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.

CMS RVU26DEffective Oct 1, 2026One payment locality36 Medicare services in 2024

In Connecticut, Medicare pays $958.54 for 26372 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$958.54Hospital or facility

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.

We’ll open 26372 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 26372 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 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.

26372 in Connecticut vs other payment areas
  1. Connecticut · this page$958.54
  2. Los Angeles, CA · California$988.06+$29.52
  3. Washington, DC area · District of Columbia$1,017.20+$58.66
  4. Miami, FL · Florida$1,015.54+$57.00
  5. Chicago, IL · Illinois$983.46+$24.92
  6. Manhattan, NY · New York$1,041.01+$82.47
  7. Alaska · Alaska$1,051.64+$93.10

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

Every other payment area

26372 in every other Medicare payment locality
Payment localityOfficeFacility
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

26372 rates by state

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

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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
26372 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 26372 in every payment locality

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

Office or facility?

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
Facility calculation for 26372 in Connecticut
ComponentRVULocality factorAdjusted
Physician work8.78× 1.0208.9556
Practice expense16.23× 1.07717.4797
Malpractice1.87× 1.2102.2627
Total RVUs28.6980
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

Open 26372 in the RVU calculator

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

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)0Not permitted.
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 · 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.

  • 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

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%).

When to use modifier 51

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.

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$958.54RVU26D
2026-07-01Not available in this setting$958.54RVU26C
2026-04-01Not available in this setting$958.54RVU26B
2026-01-01Not available in this setting$958.54RVU26A
2025-10-01Not available in this setting$962.21RVU25D
2025-07-01Not available in this setting$962.21RVU25C
2025-04-01Not available in this setting$962.21RVU25B
2025-01-01Not available in this setting$962.21RVU25A
2024-10-01Not available in this setting$994.96RVU24D
2024-07-01Not available in this setting$994.96RVU24C
2024-04-01Not available in this setting$994.96RVU24B
2024-03-09Not available in this setting$994.96RVU24AR
2024-01-01Not available in this setting$978.72RVU24A
2023-10-01Not available in this setting$1,014.97RVU23D
2023-07-01Not available in this setting$1,014.97RVU23C
2023-04-01Not available in this setting$1,014.97RVU23B
2023-01-01Not available in this setting$1,014.97RVU23A
2022-10-01Not available in this setting$1,035.87RVU22D
2022-07-01Not available in this setting$1,035.87RVU22C
2022-04-01Not available in this setting$1,035.87RVU22B
2022-01-01Not available in this setting$1,035.87RVU22A
2021-10-01Not available in this setting$1,032.27RVU21D
2021-07-01Not available in this setting$1,032.27RVU21C
2021-04-01Not available in this setting$1,032.27RVU21B
2021-01-01Not available in this setting$1,032.27RVU21A
2020-10-01Not available in this setting$1,005.37RVU20D
2020-07-01Not available in this setting$1,005.37RVU20C
2020-04-01Not available in this setting$1,005.37RVU20B
2020-01-01Not available in this setting$1,005.37RVU20A
2019-10-01Not available in this setting$981.82RVU19D
2019-07-01Not available in this setting$981.82RVU19C
2019-04-01Not available in this setting$977.75RVU19B
2019-01-01Not available in this setting$977.75RVU19A
2018-10-01Not available in this setting$986.25RVU18D
2018-07-01Not available in this setting$986.25RVU18C
2018-04-01Not available in this setting$986.25RVU18B
2018-01-01Not available in this setting$986.25RVU18AR1
2017-10-01Not available in this setting$952.01RVU17D
2017-07-01Not available in this setting$952.01RVU17C
2017-04-01Not available in this setting$952.01RVU17B
2017-01-01Not available in this setting$952.01RVU17A
2016-10-01Not available in this setting$971.85RVU16D
2016-07-01Not available in this setting$971.85RVU16C
2016-04-01Not available in this setting$971.85RVU16B
2016-01-01Not available in this setting$971.85RVU16A
2015-10-01Not available in this setting$987.20RVU15D
2015-07-01Not available in this setting$987.20RVU15C
2015-04-01Not available in this setting$982.29RVU15B
2015-01-01Not available in this setting$982.29RVU15A
2014-10-01Not available in this setting$967.35RVU14D
2014-07-01Not available in this setting$967.35RVU14C
2014-04-01Not available in this setting$967.35RVU14B
2014-01-01Not available in this setting$967.35RVU14A
2013-10-01Not available in this setting$974.06RVU13D
2013-07-01Not available in this setting$974.06RVU13C
2013-04-01Not available in this setting$974.06RVU13B
2013-01-01Not available in this setting$974.06RVU13AR

Price 26372 for an earlier date of service

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

Browse all communities in Connecticut

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
RVUs for 26372PPRRVU2026_Oct_nonQPP.csv, line 2,581 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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