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CPT code 26390: Tendon revision, hand or finger2026 Medicare rate & RVUs

Reports surgical revision of a tendon in the hand or finger, typically when a prior tendon procedure requires corrective work.

CMS RVU26DEffective Oct 1, 2026109 payment localities70 Medicare services in 2024

Medicare pays $851.39 for 26390 nationally in a facility.

Medicare rate · 26390

Tendon revision, hand or finger

Office or facility?

Work RVUs
9.19
Total RVUs
25.49
Global days
090

National rate · 2026

$851.39

Facility setting, before claim adjustments.

See every locality for 26390 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 26390 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 26390 covers

A hand surgeon revises a tendon in the hand or finger when prior tendon surgery has left a problem requiring operative correction. The service may be performed by an orthopedic or plastic surgeon in an operating room. The operative record should identify the affected tendon and site, the prior procedure or condition prompting revision, and the corrective work actually performed. This code describes revision, not simply a new primary tendon repair or treatment of restricted movement by manipulation.

Report the code when the surgeon performs revision of the hand or finger tendon; distinguish it from a repair performed as the primary procedure and from tendon release for adhesions. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 26390 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

26390 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$763.11
AlaskaUnavailable$1,006.60
ArizonaUnavailable$827.11
ArkansasUnavailable$752.10
Atlanta, GAUnavailable$873.13
Austin, TXUnavailable$872.32
Bakersfield, CAUnavailable$877.60
Baltimore area, MDUnavailable$906.78
Beaumont, TXUnavailable$803.63
Brazoria, TXUnavailable$835.13

26390 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
26390 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

How the 26390 rate is calculated

Each of 26390’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 · 26390

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.19

9.19 RVUs× 1.000 GPCI

Practice expense14.34

14.34 RVUs× 1.000 GPCI

Malpractice1.96

1.96 RVUs× 1.000 GPCI

Adjusted RVUs

25.4900

Conversion factor

$33.4009

Medicare rate

$851.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 26390

26390 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26390

Tendon revision, hand or finger

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)1Permitted with supporting documentation.
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 · 26390

Tendon revision, hand or finger

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

26390 without 51 · national facility

$851.39

Tendon revision, hand or finger

26390-51 · Second procedure: 50%

$425.70

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

26390 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 26390

    Tendon revision, hand or finger9.19 wRVU

    Not priced

  • 26356

    Flexor tendon repair, secondary, without free graft9.32 wRVU

    Not priced

  • 26358

    Hand tendon repair, repair or graft12.29 wRVU

    Not priced

  • 26440

    Flexor tenolysis, palm and finger5.03 wRVU

    Not priced

How to choose

26356Flexor tendon repairSecondary, without free graft
Use 26356 for a primary hand or finger tendon repair without grafting; use 26390 when the operation is a revision of prior tendon treatment.
26358Hand tendon repairRepair or graft
26358 describes tendon repair involving a graft. It is a primary repair option, whereas 26390 identifies revision surgery.
26440Flexor tenolysisPalm and finger
26440 is for releasing flexor tendon adhesions. Choose 26390 when the surgeon revises the tendon rather than performing tenolysis alone.

Codes related to 26390

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 26390
CodeHow it relatesNational office range
Used instead
26356Flexor tendon repair, secondary, without free graftA primary hand or finger tendon repair may fit when the procedure is not revision.No office rate
26358Hand tendon repair, repair or graftConsider for a primary hand tendon repair involving grafting rather than revision.No office rate
26372Hand tendon repair, secondary profundus repair with graftA graft repair code may fit a primary tendon reconstruction instead of revision.No office rate
26373Flexor tendon repair, secondary, zone 2, with graftConsider when the procedure is a primary hand or finger tendon repair, not revision.No office rate
26440Flexor tenolysis, palm and fingerTenolysis addresses flexor tendon adhesions rather than revision of the tendon.No office rate

26390 billing questions

How is revision different from a primary tendon repair?

Use revision when the operation corrects a problem involving a previously treated tendon. A primary repair code describes a tendon repair performed as the primary procedure rather than revision of prior work.

Is tendon adhesions release the same service?

No. Tenolysis frees a tendon restricted by adhesions; report revision when the surgeon performs corrective surgery on the tendon itself rather than only releasing adhesions.

Does this code have a 90-day global period?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for both hands or fingers?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

When can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 26390PPRRVU2026_Oct_nonQPP.csv, line 2,583 (RVU26D)

Open CMS sourceHow we calculate rates

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