CPT code 26415: Tendon excision, hand or finger2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $837.94 for 26415 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $837.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26415 rates by state

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

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.

Payment rules and modifiers for 26415

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

What modifiers do to the payment

When to use modifier 51

Codes related to 26415

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

How 26415 has changed in Puerto Rico

Price 26415 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates