CPT code 26372: Hand tendon repair, secondary profundus repair with graft2026 Medicare rate & RVUs in Illinois
Reports delayed repair of a finger’s profundus flexor tendon using a free graft when the superficialis tendon remains intact.
CMS doesn’t publish an office rate for 26372 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | $983.46 |
| East St. Louis, IL | Unavailable | $917.78 |
| Rest of Illinois | Unavailable | $885.82 |
| Suburban Chicago, IL | Unavailable | $962.72 |
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.
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%).
26372 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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