CPT code 26372: Hand tendon repair, secondary profundus repair with graft2026 Medicare rate & RVUs in Connecticut
Reports delayed repair of a finger’s profundus flexor tendon using a free graft when the superficialis tendon remains intact.
In Connecticut, Medicare pays $958.54 for 26372 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26372 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 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.
How Connecticut compares for 26372
Across 109 of 109 payment localities, the facility rate for 26372 runs from $791.09 in Arkansas to $1,140.70 in San Benito County, CA. Connecticut pays $958.54. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$958.54
- Los Angeles, CA · California$988.06+$29.52
- Washington, DC area · District of Columbia$1,017.20+$58.66
- Miami, FL · Florida$1,015.54+$57.00
- Chicago, IL · Illinois$983.46+$24.92
- Manhattan, NY · New York$1,041.01+$82.47
- Alaska · Alaska$1,051.64+$93.10
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $802.95 |
| ArkansasArkansas | — | $791.09 |
| ArizonaArizona | — | $872.02 |
| Bakersfield, CACalifornia | — | $931.01 |
| Chico, CACalifornia | — | $925.86 |
| El Centro, CACalifornia | — | $926.17 |
| Fresno, CACalifornia | — | $925.86 |
| Hanford, CACalifornia | — | $925.86 |
| Madera, CACalifornia | — | $925.86 |
| Merced, CACalifornia | — | $925.86 |
| Modesto, CACalifornia | — | $925.86 |
| Napa, CACalifornia | — | $1,057.95 |
| Oxnard, CACalifornia | — | $981.14 |
| Redding, CACalifornia | — | $925.86 |
| Rest of CaliforniaCalifornia | — | $925.86 |
| Riverside, CACalifornia | — | $945.95 |
| Sacramento, CACalifornia | — | $967.75 |
| Salinas, CACalifornia | — | $964.12 |
| San Diego, CACalifornia | — | $984.26 |
| Marin County, CACalifornia | — | $1,114.14 |
| San Francisco, CACalifornia | — | $1,112.02 |
| San Benito County, CACalifornia | — | $1,140.70 |
| Santa Clara County, CACalifornia | — | $1,132.02 |
| San Luis Obispo, CACalifornia | — | $949.17 |
| Santa Cruz, CACalifornia | — | $991.54 |
| Santa Maria, CACalifornia | — | $967.03 |
| Santa Rosa, CACalifornia | — | $1,001.23 |
| Stockton, CACalifornia | — | $925.86 |
| Vallejo, CACalifornia | — | $1,054.89 |
| Visalia, CACalifornia | — | $925.86 |
| Yuba City, CACalifornia | — | $925.86 |
| ColoradoColorado | — | $922.35 |
| DelawareDelaware | — | $886.47 |
| Fort Lauderdale, FLFlorida | — | $955.33 |
| Rest of FloridaFlorida | — | $905.38 |
| Atlanta, GAGeorgia | — | $919.92 |
| Rest of GeorgiaGeorgia | — | $851.26 |
| Hawaii, Guam, HIHawaii | — | $945.79 |
| IowaIowa | — | $814.07 |
| IdahoIdaho | — | $821.53 |
| East St. Louis, ILIllinois | — | $917.78 |
| Rest of IllinoisIllinois | — | $885.82 |
| Suburban Chicago, ILIllinois | — | $962.72 |
| IndianaIndiana | — | $826.14 |
| KansasKansas | — | $814.79 |
| KentuckyKentucky | — | $832.33 |
| New Orleans, LALouisiana | — | $874.33 |
| Rest of LouisianaLouisiana | — | $832.85 |
| Metropolitan Boston, MAMassachusetts | — | $1,008.14 |
| Rest of MassachusettsMassachusetts | — | $918.56 |
| Baltimore area, MDMaryland | — | $956.88 |
| Rest of MarylandMaryland | — | $902.13 |
| Rest of MaineMaine | — | $830.84 |
| Southern Maine, MEMaine | — | $869.89 |
| Detroit, MIMichigan | — | $921.69 |
| Rest of MichiganMichigan | — | $858.71 |
| MinnesotaMinnesota | — | $869.57 |
| Metropolitan Kansas City, MOMissouri | — | $863.31 |
| Metropolitan St. Louis, MOMissouri | — | $871.92 |
| Rest of MissouriMissouri | — | $821.38 |
| MississippiMississippi | — | $806.16 |
| MontanaMontana | — | $897.69 |
| North CarolinaNorth Carolina | — | $838.95 |
| North DakotaNorth Dakota | — | $860.72 |
| NebraskaNebraska | — | $817.22 |
| New HampshireNew Hampshire | — | $912.23 |
| Northern New JerseyNew Jersey | — | $1,007.27 |
| Rest of New JerseyNew Jersey | — | $965.48 |
| New MexicoNew Mexico | — | $865.38 |
| NevadaNevada | — | $887.93 |
| NYC suburbs and Long Island, NYNew York | — | $1,072.57 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $975.63 |
| Queens, NYNew York | — | $1,042.85 |
| Rest of New YorkNew York | — | $852.16 |
| OhioOhio | — | $851.15 |
| OklahomaOklahoma | — | $825.88 |
| Portland, OROregon | — | $946.69 |
| Rest of OregonOregon | — | $877.10 |
| Metropolitan Philadelphia, PAPennsylvania | — | $937.38 |
| Rest of PennsylvaniaPennsylvania | — | $849.93 |
| Puerto RicoPuerto Rico | — | $902.84 |
| Rhode IslandRhode Island | — | $914.53 |
| South CarolinaSouth Carolina | — | $847.25 |
| South DakotaSouth Dakota | — | $856.34 |
| TennesseeTennessee | — | $819.57 |
| Austin, TXTexas | — | $922.72 |
| Beaumont, TXTexas | — | $844.59 |
| Brazoria, TXTexas | — | $881.54 |
| Dallas, TXTexas | — | $889.42 |
| Fort Worth, TXTexas | — | $884.81 |
| Galveston, TXTexas | — | $885.62 |
| Houston, TXTexas | — | $919.85 |
| Rest of TexasTexas | — | $864.11 |
| UtahUtah | — | $858.92 |
| VirginiaVirginia | — | $870.24 |
| Virgin Islands, VIUnited States Virgin Islands | — | $902.84 |
| VermontVermont | — | $861.54 |
| Rest of WashingtonWashington | — | $915.43 |
| King County, WAWashington | — | $1,024.10 |
| WisconsinWisconsin | — | $831.83 |
| West VirginiaWest Virginia | — | $853.72 |
| WyomingWyoming | — | $881.58 |
26372 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 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.
How the rate is built · 26372
RVUs × geographic indexes × conversion factor
Work8.78
8.78 RVUs× 1.000 GPCI
Practice expense16.23
16.23 RVUs× 1.000 GPCI
Malpractice1.87
1.87 RVUs× 1.000 GPCI
Adjusted RVUs
26.8800
Conversion factor
$33.4009
Medicare rate
$897.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,581
- Code
- 26372
- Physician work
- 8.78
- Practice expense
- 16.23
- Malpractice
- 1.87
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.020 | 8.9556 |
| Practice expense | 16.23 | × 1.077 | 17.4797 |
| Malpractice | 1.87 | × 1.210 | 2.2627 |
| Total RVUs | 28.6980 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$958.54
Facility: (8.78 × 1.02 + 16.23 × 1.077 + 1.87 × 1.21) × $33.4009 = $958.54
Payment rules and modifiers for 26372
26372 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26372
Hand tendon repair, secondary profundus repair with 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 · 26372
Hand tendon repair, secondary profundus repair with 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
26372 without 51 · national facility
$897.82
Hand tendon repair, secondary profundus repair with graft
26372-51 · Second procedure: 50%
$448.91
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 26372 has changed in Connecticut
26372 · 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 | $958.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $958.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $958.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $958.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $962.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $962.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $962.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $962.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $994.96 | RVU24D |
| 2024-07-01 | Not available in this setting | $994.96 | RVU24C |
| 2024-04-01 | Not available in this setting | $994.96 | RVU24B |
| 2024-03-09 | Not available in this setting | $994.96 | RVU24AR |
| 2024-01-01 | Not available in this setting | $978.72 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,014.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,014.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,014.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,014.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,035.87 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,035.87 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,035.87 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,035.87 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,032.27 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,032.27 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,032.27 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,032.27 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,005.37 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,005.37 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,005.37 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,005.37 | RVU20A |
| 2019-10-01 | Not available in this setting | $981.82 | RVU19D |
| 2019-07-01 | Not available in this setting | $981.82 | RVU19C |
| 2019-04-01 | Not available in this setting | $977.75 | RVU19B |
| 2019-01-01 | Not available in this setting | $977.75 | RVU19A |
| 2018-10-01 | Not available in this setting | $986.25 | RVU18D |
| 2018-07-01 | Not available in this setting | $986.25 | RVU18C |
| 2018-04-01 | Not available in this setting | $986.25 | RVU18B |
| 2018-01-01 | Not available in this setting | $986.25 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $952.01 | RVU17D |
| 2017-07-01 | Not available in this setting | $952.01 | RVU17C |
| 2017-04-01 | Not available in this setting | $952.01 | RVU17B |
| 2017-01-01 | Not available in this setting | $952.01 | RVU17A |
| 2016-10-01 | Not available in this setting | $971.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $971.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $971.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $971.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $987.20 | RVU15D |
| 2015-07-01 | Not available in this setting | $987.20 | RVU15C |
| 2015-04-01 | Not available in this setting | $982.29 | RVU15B |
| 2015-01-01 | Not available in this setting | $982.29 | RVU15A |
| 2014-10-01 | Not available in this setting | $967.35 | RVU14D |
| 2014-07-01 | Not available in this setting | $967.35 | RVU14C |
| 2014-04-01 | Not available in this setting | $967.35 | RVU14B |
| 2014-01-01 | Not available in this setting | $967.35 | RVU14A |
| 2013-10-01 | Not available in this setting | $974.06 | RVU13D |
| 2013-07-01 | Not available in this setting | $974.06 | RVU13C |
| 2013-04-01 | Not available in this setting | $974.06 | RVU13B |
| 2013-01-01 | Not available in this setting | $974.06 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
26372 billing questions
When is 26372 chosen instead of 26373?
Choose 26372 when the secondary profundus tendon repair uses a free graft. Code 26373 describes the corresponding secondary repair without a free graft.
What distinguishes 26372 from 26370?
Code 26370 is for primary repair of the profundus tendon with the superficialis intact. Code 26372 is for a secondary reconstruction using a free graft.
Is obtaining the tendon graft separately reported?
No. Obtaining the free graft is included in the repair represented by 26372.
Should modifier 50 be used if tendons in both hands are repaired?
No. CMS does not provide a bilateral adjustment for 26372; modifier 50 is inappropriate.
How does CMS handle another procedure performed during the same session?
The standard multiple-procedure reduction applies: CMS pays the highest-valued procedure in full and other procedures at 50%.
Can surgical assistance be billed for this repair?
An assistant at surgery may be paid. CMS does not permit co-surgeon or team-surgery billing for 26372.
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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