CPT code 26410: Hand tendon repair, extensor tendon, without graft2026 Medicare rate & RVUs in Arkansas
Repairs an extensor tendon within the hand without a free graft, reported for each tendon repaired during primary or later operative treatment.
In Arkansas, Medicare pays $525.71 for 26410 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 26410 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Arkansas compares for 26410
Across 109 of 109 payment localities, the facility rate for 26410 runs from $525.71 in Arkansas to $784.30 in San Benito County, CA. Arkansas pays $525.71. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$525.71
- Los Angeles, CA · California$670.42+$144.71
- Washington, DC area · District of Columbia$683.87+$158.16
- Miami, FL · Florida$661.45+$135.74
- Chicago, IL · Illinois$640.63+$114.92
- Manhattan, NY · New York$693.03+$167.32
- Alaska · Alaska$689.56+$163.85
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $533.85 |
| ArizonaArizona | — | $581.41 |
| Bakersfield, CACalifornia | — | $629.41 |
| Chico, CACalifornia | — | $626.90 |
| El Centro, CACalifornia | — | $627.05 |
| Fresno, CACalifornia | — | $626.90 |
| Hanford, CACalifornia | — | $626.90 |
| Madera, CACalifornia | — | $626.90 |
| Merced, CACalifornia | — | $626.90 |
| Modesto, CACalifornia | — | $626.90 |
| Napa, CACalifornia | — | $724.93 |
| Oxnard, CACalifornia | — | $666.76 |
| Redding, CACalifornia | — | $626.90 |
| Rest of CaliforniaCalifornia | — | $626.90 |
| Riverside, CACalifornia | — | $636.59 |
| Sacramento, CACalifornia | — | $657.53 |
| Salinas, CACalifornia | — | $655.10 |
| San Diego, CACalifornia | — | $670.42 |
| Marin County, CACalifornia | — | $766.44 |
| San Francisco, CACalifornia | — | $765.41 |
| San Benito County, CACalifornia | — | $784.30 |
| Santa Clara County, CACalifornia | — | $780.12 |
| San Luis Obispo, CACalifornia | — | $644.67 |
| Santa Cruz, CACalifornia | — | $676.69 |
| Santa Maria, CACalifornia | — | $657.53 |
| Santa Rosa, CACalifornia | — | $683.46 |
| Stockton, CACalifornia | — | $626.90 |
| Vallejo, CACalifornia | — | $723.45 |
| Visalia, CACalifornia | — | $626.90 |
| Yuba City, CACalifornia | — | $626.90 |
| ColoradoColorado | — | $620.27 |
| ConnecticutConnecticut | — | $639.78 |
| DelawareDelaware | — | $591.33 |
| Fort Lauderdale, FLFlorida | — | $628.20 |
| Rest of FloridaFlorida | — | $595.49 |
| Atlanta, GAGeorgia | — | $611.66 |
| Rest of GeorgiaGeorgia | — | $559.69 |
| Hawaii, Guam, HIHawaii | — | $642.49 |
| IowaIowa | — | $545.30 |
| IdahoIdaho | — | $549.65 |
| East St. Louis, ILIllinois | — | $595.97 |
| Rest of IllinoisIllinois | — | $579.52 |
| Suburban Chicago, ILIllinois | — | $633.99 |
| IndianaIndiana | — | $552.93 |
| KansasKansas | — | $543.97 |
| KentuckyKentucky | — | $550.13 |
| New Orleans, LALouisiana | — | $578.26 |
| Rest of LouisianaLouisiana | — | $549.77 |
| Metropolitan Boston, MAMassachusetts | — | $681.76 |
| Rest of MassachusettsMassachusetts | — | $616.82 |
| Baltimore area, MDMaryland | — | $638.31 |
| Rest of MarylandMaryland | — | $602.59 |
| Rest of MaineMaine | — | $554.13 |
| Southern Maine, MEMaine | — | $583.73 |
| Detroit, MIMichigan | — | $604.70 |
| Rest of MichiganMichigan | — | $566.48 |
| MinnesotaMinnesota | — | $589.36 |
| Metropolitan Kansas City, MOMissouri | — | $572.65 |
| Metropolitan St. Louis, MOMissouri | — | $578.77 |
| Rest of MissouriMissouri | — | $540.75 |
| MississippiMississippi | — | $533.27 |
| MontanaMontana | — | $598.48 |
| North CarolinaNorth Carolina | — | $560.01 |
| North DakotaNorth Dakota | — | $580.69 |
| NebraskaNebraska | — | $548.03 |
| New HampshireNew Hampshire | — | $611.73 |
| Northern New JerseyNew Jersey | — | $676.48 |
| Rest of New JerseyNew Jersey | — | $645.68 |
| New MexicoNew Mexico | — | $570.29 |
| NevadaNevada | — | $593.94 |
| NYC suburbs and Long Island, NYNew York | — | $712.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $651.10 |
| Queens, NYNew York | — | $696.97 |
| Rest of New YorkNew York | — | $568.96 |
| OhioOhio | — | $562.84 |
| OklahomaOklahoma | — | $547.63 |
| Portland, OROregon | — | $639.20 |
| Rest of OregonOregon | — | $587.96 |
| Metropolitan Philadelphia, PAPennsylvania | — | $624.08 |
| Rest of PennsylvaniaPennsylvania | — | $563.01 |
| Puerto RicoPuerto Rico | — | $602.64 |
| Rhode IslandRhode Island | — | $611.88 |
| South CarolinaSouth Carolina | — | $562.63 |
| South DakotaSouth Dakota | — | $578.58 |
| TennesseeTennessee | — | $547.03 |
| Austin, TXTexas | — | $619.39 |
| Beaumont, TXTexas | — | $559.22 |
| Brazoria, TXTexas | — | $589.45 |
| Dallas, TXTexas | — | $594.02 |
| Fort Worth, TXTexas | — | $590.28 |
| Galveston, TXTexas | — | $591.72 |
| Houston, TXTexas | — | $608.20 |
| Rest of TexasTexas | — | $574.56 |
| UtahUtah | — | $570.69 |
| VirginiaVirginia | — | $582.68 |
| Virgin Islands, VIUnited States Virgin Islands | — | $602.64 |
| VermontVermont | — | $579.56 |
| Rest of WashingtonWashington | — | $615.28 |
| King County, WAWashington | — | $694.60 |
| WisconsinWisconsin | — | $560.39 |
| West VirginiaWest Virginia | — | $557.38 |
| WyomingWyoming | — | $590.73 |
26410 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,585
- Code
- 26410
- Physician work
- 4.65
- Practice expense
- 12.37
- Malpractice
- 0.90
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.65 | × 1.000 | 4.6500 |
| Practice expense | 12.37 | × 0.859 | 10.6258 |
| Malpractice | 0.90 | × 0.515 | 0.4635 |
| Total RVUs | 15.7393 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$525.71
Facility: (4.65 × 1 + 12.37 × 0.859 + 0.9 × 0.515) × $33.4009 = $525.71
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
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 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.
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%).
How 26410 has changed in Arkansas
26410 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $525.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $525.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $525.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $525.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $517.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $517.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $517.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $517.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $535.92 | RVU24D |
| 2024-07-01 | Not available in this setting | $535.92 | RVU24C |
| 2024-04-01 | Not available in this setting | $535.92 | RVU24B |
| 2024-03-09 | Not available in this setting | $535.92 | RVU24AR |
| 2024-01-01 | Not available in this setting | $527.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $543.58 | RVU23D |
| 2023-07-01 | Not available in this setting | $543.58 | RVU23C |
| 2023-04-01 | Not available in this setting | $543.58 | RVU23B |
| 2023-01-01 | Not available in this setting | $543.58 | RVU23A |
| 2022-10-01 | Not available in this setting | $549.76 | RVU22D |
| 2022-07-01 | Not available in this setting | $549.76 | RVU22C |
| 2022-04-01 | Not available in this setting | $549.76 | RVU22B |
| 2022-01-01 | Not available in this setting | $549.76 | RVU22A |
| 2021-10-01 | Not available in this setting | $544.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $544.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $544.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $544.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $527.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $527.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $527.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $527.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $511.66 | RVU19D |
| 2019-07-01 | Not available in this setting | $511.66 | RVU19C |
| 2019-04-01 | Not available in this setting | $511.66 | RVU19B |
| 2019-01-01 | Not available in this setting | $511.66 | RVU19A |
| 2018-10-01 | Not available in this setting | $515.29 | RVU18D |
| 2018-07-01 | Not available in this setting | $515.29 | RVU18C |
| 2018-04-01 | Not available in this setting | $515.29 | RVU18B |
| 2018-01-01 | Not available in this setting | $515.29 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $509.07 | RVU17D |
| 2017-07-01 | Not available in this setting | $509.07 | RVU17C |
| 2017-04-01 | Not available in this setting | $509.07 | RVU17B |
| 2017-01-01 | Not available in this setting | $509.07 | RVU17A |
| 2016-10-01 | Not available in this setting | $505.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $505.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $505.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $505.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $506.25 | RVU15D |
| 2015-07-01 | Not available in this setting | $506.25 | RVU15C |
| 2015-04-01 | Not available in this setting | $503.74 | RVU15B |
| 2015-01-01 | Not available in this setting | $503.74 | RVU15A |
| 2014-10-01 | Not available in this setting | $498.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $498.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $498.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $498.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $504.64 | RVU13D |
| 2013-07-01 | Not available in this setting | $504.64 | RVU13C |
| 2013-04-01 | Not available in this setting | $504.64 | RVU13B |
| 2013-01-01 | Not available in this setting | $504.64 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
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
Fee sheets
Put 26410 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet