft. The operative report should identify the injured tendon, confirm the condition of the superficialis tendon, describe the graft, and identify each tendon repaired. CMS assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and others at 50%. Do not use modifier 50 for this code. An assistant at surgery may be paid; co-surgeon and team-surgery billing 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.

Where 26372 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

26372 rates by state

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

How the 26372 rate is calculated

Each of 26372’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 26372

26372 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

26372 compared with similar codes

How to choose

26370Tendon repairWithout free graft

Use 26370 for primary repair of the profundus tendon when the superficialis remains intact. Use 26372 for secondary repair requiring a free graft.

26373Flexor tendon repairSecondary, zone 2, with graft

Both address secondary profundus tendon repair with an intact superficialis tendon. The free graft distinguishes 26372 from repair without a graft under 26373.

26352Tendon repairSecondary, without free graft

Code 26352 describes a graft-based flexor tendon repair in the zone 2 digital tendon sheath. Code 26372 is specific to profundus reconstruction when the superficialis tendon remains intact.

Codes related to 26372

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