No office rate
Choose 26460 when the extensor tendon is intentionally divided. Choose 26445 when adhesions are released to restore tendon glide without dividing the tendon.
On this page
CMS RVU26D · Effective 2026-10-01
26460 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$442.93
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 26460: Hand or finger extensor tenotomy
Surgical division of a hand or finger extensor tendon to address contracture or tendon imbalance, reported for each tendon treated.
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.
CMS billing rules for 26460
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.49 · 26%
- Practice expense (office) RVU9.29 · 69%
- Malpractice RVU0.65 · 5%
524
Medicare services in 2024 · #3515 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.
26460 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
26450 concerns a palm flexor tendon; 26460 concerns an extensor tendon in the hand or finger.
No office rate
26455 concerns a finger flexor tendon. 26460 is for an extensor tendon in the hand or finger.
No office rate
26426 is a tendon repair code. Use 26460 when the intended operation is division of an extensor tendon, not repair of a disrupted tendon.
The same code, a different location
How does Wyoming** compare?
26460 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 26460
Office
Unavailable
Facility
$400.36
No comparable office rate is available.
Arkansas
Arkansas · 26460
Office
Unavailable
Facility
$394.29
No comparable office rate is available.
Arizona
Arizona · 26460
Office
Unavailable
Facility
$435.83
No comparable office rate is available.
Bakersfield
California · 26460
Office
Unavailable
Facility
$472.09
No comparable office rate is available.
Chico
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
El Centro
California · 26460
Office
Unavailable
Facility
$470.38
No comparable office rate is available.
Fresno
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Hanford-Corcoran
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Madera
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Merced
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Modesto
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Napa
California · 26460
Office
Unavailable
Facility
$543.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 26460
Office
Unavailable
Facility
$500.13
No comparable office rate is available.
Redding
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Rest Of California
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 26460
Office
Unavailable
Facility
$477.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 26460
Office
Unavailable
Facility
$493.27
No comparable office rate is available.
Salinas
California · 26460
Office
Unavailable
Facility
$491.45
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 26460
Office
Unavailable
Facility
$502.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26460
Office
Unavailable
Facility
$575.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26460
Office
Unavailable
Facility
$574.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26460
Office
Unavailable
Facility
$588.47
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26460
Office
Unavailable
Facility
$585.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 26460
Office
Unavailable
Facility
$483.61
No comparable office rate is available.
Santa Cruz-Watsonville
California · 26460
Office
Unavailable
Facility
$507.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 26460
Office
Unavailable
Facility
$493.27
No comparable office rate is available.
Santa Rosa-Petaluma
California · 26460
Office
Unavailable
Facility
$512.74
No comparable office rate is available.
Stockton
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Vallejo
California · 26460
Office
Unavailable
Facility
$542.85
No comparable office rate is available.
Visalia
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Yuba City
California · 26460
Office
Unavailable
Facility
$470.27
No comparable office rate is available.
Colorado
Colorado · 26460
Office
Unavailable
Facility
$465.08
No comparable office rate is available.
Connecticut
Connecticut · 26460
Office
Unavailable
Facility
$479.36
No comparable office rate is available.
Delaware
Delaware · 26460
Office
Unavailable
Facility
$443.24
No comparable office rate is available.
Fort Lauderdale
Florida · 26460
Office
Unavailable
Facility
$470.15
No comparable office rate is available.
Rest Of Florida
Florida · 26460
Office
Unavailable
Facility
$445.84
No comparable office rate is available.
Atlanta
Georgia · 26460
Office
Unavailable
Facility
$458.25
No comparable office rate is available.
Rest Of Georgia
Georgia · 26460
Office
Unavailable
Facility
$419.23
No comparable office rate is available.
Hawaii, Guam
Hawaii · 26460
Office
Unavailable
Facility
$481.94
No comparable office rate is available.
Iowa
Iowa · 26460
Office
Unavailable
Facility
$409.11
No comparable office rate is available.
Idaho
Idaho · 26460
Office
Unavailable
Facility
$412.31
No comparable office rate is available.
East St. Louis
Illinois · 26460
Office
Unavailable
Facility
$445.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 26460
Office
Unavailable
Facility
$433.80
No comparable office rate is available.
Suburban Chicago
Illinois · 26460
Office
Unavailable
Facility
$474.53
No comparable office rate is available.
Indiana
Indiana · 26460
Office
Unavailable
Facility
$414.76
No comparable office rate is available.
Kansas
Kansas · 26460
Office
Unavailable
Facility
$408.02
No comparable office rate is available.
Kentucky
Kentucky · 26460
Office
Unavailable
Facility
$412.29
No comparable office rate is available.
New Orleans
Louisiana · 26460
Office
Unavailable
Facility
$433.22
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 26460
Office
Unavailable
Facility
$411.98
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 26460
Office
Unavailable
Facility
$511.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 26460
Office
Unavailable
Facility
$462.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 26460
Office
Unavailable
Facility
$478.24
No comparable office rate is available.
Rest Of Maryland
Maryland · 26460
Office
Unavailable
Facility
$451.68
No comparable office rate is available.
Rest Of Maine
Maine · 26460
Office
Unavailable
Facility
$415.54
No comparable office rate is available.
Southern Maine
Maine · 26460
Office
Unavailable
Facility
$437.77
No comparable office rate is available.
Detroit
Michigan · 26460
Office
Unavailable
Facility
$452.61
No comparable office rate is available.
Rest Of Michigan
Michigan · 26460
Office
Unavailable
Facility
$424.38
No comparable office rate is available.
Minnesota
Minnesota · 26460
Office
Unavailable
Facility
$442.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 26460
Office
Unavailable
Facility
$429.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 26460
Office
Unavailable
Facility
$433.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 26460
Office
Unavailable
Facility
$405.19
No comparable office rate is available.
Mississippi
Mississippi · 26460
Office
Unavailable
Facility
$399.78
No comparable office rate is available.
Montana**
Montana · 26460
Office
Unavailable
Facility
$448.53
No comparable office rate is available.
North Carolina
North Carolina · 26460
Office
Unavailable
Facility
$419.95
No comparable office rate is available.
North Dakota**
North Dakota · 26460
Office
Unavailable
Facility
$435.68
No comparable office rate is available.
Nebraska
Nebraska · 26460
Office
Unavailable
Facility
$411.18
No comparable office rate is available.
New Hampshire
New Hampshire · 26460
Office
Unavailable
Facility
$458.58
No comparable office rate is available.
Northern Nj
New Jersey · 26460
Office
Unavailable
Facility
$507.04
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 26460
Office
Unavailable
Facility
$483.89
No comparable office rate is available.
New Mexico
New Mexico · 26460
Office
Unavailable
Facility
$427.18
No comparable office rate is available.
Nevada**
Nevada · 26460
Office
Unavailable
Facility
$445.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 26460
Office
Unavailable
Facility
$533.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 26460
Office
Unavailable
Facility
$487.86
No comparable office rate is available.
Queens
New York · 26460
Office
Unavailable
Facility
$522.10
No comparable office rate is available.
Rest Of New York
New York · 26460
Office
Unavailable
Facility
$426.61
No comparable office rate is available.
Ohio
Ohio · 26460
Office
Unavailable
Facility
$421.75
No comparable office rate is available.
Oklahoma
Oklahoma · 26460
Office
Unavailable
Facility
$410.53
No comparable office rate is available.
Portland
Oregon · 26460
Office
Unavailable
Facility
$479.32
No comparable office rate is available.
Rest Of Oregon
Oregon · 26460
Office
Unavailable
Facility
$440.88
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 26460
Office
Unavailable
Facility
$467.58
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 26460
Office
Unavailable
Facility
$421.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 26460
Office
Unavailable
Facility
$451.66
No comparable office rate is available.
Rhode Island
Rhode Island · 26460
Office
Unavailable
Facility
$458.68
No comparable office rate is available.
South Carolina
South Carolina · 26460
Office
Unavailable
Facility
$421.74
No comparable office rate is available.
South Dakota**
South Dakota · 26460
Office
Unavailable
Facility
$434.16
No comparable office rate is available.
Tennessee
Tennessee · 26460
Office
Unavailable
Facility
$410.29
No comparable office rate is available.
Austin
Texas · 26460
Office
Unavailable
Facility
$464.33
No comparable office rate is available.
Beaumont
Texas · 26460
Office
Unavailable
Facility
$419.11
No comparable office rate is available.
Brazoria
Texas · 26460
Office
Unavailable
Facility
$441.94
No comparable office rate is available.
Dallas
Texas · 26460
Office
Unavailable
Facility
$445.30
No comparable office rate is available.
Fort Worth
Texas · 26460
Office
Unavailable
Facility
$442.48
No comparable office rate is available.
Galveston
Texas · 26460
Office
Unavailable
Facility
$443.60
No comparable office rate is available.
Houston
Texas · 26460
Office
Unavailable
Facility
$455.50
No comparable office rate is available.
Rest Of Texas
Texas · 26460
Office
Unavailable
Facility
$430.64
No comparable office rate is available.
Utah
Utah · 26460
Office
Unavailable
Facility
$427.74
No comparable office rate is available.
Virginia
Virginia · 26460
Office
Unavailable
Facility
$436.92
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 26460
Office
Unavailable
Facility
$451.66
No comparable office rate is available.
Vermont
Vermont · 26460
Office
Unavailable
Facility
$434.75
No comparable office rate is available.
Rest Of Washington
Washington · 26460
Office
Unavailable
Facility
$461.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 26460
Office
Unavailable
Facility
$520.87
No comparable office rate is available.
Wisconsin
Wisconsin · 26460
Office
Unavailable
Facility
$420.52
No comparable office rate is available.
West Virginia
West Virginia · 26460
Office
Unavailable
Facility
$417.28
No comparable office rate is available.
See how rates vary across the country
26460 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 26460 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$487.22
$442.93 × 110% = $487.22
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 26460 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,603
- Code
- 26460
- Physician work
- 3.49
- Practice expense
- 9.29
- Malpractice
- 0.65
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.49 | × 1.000 | 3.4900 |
| Practice expense | 9.29 | × 1.000 | 9.2900 |
| Malpractice | 0.65 | × 0.740 | 0.4810 |
| Total RVUs | 13.2610 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$442.93
Open 26460 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.49 | 1 |
| Practice expense | 9.29 | 1 |
| Malpractice | 0.65 | 0.74 |
(3.49 × 1 + 9.29 × 1 + 0.65 × 0.74) × $33.4009 = $442.93
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
26460 · 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 | $442.93 | RVU26D |
| 2026-07-01 | Not available in this setting | $442.93 | RVU26C |
| 2026-04-01 | Not available in this setting | $442.93 | RVU26B |
| 2026-01-01 | Not available in this setting | $442.93 | RVU26A |
| 2025-10-01 | Not available in this setting | $438.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $438.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $438.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $438.63 | RVU25A |
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 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.
2,60026449,,Release forearm/hand tendon,A,,8.38,9.84,NA,9.84,,1.56,19.78,19.78,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60126450,,Incision of palm tendon,A,,3.70,9.35,NA,9.35,,0.69,13.74,13.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60226455,,Incision of finger tendon,A,,3.67,9.38,NA,9.38,,0.69,13.74,13.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60326460,,Incise hand/finger tendon,A,,3.49,9.29,NA,9.29,,0.65,13.43,13.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60426471,,Fusion of finger tendons,A,,5.75,12.45,NA,12.45,,1.07,19.27,19.27,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60526474,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,