CPT code 26415: Tendon excision, hand or finger2026 Medicare rate & RVUs in Vallejo, CA

Reports operative removal of a hand or finger tendon when the treatment plan calls for excision rather than repair, reconstruction, or release.

CMS RVU26DEffective Oct 1, 2026One payment locality18 Medicare services in 2024

In Vallejo, CA, Medicare pays $977.17 for 26415 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$977.17Hospital or facility

Check a contract rate as a % of Medicare · 26415 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 26415 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vallejo, CA
  2. What 26415 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 26415 covers

A hand surgeon, orthopedic surgeon, or plastic surgeon uses this service to remove a tendon from the hand or a finger. The operative report should identify the tendon and describe the condition and extent of tissue removed. This is a facility-based surgical service in Medicare claims data; it is distinct from freeing a tendon from adhesions or restoring continuity of a tendon that is being preserved.

Select the code when the operative work is tendon removal, not repair, grafting, or release. Documentation should connect the excision to the clinical problem and distinguish any separately performed reconstruction. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented 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 Vallejo, CA compares for 26415

Across 109 of 109 payment localities, the facility rate for 26415 runs from $734.72 in Arkansas to $1,056.39 in San Benito County, CA. Vallejo, CA pays $977.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

26415 in Vallejo, CA vs other payment areas
  1. Vallejo, CA · this page$977.17
  2. Bakersfield, CA · California$863.38−$113.79
  3. Chico, CA · California$858.53−$118.64
  4. El Centro, CA · California$858.83−$118.34
  5. Fresno, CA · California$858.53−$118.64
  6. Hanford, CA · California$858.53−$118.64
  7. Los Angeles, CA · California$915.98−$61.19

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

Every other payment area

26415 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$858.53
Merced, CACalifornia—$858.53
Modesto, CACalifornia—$858.53
Napa, CACalifornia—$980.05
Oxnard, CACalifornia—$909.47
Redding, CACalifornia—$858.53
Rest of CaliforniaCalifornia—$858.53
Riverside, CACalifornia—$877.45

26415 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
26415 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 26415 in every payment locality

How the 26415 rate is calculated

Each of 26415’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 · 26415

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.30

8.30 RVUs× 1.000 GPCI

Practice expense14.89

14.89 RVUs× 1.000 GPCI

Malpractice1.76

1.76 RVUs× 1.000 GPCI

Adjusted RVUs

24.9500

Conversion factor

$33.4009

Medicare rate

$833.35

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

The exact Vallejo, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,587

Code
26415
Physician work
8.30
Practice expense
14.89
Malpractice
1.76

GPCI2026.csv

33

Locality
Vallejo, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Facility calculation for 26415 in Vallejo, CA
ComponentRVULocality factorAdjusted
Physician work8.30× 1.0638.8229
Practice expense14.89× 1.31819.6250
Malpractice1.76× 0.4590.8078
Total RVUs29.2558
Conversion factor× 33.4009

Facility rate, Vallejo, CA$977.17

Facility: (8.3 × 1.063 + 14.89 × 1.318 + 1.76 × 0.459) × $33.4009 = $977.17

Open 26415 in the RVU calculator

Payment rules and modifiers for 26415

26415 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26415

Tendon excision, hand or finger

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 · 26415

Tendon excision, hand or finger

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

26415 without 51 · national facility

$833.35

Tendon excision, hand or finger

26415-51 · Second procedure: 50%

$416.68

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 26415 has changed in Vallejo, CA

26415 · 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$977.17RVU26D
2026-07-01Not available in this setting$977.17RVU26C
2026-04-01Not available in this setting$977.17RVU26B
2026-01-01Not available in this setting$977.17RVU26A
2025-10-01Not available in this setting$973.21RVU25D
2025-07-01Not available in this setting$973.21RVU25C
2025-04-01Not available in this setting$973.21RVU25B
2025-01-01Not available in this setting$973.21RVU25A
2024-10-01Not available in this setting$1,006.04RVU24D
2024-07-01Not available in this setting$1,006.04RVU24C
2024-04-01Not available in this setting$1,006.04RVU24B
2024-03-09Not available in this setting$1,006.04RVU24AR
2024-01-01Not available in this setting$989.62RVU24A
2023-10-01Not available in this setting$1,003.04RVU23D
2023-07-01Not available in this setting$1,003.04RVU23C
2023-04-01Not available in this setting$1,003.04RVU23B
2023-01-01Not available in this setting$1,003.04RVU23A
2022-10-01Not available in this setting$995.76RVU22D
2022-07-01Not available in this setting$995.76RVU22C
2022-04-01Not available in this setting$995.76RVU22B
2022-01-01Not available in this setting$995.76RVU22A
2021-10-01Not available in this setting$988.84RVU21D
2021-07-01Not available in this setting$988.84RVU21C
2021-04-01Not available in this setting$988.84RVU21B
2021-01-01Not available in this setting$988.84RVU21A
2020-10-01Not available in this setting$959.16RVU20D
2020-07-01Not available in this setting$959.16RVU20C
2020-04-01Not available in this setting$959.16RVU20B
2020-01-01Not available in this setting$959.16RVU20A
2019-10-01Not available in this setting$929.86RVU19D
2019-07-01Not available in this setting$929.86RVU19C
2019-04-01Not available in this setting$929.86RVU19B
2019-01-01Not available in this setting$929.86RVU19A
2018-10-01Not available in this setting$934.11RVU18D
2018-07-01Not available in this setting$934.11RVU18C
2018-04-01Not available in this setting$934.11RVU18B
2018-01-01Not available in this setting$934.11RVU18AR1
2017-10-01Not available in this setting$794.65RVU17D
2017-07-01Not available in this setting$794.65RVU17C
2017-04-01Not available in this setting$794.65RVU17B
2017-01-01Not available in this setting$794.65RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
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 26415 for an earlier date of service

Where the Vallejo, CA rate applies

Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Vallejo
  • Allendale
  • Benicia
  • Dixon
  • Elmira
  • Fairfield
  • Green Valley
  • Hartley

Browse all communities in California

26415 billing questions

How is excision different from tendon repair?

Report excision when the operative work removes the tendon. Repair codes describe restoring or reconstructing a tendon rather than removing it.

Is freeing a tendon from adhesions included?

Freeing a tendon is a release procedure, not tendon excision. Choose the code that matches the work documented in the operative report.

What documentation supports this service?

Document the hand or finger tendon involved, why it was removed, and the extent of the excision. Describe separately any repair or graft reconstruction performed.

Can modifier 50 be reported?

No. The descriptor or anatomy makes a bilateral adjustment inappropriate for this code.

How are multiple procedures paid in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.

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 26415PPRRVU2026_Oct_nonQPP.csv, line 2,587 (RVU26D)
Geographic factors for Vallejo, CAGPCI2026.csv, line 33 (RVU26D)

Open CMS sourceHow we calculate rates

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