No office rate
26350 is for primary flexor tendon repair without a free graft. Use 26352 when the documented procedure is secondary.
On this page
CMS RVU26D · Effective 2026-10-01
26352 Tendon repair Medicare reimbursement rates in California
Secondary repair of a flexor tendon in the hand or finger without a free graft, reported for each tendon treated during a delayed procedure. Compare 26352 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 26352 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$833.95–$1030.43
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $196.48 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 26352 pays more and less in California
Hand surgery
About 26352: Secondary flexor tendon repair, hand
Secondary repair of a flexor tendon in the hand or finger without a free graft, reported for each tendon treated during a delayed procedure.
This code describes secondary repair of a flexor tendon in the hand or finger without using a free tendon graft. A hand surgeon may perform it when a tendon needs repair after the initial injury or operation, rather than as a primary repair. The service is typically performed in an operating room, with the operative report identifying the tendon and the nature of the secondary repair.
Report one unit for each tendon repaired. Documentation should establish that the procedure is secondary, identify the hand or finger tendon treated, and support that no free graft was used. The code has a 90-day global period, including 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 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26352
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.67 · 32%
- Practice expense (office) RVU14.94 · 62%
- Malpractice RVU1.48 · 6%
171
Medicare services in 2024 · #4468 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.
26352 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Both describe secondary flexor tendon procedures without a free graft; 26357 includes repair or advancement, while 26352 describes secondary repair.
No office rate
26358 describes flexor tendon repair or advancement with a free graft. This code is for secondary repair without a free graft.
No office rate
26372 is a graft repair or advancement code for an extensor tendon. This code concerns secondary flexor tendon repair without a free graft.
Compare 26352 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $838.07 |
| Chico | Office Unavailable | Facility $833.95 |
| El Centro | Office Unavailable | Facility $834.20 |
| Fresno | Office Unavailable | Facility $833.95 |
| Hanford-Corcoran | Office Unavailable | Facility $833.95 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $889.84 |
| Madera | Office Unavailable | Facility $833.95 |
| Merced | Office Unavailable | Facility $833.95 |
| Modesto | Office Unavailable | Facility $833.95 |
| Napa | Office Unavailable | Facility $955.13 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $883.98 |
| Redding | Office Unavailable | Facility $833.95 |
| Rest Of California | Office Unavailable | Facility $833.95 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $849.88 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $872.25 |
| Salinas | Office Unavailable | Facility $868.97 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $887.48 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1006.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1005.13 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1030.43 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1023.56 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $855.41 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $894.36 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $871.70 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $903.15 |
| Stockton | Office Unavailable | Facility $833.95 |
| Vallejo | Office Unavailable | Facility $952.71 |
| Visalia | Office Unavailable | Facility $833.95 |
| Yuba City | Office Unavailable | Facility $833.95 |
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26352 billing questions
How does this differ from a primary tendon repair?
This code is for secondary repair without a free graft. Use the primary-repair code when the operative service is a primary repair rather than a secondary procedure.
Is the code reported per tendon?
Yes. Report one unit for each flexor tendon repaired, with the operative documentation identifying the tendon or tendons treated.
Can modifier 50 be used when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57626352,,Repair/graft hand tendon,A,,7.67,14.94,NA,14.94,,1.48,24.09,24.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57726356,,Repair finger/hand tendon,A,,9.32,11.45,NA,11.45,,1.79,22.56,22.56,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57826357,,Repair finger/hand tendon,A,,10.73,12.54,NA,12.54,,2.28,25.55,25.55,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57926358,,Repair/graft hand tendon,A,,12.29,13.04,NA,13.04,,2.61,27.94,27.94,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00