FeeBase
Log inGet started
Menu

CPT code 26412: Tendon repair, hand, secondary with graft2026 Medicare rate & RVUs

Reports secondary reconstruction of a hand extensor tendon using a free tendon graft when the repair requires graft material to restore continuity.

CMS RVU26DEffective Oct 1, 2026109 payment localities136 Medicare services in 2024

Medicare pays $695.41 for 26412 nationally in a facility.

Medicare rate · 26412

Tendon repair, hand, secondary with graft

Office or facility?

Work RVUs
6.32
Total RVUs
20.82
Global days
090

National rate · 2026

$695.41

Facility setting, before claim adjustments.

See every locality for 26412 →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 26412 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 26412 covers

This code covers secondary reconstruction of an extensor tendon in the hand when a free tendon graft is needed to bridge a defect or restore tendon length and continuity. It is generally performed by a hand, orthopedic, or plastic surgeon in an operating room, often for a delayed tendon injury or a tendon that cannot be repaired directly because of a gap or scarring. The graft may be harvested during the procedure; obtaining the graft is included in this service.

Report the code for each tendon treated, and document the hand tendon involved, the secondary nature of the repair, why direct repair was inadequate, and the graft used. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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 26412 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

26412 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$622.38
AlaskaUnavailable$811.66
ArizonaUnavailable$675.83
ArkansasUnavailable$613.22
Atlanta, GAUnavailable$711.27
Austin, TXUnavailable$716.97
Bakersfield, CAUnavailable$726.23
Baltimore area, MDUnavailable$740.77
Beaumont, TXUnavailable$652.59
Brazoria, TXUnavailable$684.21

26412 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
26412 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 26412 rate is calculated

Each of 26412’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 · 26412

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.32

6.32 RVUs× 1.000 GPCI

Practice expense13.29

13.29 RVUs× 1.000 GPCI

Malpractice1.21

1.21 RVUs× 1.000 GPCI

Adjusted RVUs

20.8200

Conversion factor

$33.4009

Medicare rate

$695.41

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

Payment rules and modifiers for 26412

26412 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26412

Tendon repair, hand, secondary with 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)0Not paid without supporting documentation.
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 · 26412

Tendon repair, hand, secondary with 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

26412 without 51 · national facility

$695.41

Tendon repair, hand, secondary with graft

26412-51 · Second procedure: 50%

$347.71

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

26412 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 26412

    Tendon repair, hand, secondary with graft6.32 wRVU

    Not priced

  • 26410

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

    Not priced

  • 26416

    Tendon graft, hand or finger9.32 wRVU

    Not priced

  • 26420

    Tendon repair, finger, with free graft6.77 wRVU

    Not priced

How to choose

26410Hand tendon repairExtensor tendon, without graft
Choose 26410 for hand extensor tendon repair without a free graft; 26412 involves secondary repair with a free graft.
26416Tendon graftHand or finger
26416 describes a tendon graft service. 26412 is the secondary hand tendon repair with graft incorporated into the reconstruction.
26420Tendon repairFinger, with free graft
26420 is the related graft repair code for a finger tendon. Use 26412 for the hand tendon service.

Codes related to 26412

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

Codes related to 26412
CodeHow it relatesNational office range
Same family
26410Hand tendon repair, extensor tendon, without graftHand extensor tendon repair without a free graft.No office rate
26418Finger tendon repair, without free graftRelated extensor tendon repair code for a finger.No office rate
26420Tendon repair, finger, with free graftRelated finger extensor tendon repair code involving a free graft.No office rate

26412 billing questions

When should 26412 be chosen instead of 26410?

Use 26412 when secondary repair of a hand extensor tendon requires a free graft. The no-free-graft repair is the distinguishing feature of 26410.

Is graft harvesting separately reported?

No. Obtaining the free graft is included in this repair.

How many units should be reported?

Report one unit for each tendon repaired with a free graft, supported by the operative report.

What should the operative note establish?

Document the tendon and hand treated, the secondary repair, why direct repair was insufficient, and the graft used.

Can modifier 50 be used for repairs on both hands?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

When is assistant-at-surgery payment allowed?

Payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are 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 26412PPRRVU2026_Oct_nonQPP.csv, line 2,586 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 26412 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 26412 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist