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CPT code 26410: Hand tendon repair, extensor tendon, without graft2026 Medicare rate & RVUs

Repairs an extensor tendon within the hand without a free graft, reported for each tendon repaired during primary or later operative treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $598.54 for 26410 nationally in a facility.

Medicare rate · 26410

Hand tendon repair, extensor tendon, without graft

Office or facility?

Work RVUs
4.65
Total RVUs
17.92
Global days
090

National rate · 2026

$598.54

Facility setting, before claim adjustments.

See every locality for 26410 →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 26410 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 26410 covers

A hand surgeon restores continuity of an extensor tendon located in the hand, usually by suturing the injured tendon ends. A typical setting is the operating room after a dorsal hand laceration has divided an extensor tendon; later operative repair may be needed when the tendon was not repaired initially. The service is for the hand-level tendon repair, not a repair at the finger level.

Report the code for each tendon repaired when no free graft is used. The operative report should identify the tendon and anatomic level, describe the injury and repair, and support the number of tendons treated. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate.

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 26410 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

26410 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$533.85
AlaskaUnavailable$689.56
ArizonaUnavailable$581.41
ArkansasUnavailable$525.71
Atlanta, GAUnavailable$611.66
Austin, TXUnavailable$619.39
Bakersfield, CAUnavailable$629.41
Baltimore area, MDUnavailable$638.31
Beaumont, TXUnavailable$559.22
Brazoria, TXUnavailable$589.45

26410 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
26410 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 26410 rate is calculated

Each of 26410’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 · 26410

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.65

4.65 RVUs× 1.000 GPCI

Practice expense12.37

12.37 RVUs× 1.000 GPCI

Malpractice0.90

0.90 RVUs× 1.000 GPCI

Adjusted RVUs

17.9200

Conversion factor

$33.4009

Medicare rate

$598.54

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

Payment rules and modifiers for 26410

26410 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26410

Hand tendon repair, extensor tendon, without 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)1Not paid (statutory restriction).
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 · 26410

Hand tendon repair, extensor tendon, without 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

26410 without 51 · national facility

$598.54

Hand tendon repair, extensor tendon, without graft

26410-51 · Second procedure: 50%

$299.27

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

26410 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 26410

    Hand tendon repair, extensor tendon, without graft4.65 wRVU

    Not priced

  • 26412

    Tendon repair, hand, secondary with graft6.32 wRVU

    Not priced

  • 26416

    Tendon graft, hand or finger9.32 wRVU

    Not priced

  • 26418

    Finger tendon repair, without free graft4.36 wRVU

    Not priced

How to choose

26412Tendon repairHand, secondary with graft
Use 26410 for hand-level extensor tendon repair without a free graft. Code 26412 is the related hand repair when a free graft is used.
26416Tendon graftHand or finger
Code 26416 describes grafting of a hand or finger tendon. This code is for repairing the hand-level extensor tendon without a free graft.
26418Finger tendon repairWithout free graft
The anatomic level distinguishes these codes: 26418 applies to extensor tendon repair in a finger, while 26410 is for a tendon in the hand.

Codes related to 26410

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

Codes related to 26410
CodeHow it relatesNational office range
Used instead
26412Tendon repair, hand, secondary with graftHand-level extensor tendon repair when a free graft is used.No office rate
26416Tendon graft, hand or fingerTendon grafting for hand or finger reconstruction rather than direct repair alone.No office rate
26418Finger tendon repair, without free graftExtensor tendon repair when the operative site is the finger.No office rate
26420Tendon repair, finger, with free graftFinger-level repair or graft procedure, distinguished from this hand-level repair.No office rate

26410 billing questions

How does this differ from a finger extensor tendon repair?

Choose this code when the repaired extensor tendon is in the hand. A repair at the finger level is reported with the applicable finger repair code, such as 26418.

Can this code be reported when a free tendon graft is used?

No. This code describes repair without a free graft. A graft-based hand tendon repair or reconstruction may point to 26412 or 26416, depending on the procedure performed.

Is the code reported once for the encounter or for each tendon?

It is reported for each tendon repaired. Document each tendon and its hand-level location so the reported count is supported.

Can modifier 50 be used for repairs on both hands?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the services according to the applicable claim instructions without modifier 50.

Is an assistant surgeon payable for this repair?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are also not permitted.

How does the 90-day global period affect follow-up visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

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 26410PPRRVU2026_Oct_nonQPP.csv, line 2,585 (RVU26D)

Open CMS sourceHow we calculate rates

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