No office rate
This code concerns tendon reconstruction to correct a finger deformity. Code 26567 is for correction by changing the alignment of finger bone with an osteotomy.
On this page
CMS RVU26D · Effective 2026-10-01
26590 Finger deformity repair Medicare reimbursement rates in Georgia
Reports operative correction of a finger deformity such as boutonniere or swan-neck using tendon reconstruction to restore alignment and function. Compare 26590 office and facility rates across CMS payment localities in Georgia.
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 26590 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1299.55–$1377.22
2 of 2 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.
Hand surgery
About 26590: Finger deformity repair with tendon reconstruction
Reports operative correction of a finger deformity such as boutonniere or swan-neck using tendon reconstruction to restore alignment and function.
A hand surgeon may use this operation to correct a boutonniere or swan-neck deformity by rebalancing the finger’s soft tissues with tendon transfer or graft reconstruction. It is generally performed in an operating room when the deformity requires surgical correction rather than management with splinting or therapy. The operative report should identify the affected finger, the deformity and its functional effect, and the tendon work used to correct it.
Select this code when the surgical work addresses the finger deformity through tendon reconstruction; a procedure directed instead at bone or a joint ligament may belong to a different code. The 90-day global includes 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. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 26590
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.20 · 45%
- Practice expense (office) RVU18.03 · 45%
- Malpractice RVU3.88 · 10%
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.
26590 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
Use 26545 for reconstruction of a finger joint collateral ligament. This code is appropriate when tendon reconstruction is used to correct the finger deformity.
No office rate
Code 26591 addresses repair of intrinsic muscles of the hand. This code addresses operative correction of a finger deformity using tendon reconstruction.
Compare 26590 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1377.22
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1299.55
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26590 billing questions
When should this code be chosen instead of 26567?
Use this code when tendon reconstruction corrects the finger deformity. Code 26567 describes correction through an osteotomy, so it is relevant when the surgeon changes bone alignment.
Is a tendon transfer or graft separately reported?
Tendon transfer or graft work used to accomplish the deformity repair is part of the service represented by this code. Do not report that same work again as a separate procedure.
Can modifier 50 be used for deformities in both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Modifier 50 should not be used.
What documentation supports reporting this code?
Document the specific deformity, affected finger, functional problem, and tendon reconstruction performed. The operative report should make clear that the repair corrected the deformity rather than treating an isolated bone or ligament problem.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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.
2,65126568,,Lengthen metacarpal/finger,A,,9.04,16.32,NA,16.32,,1.92,27.28,27.28,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65226580,,Repair cleft hand,A,,19.26,19.99,NA,19.99,,4.10,43.35,43.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65326587,,Reconstruct extra finger,A,,14.14,11.93,NA,11.93,,3.01,29.08,29.08,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65426590,,Repair finger deformity,A,,18.20,18.03,NA,18.03,,3.88,40.11,40.11,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65526591,,Repair muscles of hand,A,,3.30,10.82,NA,10.82,,0.62,14.74,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65626593,,Release muscles of hand,A,,5.36,12.63,NA,12.63,,1.04,19.03,19.03,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65726596,,Excision constricting tissue,A,,8.91,12.91,NA,12.91,,1.91,23.73,23.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00