CPT code 26460: Extensor tenotomy, hand or finger tendon2026 Medicare rate & RVUs in Vermont

Surgical division of a hand or finger extensor tendon to address contracture or tendon imbalance, reported for each tendon treated.

CMS RVU26DEffective Oct 1, 2026One payment locality524 Medicare services in 2024

In Vermont, Medicare pays $434.75 for 26460 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$434.75Hospital or facility

Check a contract rate as a % of Medicare · 26460 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 26460 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 26460 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 26460 covers

This procedure surgically divides an extensor tendon in the hand or a finger to change tendon tension or correct an extensor mechanism contracture or imbalance. It is typically performed by a hand, orthopedic, or plastic surgeon in an operating room or other surgical setting. The operative record should identify the tendon and site and explain the functional problem the division is intended to address.

Report the code for each tendon treated, distinguishing this operation from freeing adhesions or repairing a disrupted tendon. The record should support the specific tendon division and the clinical indication. 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. Medicare does not pay an assistant at surgery for this code; 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 Vermont compares for 26460

Across 109 of 109 payment localities, the facility rate for 26460 runs from $394.29 in Arkansas to $588.47 in San Benito County, CA. Vermont pays $434.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

26460 in Vermont vs other payment areas
  1. Vermont · this page$434.75
  2. Los Angeles, CA · California$502.84+$68.09
  3. Washington, DC area · District of Columbia$512.55+$77.80
  4. Miami, FL · Florida$494.49+$59.74
  5. Chicago, IL · Illinois$479.06+$44.31
  6. Manhattan, NY · New York$519.02+$84.27
  7. Alaska · Alaska$517.28+$82.53

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

Every other payment area

26460 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$400.36
ArkansasArkansas—$394.29
ArizonaArizona—$435.83
Bakersfield, CACalifornia—$472.09
Chico, CACalifornia—$470.27
El Centro, CACalifornia—$470.38
Fresno, CACalifornia—$470.27
Hanford, CACalifornia—$470.27

26460 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
26460 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 26460 in every payment locality

How the 26460 rate is calculated

Each of 26460’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 · 26460

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.49

3.49 RVUs× 1.000 GPCI

Practice expense9.29

9.29 RVUs× 1.000 GPCI

Malpractice0.65

0.65 RVUs× 1.000 GPCI

Adjusted RVUs

13.4300

Conversion factor

$33.4009

Medicare rate

$448.57

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

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,603

Code
26460
Physician work
3.49
Practice expense
9.29
Malpractice
0.65

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 26460 in Vermont
ComponentRVULocality factorAdjusted
Physician work3.49× 1.0003.4900
Practice expense9.29× 0.9909.1971
Malpractice0.65× 0.5060.3289
Total RVUs13.0160
Conversion factor× 33.4009

Facility rate, Vermont$434.75

Facility: (3.49 × 1 + 9.29 × 0.99 + 0.65 × 0.506) × $33.4009 = $434.75

Open 26460 in the RVU calculator

Payment rules and modifiers for 26460

26460 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26460

Extensor tenotomy, hand or finger tendon

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)1Not paid (statutory restriction).
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 · 26460

Extensor tenotomy, hand or finger tendon

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

26460 without 51 · national facility

$448.57

Extensor tenotomy, hand or finger tendon

26460-51 · Second procedure: 50%

$224.29

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 26460 has changed in Vermont

26460 · 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$434.75RVU26D
2026-07-01Not available in this setting$434.75RVU26C
2026-04-01Not available in this setting$434.75RVU26B
2026-01-01Not available in this setting$434.75RVU26A
2025-10-01Not available in this setting$431.83RVU25D
2025-07-01Not available in this setting$431.83RVU25C
2025-04-01Not available in this setting$431.83RVU25B
2025-01-01Not available in this setting$431.83RVU25A
2024-10-01Not available in this setting$446.06RVU24D
2024-07-01Not available in this setting$446.06RVU24C
2024-04-01Not available in this setting$446.06RVU24B
2024-03-09Not available in this setting$446.06RVU24AR
2024-01-01Not available in this setting$438.78RVU24A
2023-10-01Not available in this setting$453.90RVU23D
2023-07-01Not available in this setting$453.90RVU23C
2023-04-01Not available in this setting$453.90RVU23B
2023-01-01Not available in this setting$453.90RVU23A
2022-10-01Not available in this setting$465.08RVU22D
2022-07-01Not available in this setting$465.08RVU22C
2022-04-01Not available in this setting$465.08RVU22B
2022-01-01Not available in this setting$465.08RVU22A
2021-10-01Not available in this setting$450.58RVU21D
2021-07-01Not available in this setting$450.58RVU21C
2021-04-01Not available in this setting$450.58RVU21B
2021-01-01Not available in this setting$450.58RVU21A
2020-10-01Not available in this setting$420.52RVU20D
2020-07-01Not available in this setting$420.52RVU20C
2020-04-01Not available in this setting$420.52RVU20B
2020-01-01Not available in this setting$420.52RVU20A
2019-10-01Not available in this setting$395.14RVU19D
2019-07-01Not available in this setting$395.14RVU19C
2019-04-01Not available in this setting$395.14RVU19B
2019-01-01Not available in this setting$395.14RVU19A
2018-10-01Not available in this setting$396.90RVU18D
2018-07-01Not available in this setting$396.90RVU18C
2018-04-01Not available in this setting$396.90RVU18B
2018-01-01Not available in this setting$396.90RVU18AR1
2017-10-01Not available in this setting$392.54RVU17D
2017-07-01Not available in this setting$392.54RVU17C
2017-04-01Not available in this setting$392.54RVU17B
2017-01-01Not available in this setting$392.54RVU17A
2016-10-01Not available in this setting$390.54RVU16D
2016-07-01Not available in this setting$390.54RVU16C
2016-04-01Not available in this setting$390.54RVU16B
2016-01-01Not available in this setting$390.54RVU16A
2015-10-01Not available in this setting$390.01RVU15D
2015-07-01Not available in this setting$390.01RVU15C
2015-04-01Not available in this setting$388.07RVU15B
2015-01-01Not available in this setting$388.07RVU15A
2014-10-01Not available in this setting$386.22RVU14D
2014-07-01Not available in this setting$386.22RVU14C
2014-04-01Not available in this setting$386.22RVU14B
2014-01-01Not available in this setting$386.22RVU14A
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 26460 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

26460 billing questions

How is 26460 different from extensor tenolysis?

26460 involves intentionally dividing an extensor tendon. Use extensor tenolysis when the procedure frees adhesions restricting tendon glide rather than dividing the tendon.

How does this differ from 26450 or 26455?

26460 is for an extensor tendon. Codes 26450 and 26455 concern flexor tendon tenotomy in the palm and finger, respectively.

How many units should be reported?

The code is reported for each tendon treated. Document each tendon and its hand or finger location in the operative report.

What documentation supports reporting this code?

Identify the extensor tendon divided, the anatomical site, the functional problem, and the operative work performed. The record should make clear that the tendon was divided rather than merely freed or repaired.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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 26460PPRRVU2026_Oct_nonQPP.csv, line 2,603 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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