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

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, 2026One payment locality136 Medicare services in 2024

In Minnesota, Medicare pays $679.83 for 26412 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$679.83Hospital or facility

Check a contract rate as a % of Medicare · 26412 nationwide

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

We’ll open 26412 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 26412 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Minnesota compares for 26412

Across 109 of 109 payment localities, the facility rate for 26412 runs from $613.22 in Arkansas to $896.08 in San Benito County, CA. Minnesota pays $679.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

26412 in Minnesota vs other payment areas
  1. Minnesota · this page$679.83
  2. Los Angeles, CA · California$771.72+$91.89
  3. Washington, DC area · District of Columbia$790.39+$110.56
  4. Miami, FL · Florida$775.40+$95.57
  5. Chicago, IL · Illinois$751.44+$71.61
  6. Manhattan, NY · New York$804.51+$124.68
  7. Alaska · Alaska$811.66+$131.83

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

26412 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$622.38
ArkansasArkansas—$613.22
ArizonaArizona—$675.83
Bakersfield, CACalifornia—$726.23
Chico, CACalifornia—$722.86
El Centro, CACalifornia—$723.06
Fresno, CACalifornia—$722.86
Hanford, CACalifornia—$722.86

26412 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
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

See 26412 in every payment locality

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.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,586

Code
26412
Physician work
6.32
Practice expense
13.29
Malpractice
1.21

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 26412 in Minnesota
ComponentRVULocality factorAdjusted
Physician work6.32× 1.0006.3200
Practice expense13.29× 1.02913.6754
Malpractice1.21× 0.2960.3582
Total RVUs20.3536
Conversion factor× 33.4009

Facility rate, Minnesota$679.83

Facility: (6.32 × 1 + 13.29 × 1.029 + 1.21 × 0.296) × $33.4009 = $679.83

Open 26412 in the RVU calculator

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

How 26412 has changed in Minnesota

26412 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$679.83RVU26D
2026-07-01Not available in this setting$679.83RVU26C
2026-04-01Not available in this setting$679.83RVU26B
2026-01-01Not available in this setting$679.83RVU26A
2025-10-01Not available in this setting$682.40RVU25D
2025-07-01Not available in this setting$682.40RVU25C
2025-04-01Not available in this setting$682.40RVU25B
2025-01-01Not available in this setting$682.40RVU25A
2024-10-01Not available in this setting$707.13RVU24D
2024-07-01Not available in this setting$707.13RVU24C
2024-04-01Not available in this setting$707.13RVU24B
2024-03-09Not available in this setting$707.13RVU24AR
2024-01-01Not available in this setting$695.59RVU24A
2023-10-01Not available in this setting$722.15RVU23D
2023-07-01Not available in this setting$722.15RVU23C
2023-04-01Not available in this setting$722.15RVU23B
2023-01-01Not available in this setting$722.15RVU23A
2022-10-01Not available in this setting$732.85RVU22D
2022-07-01Not available in this setting$732.85RVU22C
2022-04-01Not available in this setting$732.85RVU22B
2022-01-01Not available in this setting$732.85RVU22A
2021-10-01Not available in this setting$727.01RVU21D
2021-07-01Not available in this setting$727.01RVU21C
2021-04-01Not available in this setting$727.01RVU21B
2021-01-01Not available in this setting$727.01RVU21A
2020-10-01Not available in this setting$691.10RVU20D
2020-07-01Not available in this setting$691.10RVU20C
2020-04-01Not available in this setting$691.10RVU20B
2020-01-01Not available in this setting$691.10RVU20A
2019-10-01Not available in this setting$667.39RVU19D
2019-07-01Not available in this setting$667.39RVU19C
2019-04-01Not available in this setting$667.39RVU19B
2019-01-01Not available in this setting$667.39RVU19A
2018-10-01Not available in this setting$673.40RVU18D
2018-07-01Not available in this setting$673.40RVU18C
2018-04-01Not available in this setting$673.40RVU18B
2018-01-01Not available in this setting$673.40RVU18AR1
2017-10-01Not available in this setting$676.30RVU17D
2017-07-01Not available in this setting$676.30RVU17C
2017-04-01Not available in this setting$676.30RVU17B
2017-01-01Not available in this setting$676.30RVU17A
2016-10-01Not available in this setting$665.45RVU16D
2016-07-01Not available in this setting$665.45RVU16C
2016-04-01Not available in this setting$665.45RVU16B
2016-01-01Not available in this setting$665.45RVU16A
2015-10-01Not available in this setting$678.99RVU15D
2015-07-01Not available in this setting$678.99RVU15C
2015-04-01Not available in this setting$675.61RVU15B
2015-01-01Not available in this setting$675.61RVU15A
2014-10-01Not available in this setting$657.19RVU14D
2014-07-01Not available in this setting$657.19RVU14C
2014-04-01Not available in this setting$657.19RVU14B
2014-01-01Not available in this setting$657.19RVU14A
2013-10-01Not available in this setting$674.38RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 26412 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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