No office rate
Both describe secondary finger extensor tendon repair; 26428 is the graft-based reconstruction, while 26426 is the corresponding repair without a free graft.
On this page
CMS RVU26D · Effective 2026-10-01
26428 Finger tendon repair Medicare reimbursement rates in Florida
Reports secondary reconstruction of a finger extensor tendon using a free tendon graft, such as for a chronic defect or failed prior repair. Compare 26428 office and facility rates across CMS payment localities in Florida.
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 26428 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$792.92–$887.28
3 of 3 localities have a supported rate.
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 26428 pays more and less in Florida
Hand surgery
About 26428: Secondary finger extensor tendon repair with graft
Reports secondary reconstruction of a finger extensor tendon using a free tendon graft, such as for a chronic defect or failed prior repair.
This service reconstructs a finger extensor tendon during a secondary operation, using a free tendon graft to bridge or reinforce the tendon defect. A hand or orthopedic surgeon may perform it for a chronic tendon injury or when a prior repair has failed and the tendon cannot be restored adequately by direct repair. The operation is typically performed in a surgical setting and involves preparing the damaged tendon ends, positioning the graft, and securing the reconstruction.
Select the code when the operative report supports a secondary finger extensor tendon repair with a free graft; distinguish it from a repair without graft and from primary repair. Document the digit and tendon, why secondary reconstruction was needed, and the graft used and how it was incorporated. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26428
- 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 RVU7.22 · 31%
- Practice expense (office) RVU14.89 · 63%
- Malpractice RVU1.52 · 6%
48
Medicare services in 2024 · #5372 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.
26428 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Both involve a free graft for finger extensor tendon repair. Confirm the specific primary or secondary repair circumstance documented for the procedure before selecting between them.
No office rate
This is finger extensor tendon repair without a free graft. Choose 26428 when the secondary reconstruction uses a free graft.
Compare 26428 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$836.75
Miami →
Office / nonfacility
Unavailable
Facility
$887.28
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$792.92
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26428 billing questions
Does the code describe primary or secondary repair?
It describes secondary repair. Documentation should establish the secondary nature of the reconstruction, such as a chronic defect or a failed prior repair, rather than simply describing a tendon injury.
Is modifier 50 appropriate when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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.
2,58926418,,Repair finger tendon,A,,4.36,13.58,NA,13.58,,0.85,18.79,18.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59026420,,Repair/graft finger tendon,A,,6.77,13.45,NA,13.45,,1.28,21.50,21.50,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59126426,,Repair finger/hand tendon,A,,6.16,6.92,NA,6.92,,1.17,14.25,14.25,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59226428,,Repair/graft finger tendon,A,,7.22,14.89,NA,14.89,,1.52,23.63,23.63,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59326432,,Repair finger tendon,A,,4.06,11.40,NA,11.40,,0.79,16.25,16.25,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59426433,,Repair finger tendon,A,,4.58,11.53,NA,11.53,,0.89,17.00,17.00,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59526434,,Repair/graft finger tendon,A,,6.10,13.35,NA,13.35,,1.31,20.76,20.76,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00