CPT code 26416: Tendon graft, hand or finger2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $897.02 for 26416 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26416 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 26416 covers

A hand surgeon uses tendon graft tissue to reconstruct a damaged or deficient tendon in the hand or finger. This may be needed when trauma, tendon loss, or chronic damage leaves a gap or tissue that cannot be managed with a direct repair. The procedure is generally performed in an operating room by an orthopedic or plastic surgeon with hand-surgery expertise. The operative note should identify the tendon and site, the defect or damage being addressed, and the graft-based reconstruction performed.

Report the code when the documented procedure matches graft reconstruction, rather than a repair performed without graft tissue or an excision alone. Documentation should support the tendon involved, graft use, and the surgical work performed. Medicare assigns 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. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Montana compares for 26416

Across 109 of 109 payment localities, the facility rate for 26416 runs from $791.79 in Arkansas to $1,130.42 in San Benito County, CA. Montana pays $897.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26416 rates by state

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

See 26416 in every payment locality

How the 26416 rate is calculated

Each of 26416’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 26416

26416 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 26416

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

How 26416 has changed in Montana

Price 26416 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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