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CPT code 26392: Hand tendon repair2026 Medicare rate & RVUs

Reports operative repair or graft reconstruction of a hand tendon when the documented procedure matches this tendon-repair code rather than a neighboring technique or service.

CMS RVU26DEffective Oct 1, 2026109 payment localities43 Medicare services in 2024

Medicare pays $972.63 for 26392 nationally in a facility.

Medicare rate · 26392

Hand tendon repair

Work RVUs
10.24
Total RVUs
29.12
Global days
090

National rate · 2026

$972.63

Facility setting, before claim adjustments.

See every locality for 26392 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 26392 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 26392 covers

This code represents operative repair or reconstruction of a tendon in the hand, including a procedure involving tendon grafting when that is the technique documented. A hand surgeon or other qualified surgeon typically performs the work in an operating room, often to restore tendon continuity and function after injury or to address a damaged tendon. The operative report should identify the tendon and hand, describe the repair or reconstruction performed, and document graft use when applicable.

Choose this code by matching the operative technique and circumstances to its full CPT descriptor, including distinctions from neighboring codes for primary repair, secondary repair, tendon zone, or graft method. Report units according to the descriptor’s tendon-specific instructions and support them with the operative note. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global surgical payment. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 26392 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

26392 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$871.31
Alaska*Unavailable$1,147.21
ArizonaUnavailable$944.86
ArkansasUnavailable$858.67
AtlantaUnavailable$997.22
AustinUnavailable$997.37
BakersfieldUnavailable$1,004.21
Baltimore/Surr. CntysUnavailable$1,036.08
BeaumontUnavailable$917.26
BrazoriaUnavailable$954.33

26392 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
26392 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

How the 26392 rate is calculated

Each of 26392’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 · 26392

RVUs × geographic indexes × conversion factor

Work10.24

10.24 RVUs× 1.000 GPCI

Practice expense16.70

16.70 RVUs× 1.000 GPCI

Malpractice2.18

2.18 RVUs× 1.000 GPCI

Adjusted RVUs

29.1200

Conversion factor

$33.4009

Medicare rate

$972.63

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

Payment rules and modifiers for 26392

26392 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26392

Hand tendon repair

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)1Permitted with supporting documentation.
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 · 26392

Hand tendon repair

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

26392 without 51 · national facility

$972.63

Hand tendon repair

26392-51 · Second procedure: 50%

$486.32

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

26392 compared with similar codes

Compare codes · National

5 codes, side by side

  • 26392

    Hand tendon repair10.24 wRVU

    Not priced

  • 26350

    Flexor tendon repair6.05 wRVU

    Not priced

  • 26352

    Tendon repair7.67 wRVU

    Not priced

  • 26358

    Hand tendon repair12.29 wRVU

    Not priced

  • 26390

    Tendon revision9.19 wRVU

    Not priced

How to choose

26350Flexor tendon repair
Use 26350 when the documented service matches its primary flexor tendon repair circumstances. This code is selected only when the operative details match its distinct repair or graft-reconstruction descriptor.
26352Tendon repair
26352 is a neighboring primary flexor tendon repair code with a specific tendon-zone distinction. Base selection on the operative site and technique, not simply the fact that a hand tendon was repaired.
26358Hand tendon repair
26358 describes a related tendon repair or graft service with different descriptor-level circumstances. Check the full descriptors and operative report to identify the exact procedure performed.
26390Tendon revision
26390 is for tendon revision, while this code represents repair or graft reconstruction. A revision service should not be treated as an interchangeable repair.

Codes related to 26392

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

Codes related to 26392
CodeHow it relatesNational office range
Same family
26350Flexor tendon repairNeighboring flexor tendon repair code; distinguish by the specific primary-repair circumstances and tendon zone.No office rate
26352Tendon repairFlexor tendon repair code with a different zone or primary-repair circumstance.No office rate
26358Hand tendon repairRelated tendon repair or graft code; select by its specific operative technique and circumstances.No office rate
26372Hand tendon repairRelated hand tendon repair or graft code with a distinct descriptor-level technique.No office rate
Used instead
26390Tendon revisionRevision of a hand or finger tendon is a different service from the repair or graft reconstruction reported here.No office rate

26392 billing questions

How do I distinguish this code from a primary tendon repair code?

Compare the operative technique and circumstances with the full descriptors for this code and the primary-repair codes. The operative note should make clear whether the surgeon performed a primary repair or a graft-based or other reconstruction.

What documentation supports reporting this service?

Document the hand tendon treated, the injury or tendon problem, the operative repair or reconstruction, and graft use when applicable. The record should support the specific technique represented by this code rather than a neighboring repair code.

Can the related postoperative visits be billed separately?

The Medicare 90-day global period includes related postoperative care, as well as the day-before preoperative visit. Services outside the included global care require separate consideration based on the circumstances and applicable coding rules.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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 26392PPRRVU2026_Oct_nonQPP.csv, line 2,584 (RVU26D)

Open CMS sourceHow we calculate rates

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