No office rate
Both entries concern tendon lengthening. Use the applicable CPT descriptor and the operative documentation to identify the correct tendon and procedure.
On this page
CMS RVU26D · Effective 2026-10-01
26478 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$676.98
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hand surgery
About 26478: Hand tendon lengthening surgery
Reports operative lengthening of a hand tendon when a surgeon increases tendon length to address a documented hand motion or position problem.
This procedure surgically increases the length of a hand tendon, such as when a shortened or contracted tendon restricts motion or holds a digit in an abnormal position. An orthopedic hand surgeon or plastic surgeon typically performs it in an operating room, often in a hospital or ambulatory surgery center. The operative note should identify the tendon and site, describe the lengthening performed, and explain the functional problem being treated.
Report the code for the documented hand tendon lengthening, not for tendon release, shortening, or transfer. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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 reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 26478
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.82 · 30%
- Practice expense (office) RVU12.54 · 64%
- Malpractice RVU1.13 · 6%
230
Medicare services in 2024 · #4200 by national volume
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.
26478 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
26478 is for lengthening a hand tendon; 26479 is the hand-tendon shortening entry.
No office rate
26445 describes release of a hand or finger tendon. Choose 26478 when the documented operative work lengthens the tendon.
The same code, a different location
How does Redding compare?
26478 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Merced
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Modesto
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Napa
California · 26478
Office
Unavailable
Facility
$777.85
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26478
Office
Unavailable
Facility
$718.43
No comparable office rate is available.
Rest Of California
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26478
Office
Unavailable
Facility
$689.14
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26478
Office
Unavailable
Facility
$708.74
No comparable office rate is available.
Salinas
California · 26478
Office
Unavailable
Facility
$706.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26478
Office
Unavailable
Facility
$721.62
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26478
Office
Unavailable
Facility
$820.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26478
Office
Unavailable
Facility
$819.48
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26478
Office
Unavailable
Facility
$839.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26478
Office
Unavailable
Facility
$834.74
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26478
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26478
Office
Unavailable
Facility
$727.61
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26478
Office
Unavailable
Facility
$708.44
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26478
Office
Unavailable
Facility
$734.80
No comparable office rate is available.
Stockton
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Vallejo
California · 26478
Office
Unavailable
Facility
$776.00
No comparable office rate is available.
Visalia
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Yuba City
California · 26478
Office
Unavailable
Facility
$676.98
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 26478
Office
Unavailable
Facility
$740.30
No comparable office rate is available.
Miami
Florida · 26478
Office
Unavailable
Facility
$725.87
No comparable office rate is available.
Chicago
Illinois · 26478
Office
Unavailable
Facility
$703.32
No comparable office rate is available.
Manhattan
New York · 26478
Office
Unavailable
Facility
$753.40
No comparable office rate is available.
Alaska*
Alaska · 26478
Office
Unavailable
Facility
$758.46
No comparable office rate is available.
Alabama
Alabama · 26478
Office
Unavailable
Facility
$582.25
No comparable office rate is available.
Arkansas
Arkansas · 26478
Office
Unavailable
Facility
$573.62
No comparable office rate is available.
Arizona
Arizona · 26478
Office
Unavailable
Facility
$632.56
No comparable office rate is available.
Colorado
Colorado · 26478
Office
Unavailable
Facility
$671.86
No comparable office rate is available.
Connecticut
Connecticut · 26478
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Delaware
Delaware · 26478
Office
Unavailable
Facility
$643.12
No comparable office rate is available.
Fort Lauderdale
Florida · 26478
Office
Unavailable
Facility
$686.92
No comparable office rate is available.
Rest Of Florida
Florida · 26478
Office
Unavailable
Facility
$651.54
No comparable office rate is available.
Atlanta
Georgia · 26478
Office
Unavailable
Facility
$665.85
No comparable office rate is available.
Rest Of Georgia
Georgia · 26478
Office
Unavailable
Facility
$612.99
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26478
Office
Unavailable
Facility
$692.48
No comparable office rate is available.
Iowa
Iowa · 26478
Office
Unavailable
Facility
$592.62
No comparable office rate is available.
Idaho
Idaho · 26478
Office
Unavailable
Facility
$597.59
No comparable office rate is available.
East St. Louis
Illinois · 26478
Office
Unavailable
Facility
$655.75
No comparable office rate is available.
Rest Of Illinois
Illinois · 26478
Office
Unavailable
Facility
$635.79
No comparable office rate is available.
Suburban Chicago
Illinois · 26478
Office
Unavailable
Facility
$692.79
No comparable office rate is available.
Indiana
Indiana · 26478
Office
Unavailable
Facility
$601.01
No comparable office rate is available.
Kansas
Kansas · 26478
Office
Unavailable
Facility
$592.05
No comparable office rate is available.
Kentucky
Kentucky · 26478
Office
Unavailable
Facility
$601.28
No comparable office rate is available.
New Orleans
Louisiana · 26478
Office
Unavailable
Facility
$631.40
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26478
Office
Unavailable
Facility
$601.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26478
Office
Unavailable
Facility
$736.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26478
Office
Unavailable
Facility
$668.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26478
Office
Unavailable
Facility
$693.61
No comparable office rate is available.
Rest Of Maryland
Maryland · 26478
Office
Unavailable
Facility
$654.86
No comparable office rate is available.
Rest Of Maine
Maine · 26478
Office
Unavailable
Facility
$603.21
No comparable office rate is available.
Southern Maine
Maine · 26478
Office
Unavailable
Facility
$633.29
No comparable office rate is available.
Detroit
Michigan · 26478
Office
Unavailable
Facility
$662.22
No comparable office rate is available.
Rest Of Michigan
Michigan · 26478
Office
Unavailable
Facility
$619.41
No comparable office rate is available.
Minnesota
Minnesota · 26478
Office
Unavailable
Facility
$636.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26478
Office
Unavailable
Facility
$624.57
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26478
Office
Unavailable
Facility
$630.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 26478
Office
Unavailable
Facility
$592.20
No comparable office rate is available.
Mississippi
Mississippi · 26478
Office
Unavailable
Facility
$582.91
No comparable office rate is available.
Montana**
Montana · 26478
Office
Unavailable
Facility
$650.91
No comparable office rate is available.
North Carolina
North Carolina · 26478
Office
Unavailable
Facility
$609.30
No comparable office rate is available.
North Dakota**
North Dakota · 26478
Office
Unavailable
Facility
$628.56
No comparable office rate is available.
Nebraska
Nebraska · 26478
Office
Unavailable
Facility
$595.26
No comparable office rate is available.
New Hampshire
New Hampshire · 26478
Office
Unavailable
Facility
$663.44
No comparable office rate is available.
Northern Nj
New Jersey · 26478
Office
Unavailable
Facility
$732.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26478
Office
Unavailable
Facility
$700.95
No comparable office rate is available.
New Mexico
New Mexico · 26478
Office
Unavailable
Facility
$623.81
No comparable office rate is available.
Nevada**
Nevada · 26478
Office
Unavailable
Facility
$645.10
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26478
Office
Unavailable
Facility
$774.93
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26478
Office
Unavailable
Facility
$707.45
No comparable office rate is available.
Queens
New York · 26478
Office
Unavailable
Facility
$756.34
No comparable office rate is available.
Rest Of New York
New York · 26478
Office
Unavailable
Facility
$618.83
No comparable office rate is available.
Ohio
Ohio · 26478
Office
Unavailable
Facility
$614.85
No comparable office rate is available.
Oklahoma
Oklahoma · 26478
Office
Unavailable
Facility
$597.75
No comparable office rate is available.
Portland
Oregon · 26478
Office
Unavailable
Facility
$690.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 26478
Office
Unavailable
Facility
$638.10
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26478
Office
Unavailable
Facility
$678.94
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26478
Office
Unavailable
Facility
$614.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26478
Office
Unavailable
Facility
$655.02
No comparable office rate is available.
Rhode Island
Rhode Island · 26478
Office
Unavailable
Facility
$664.42
No comparable office rate is available.
South Carolina
South Carolina · 26478
Office
Unavailable
Facility
$613.49
No comparable office rate is available.
South Dakota**
South Dakota · 26478
Office
Unavailable
Facility
$625.92
No comparable office rate is available.
Tennessee
Tennessee · 26478
Office
Unavailable
Facility
$595.39
No comparable office rate is available.
Austin
Texas · 26478
Office
Unavailable
Facility
$671.36
No comparable office rate is available.
Beaumont
Texas · 26478
Office
Unavailable
Facility
$610.61
No comparable office rate is available.
Brazoria
Texas · 26478
Office
Unavailable
Facility
$640.47
No comparable office rate is available.
Dallas
Texas · 26478
Office
Unavailable
Facility
$645.70
No comparable office rate is available.
Fort Worth
Texas · 26478
Office
Unavailable
Facility
$642.00
No comparable office rate is available.
Galveston
Texas · 26478
Office
Unavailable
Facility
$643.11
No comparable office rate is available.
Houston
Texas · 26478
Office
Unavailable
Facility
$663.80
No comparable office rate is available.
Rest Of Texas
Texas · 26478
Office
Unavailable
Facility
$625.96
No comparable office rate is available.
Utah
Utah · 26478
Office
Unavailable
Facility
$622.00
No comparable office rate is available.
Virginia
Virginia · 26478
Office
Unavailable
Facility
$632.77
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26478
Office
Unavailable
Facility
$655.02
No comparable office rate is available.
Vermont
Vermont · 26478
Office
Unavailable
Facility
$628.15
No comparable office rate is available.
Rest Of Washington
Washington · 26478
Office
Unavailable
Facility
$666.69
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26478
Office
Unavailable
Facility
$748.87
No comparable office rate is available.
Wisconsin
Wisconsin · 26478
Office
Unavailable
Facility
$607.27
No comparable office rate is available.
West Virginia
West Virginia · 26478
Office
Unavailable
Facility
$612.38
No comparable office rate is available.
Wyoming**
Wyoming · 26478
Office
Unavailable
Facility
$641.17
No comparable office rate is available.
See how rates vary across the country
26478 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 26478 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$744.68
$676.98 × 110% = $744.68
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26478 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,608
- Code
- 26478
- Physician work
- 5.82
- Practice expense
- 12.54
- Malpractice
- 1.13
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.82 | × 1.017 | 5.9189 |
| Practice expense | 12.54 | × 1.096 | 13.7438 |
| Malpractice | 1.13 | × 0.536 | 0.6057 |
| Total RVUs | 20.2685 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$676.98
Open 26478 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.82 | 1.017 |
| Practice expense | 12.54 | 1.096 |
| Malpractice | 1.13 | 0.536 |
(5.82 × 1.017 + 12.54 × 1.096 + 1.13 × 0.536) × $33.4009 = $676.98
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
26478 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $676.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $676.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $676.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $676.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $672.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $672.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $672.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $672.52 | RVU25A |
26478 billing questions
How does this differ from 26479?
26478 reports tendon lengthening; 26479 is the hand-tendon shortening entry. Match the code to the direction of the operation documented in the operative report.
How does this differ from 26445?
26478 describes increasing tendon length. Code 26445 is a tendon-release procedure, rather than lengthening the tendon.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral hand tendon lengthening?
No. CMS identifies the descriptor or anatomy as unsuitable for bilateral adjustment, so modifier 50 is inappropriate for this code.
When is an assistant-at-surgery payable?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this code.
What documentation supports reporting 26478?
Document the tendon and hand site, the lengthening technique or work performed, and the functional restriction or abnormal position being treated.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,60526474,,Fusion of finger tendons,A,,5.35,13.12,NA,13.12,,1.14,19.61,19.61,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60626476,,Tendon lengthening,A,,5.22,13.07,NA,13.07,,1.12,19.41,19.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60726477,,Tendon shortening,A,,5.19,12.20,NA,12.20,,0.99,18.38,18.38,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60826478,,Lengthening of hand tendon,A,,5.82,12.54,NA,12.54,,1.13,19.49,19.49,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60926479,,Shortening of hand tendon,A,,5.76,13.25,NA,13.25,,1.23,20.24,20.24,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,61026480,,Transplant hand tendon,A,,8.78,9.56,NA,9.56,,1.66,20.00,20.00,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,61126483,,Transplant/graft hand tendon,A,,8.27,15.16,NA,15.16,,1.57,25.00,25.00,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536