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

In Puerto Rico, Medicare pays $855.68 for 26390 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26390 nationwide

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

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.

How Puerto Rico compares for 26390

Across 109 of 109 payment localities, the facility rate for 26390 runs from $752.10 in Arkansas to $1,066.48 in San Benito County, CA. Puerto Rico pays $855.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26390 rates by state

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

See 26390 in every payment locality

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.

Payment rules and modifiers for 26390

26390 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

Codes related to 26390

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

How 26390 has changed in Puerto Rico

Price 26390 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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