CPT code 26442: Flexor tenolysis, palm and finger, with free graft2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $919.76 for 26442 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26442 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 26442 covers

This procedure addresses a flexor tendon in the palm or finger that remains tethered by scar tissue and cannot glide adequately, often after an earlier tendon injury or repair. The surgeon frees the tendon and uses a free tendon graft as part of the secondary reconstruction. Hand surgeons typically perform it in an operating room, with the operative report identifying the involved tendon, adhesion release, and graft work.

Report 26442 for the secondary flexor tenolysis with free graft; 26440 is the related choice for flexor tenolysis without that graft work. The record should support the affected tendon, the adhesions restricting excursion, and the graft used. CMS 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 others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and 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 Utah compares for 26442

Across 109 of 109 payment localities, the facility rate for 26442 runs from $849.10 in Arkansas to $1,224.54 in San Benito County, CA. Utah pays $919.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26442 rates by state

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

See 26442 in every payment locality

How the 26442 rate is calculated

Each of 26442’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 26442

26442 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 26442

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

How 26442 has changed in Utah

Price 26442 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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