CPT code 26479: Tendon shortening, hand or finger extensor2026 Medicare rate & RVUs in Virginia

Shortens an extensor tendon in the hand or finger when excess tendon length needs correction to restore appropriate tension and function.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Virginia, Medicare pays $656.43 for 26479 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$656.43Hospital or facility

Check a contract rate as a % of Medicare · 26479 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 26479 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 26479 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 26479 covers

A hand surgeon shortens an extensor tendon in the hand or finger to correct excessive tendon length and improve tendon tension or motion. The operation may be selected when the documented problem is addressed by shortening the tendon itself, rather than by releasing it, lengthening it, or changing its position. The operative report should identify the treated tendon and hand or finger, describe the shortening performed, and connect the procedure to the functional problem being treated.

Report the service for each tendon shortened, with documentation supporting the tendon and procedure performed. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; 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 Virginia compares for 26479

Across 109 of 109 payment localities, the facility rate for 26479 runs from $593.71 in Arkansas to $873.75 in San Benito County, CA. Virginia pays $656.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

26479 in Virginia vs other payment areas
  1. Virginia · this page$656.43
  2. Los Angeles, CA · California$751.11+$94.68
  3. Washington, DC area · District of Columbia$769.84+$113.41
  4. Miami, FL · Florida$757.00+$100.57
  5. Chicago, IL · Illinois$732.80+$76.37
  6. Manhattan, NY · New York$784.12+$127.69
  7. Alaska · Alaska$782.55+$126.12

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

Every other payment area

26479 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$602.88
ArkansasArkansas—$593.71
ArizonaArizona—$656.40
Bakersfield, CACalifornia—$706.11
Chico, CACalifornia—$702.73
El Centro, CACalifornia—$702.93
Fresno, CACalifornia—$702.73
Hanford, CACalifornia—$702.73

26479 rates by state

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

Explore a state

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
26479 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 26479 in every payment locality

How the 26479 rate is calculated

Each of 26479’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 · 26479

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.76

5.76 RVUs× 1.000 GPCI

Practice expense13.25

13.25 RVUs× 1.000 GPCI

Malpractice1.23

1.23 RVUs× 1.000 GPCI

Adjusted RVUs

20.2400

Conversion factor

$33.4009

Medicare rate

$676.03

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,609

Code
26479
Physician work
5.76
Practice expense
13.25
Malpractice
1.23

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 26479 in Virginia
ComponentRVULocality factorAdjusted
Physician work5.76× 1.0005.7600
Practice expense13.25× 0.98313.0247
Malpractice1.23× 0.7060.8684
Total RVUs19.6531
Conversion factor× 33.4009

Facility rate, Virginia$656.43

Facility: (5.76 × 1 + 13.25 × 0.983 + 1.23 × 0.706) × $33.4009 = $656.43

Open 26479 in the RVU calculator

Payment rules and modifiers for 26479

26479 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26479

Tendon shortening, hand or finger extensor

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)2Paid.
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 · 26479

Tendon shortening, hand or finger extensor

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

26479 without 51 · national facility

$676.03

Tendon shortening, hand or finger extensor

26479-51 · Second procedure: 50%

$338.02

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 26479 has changed in Virginia

26479 · 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$656.43RVU26D
2026-07-01Not available in this setting$656.43RVU26C
2026-04-01Not available in this setting$656.43RVU26B
2026-01-01Not available in this setting$656.43RVU26A
2025-10-01Not available in this setting$646.19RVU25D
2025-07-01Not available in this setting$646.19RVU25C
2025-04-01Not available in this setting$646.19RVU25B
2025-01-01Not available in this setting$646.19RVU25A
2024-10-01Not available in this setting$668.59RVU24D
2024-07-01Not available in this setting$668.59RVU24C
2024-04-01Not available in this setting$668.59RVU24B
2024-03-09Not available in this setting$668.59RVU24AR
2024-01-01Not available in this setting$657.68RVU24A
2023-10-01Not available in this setting$686.48RVU23D
2023-07-01Not available in this setting$686.48RVU23C
2023-04-01Not available in this setting$686.48RVU23B
2023-01-01Not available in this setting$686.48RVU23A
2022-10-01Not available in this setting$704.52RVU22D
2022-07-01Not available in this setting$704.52RVU22C
2022-04-01Not available in this setting$704.52RVU22B
2022-01-01Not available in this setting$704.52RVU22A
2021-10-01Not available in this setting$694.15RVU21D
2021-07-01Not available in this setting$694.15RVU21C
2021-04-01Not available in this setting$694.15RVU21B
2021-01-01Not available in this setting$694.15RVU21A
2020-10-01Not available in this setting$659.49RVU20D
2020-07-01Not available in this setting$659.49RVU20C
2020-04-01Not available in this setting$659.49RVU20B
2020-01-01Not available in this setting$659.49RVU20A
2019-10-01Not available in this setting$628.19RVU19D
2019-07-01Not available in this setting$628.19RVU19C
2019-04-01Not available in this setting$625.90RVU19B
2019-01-01Not available in this setting$625.90RVU19A
2018-10-01Not available in this setting$630.34RVU18D
2018-07-01Not available in this setting$630.34RVU18C
2018-04-01Not available in this setting$630.34RVU18B
2018-01-01Not available in this setting$630.34RVU18AR1
2017-10-01Not available in this setting$611.04RVU17D
2017-07-01Not available in this setting$611.04RVU17C
2017-04-01Not available in this setting$611.04RVU17B
2017-01-01Not available in this setting$611.04RVU17A
2016-10-01Not available in this setting$604.31RVU16D
2016-07-01Not available in this setting$604.31RVU16C
2016-04-01Not available in this setting$604.31RVU16B
2016-01-01Not available in this setting$604.31RVU16A
2015-10-01Not available in this setting$605.55RVU15D
2015-07-01Not available in this setting$605.55RVU15C
2015-04-01Not available in this setting$602.54RVU15B
2015-01-01Not available in this setting$602.54RVU15A
2014-10-01Not available in this setting$601.71RVU14D
2014-07-01Not available in this setting$601.71RVU14C
2014-04-01Not available in this setting$601.71RVU14B
2014-01-01Not available in this setting$601.71RVU14A
2013-10-01Not available in this setting$603.13RVU13D
2013-07-01Not available in this setting$603.13RVU13C
2013-04-01Not available in this setting$603.13RVU13B
2013-01-01Not available in this setting$603.13RVU13AR

Price 26479 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

26479 billing questions

How is this code distinguished from 26477?

This code describes shortening an extensor tendon of the hand or finger. Code 26477 is the corresponding shortening service for a flexor tendon.

What documentation supports reporting this service?

Document the hand or finger, the specific extensor tendon treated, the reason shortening was needed, and the operative work that shortened it.

Can modifier 50 be used when both hands are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the performed service according to the applicable claim instructions rather than using modifier 50.

How are other procedures in the same session paid?

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures in the session are subject to a 50% reduction.

Is related postoperative care separately included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

May an assistant or co-surgeon be reported?

An assistant at surgery may be paid for this service. 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 26479PPRRVU2026_Oct_nonQPP.csv, line 2,609 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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