Billing code 26392: Hand tendon repairMedicare rate & RVUs in Delaware
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 doesn’t publish an office rate for 26392 in Delaware.
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 9 sections
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 billing code 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.
26392 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $960.30 |
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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%).
26392 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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