No office rate
Use 26410 for hand-level extensor tendon repair without a free graft. Code 26412 is the related hand repair when a free graft is used.
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CMS RVU26D · Effective 2026-10-01
26410 Hand tendon repair Medicare reimbursement rates in Idaho
Repairs an extensor tendon within the hand without a free graft, reported for each tendon repaired during primary or later operative treatment. Compare 26410 office and facility rates across CMS payment localities in Idaho.
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 26410 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$549.65
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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 26410: Extensor tendon repair in the hand
Repairs an extensor tendon within the hand without a free graft, reported for each tendon repaired during primary or later operative treatment.
A hand surgeon restores continuity of an extensor tendon located in the hand, usually by suturing the injured tendon ends. A typical setting is the operating room after a dorsal hand laceration has divided an extensor tendon; later operative repair may be needed when the tendon was not repaired initially. The service is for the hand-level tendon repair, not a repair at the finger level.
Report the code for each tendon repaired when no free graft is used. The operative report should identify the tendon and anatomic level, describe the injury and repair, and support the number of tendons treated. Medicare applies 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. Modifier 50 is inappropriate.
CMS billing rules for 26410
- 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 RVU4.65 · 26%
- Practice expense (office) RVU12.37 · 69%
- Malpractice RVU0.90 · 5%
1.2K
Medicare services in 2024 · #2863 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.
26410 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
Code 26416 describes grafting of a hand or finger tendon. This code is for repairing the hand-level extensor tendon without a free graft.
No office rate
The anatomic level distinguishes these codes: 26418 applies to extensor tendon repair in a finger, while 26410 is for a tendon in the hand.
Compare 26410 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$549.65
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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 26410 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
2,585
- Code
- 26410
- Physician work
- 4.65
- Practice expense
- 12.37
- Malpractice
- 0.90
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.65 | × 1.000 | 4.6500 |
| Practice expense | 12.37 | × 0.920 | 11.3804 |
| Malpractice | 0.90 | × 0.473 | 0.4257 |
| Total RVUs | 16.4561 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$549.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.65 | 1 |
| Practice expense | 12.37 | 0.92 |
| Malpractice | 0.9 | 0.473 |
(4.65 × 1 + 12.37 × 0.92 + 0.9 × 0.473) × $33.4009 = $549.65
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.
26410 billing questions
How does this differ from a finger extensor tendon repair?
Choose this code when the repaired extensor tendon is in the hand. A repair at the finger level is reported with the applicable finger repair code, such as 26418.
Can this code be reported when a free tendon graft is used?
No. This code describes repair without a free graft. A graft-based hand tendon repair or reconstruction may point to 26412 or 26416, depending on the procedure performed.
Is the code reported once for the encounter or for each tendon?
It is reported for each tendon repaired. Document each tendon and its hand-level location so the reported count is supported.
Can modifier 50 be used for repairs on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the services according to the applicable claim instructions without modifier 50.
Is an assistant surgeon payable for this repair?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are also not permitted under the CMS rules supplied for the code.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
2,58226373,,Repair finger/hand tendon,A,,8.20,16.06,NA,16.06,,1.74,26.00,26.00,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58326390,,Revise hand/finger tendon,A,,9.19,14.34,NA,14.34,,1.96,25.49,25.49,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58426392,,Repair/graft hand tendon,A,,10.24,16.70,NA,16.70,,2.18,29.12,29.12,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58526410,,Repair hand tendon,A,,4.65,12.37,NA,12.37,,0.90,17.92,17.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58626412,,Repair/graft hand tendon,A,,6.32,13.29,NA,13.29,,1.21,20.82,20.82,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58726415,,Excision hand/finger tendon,A,,8.30,14.89,NA,14.89,,1.76,24.95,24.95,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58826416,,Graft hand or finger tendon,A,,9.32,15.56,NA,15.56,,1.98,26.86,26.86,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772