CPT code 26410: Hand tendon repair, extensor tendon, without graft2026 Medicare rate & RVUs in Florida
Repairs an extensor tendon within the hand without a free graft, reported for each tendon repaired during primary or later operative treatment.
CMS doesn’t publish an office rate for 26410 in Florida.
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 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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $628.20 |
| Miami, FL | Unavailable | $661.45 |
| Rest of Florida | Unavailable | $595.49 |
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.
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%).
26410 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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