No office rate
26320 reports removal of an implant from the hand. Code 26358 concerns hand tendon repair or graft work, not implant removal.
On this page
CMS RVU26D · Effective 2026-10-01
26358 Hand tendon repair Medicare reimbursement rates in Kentucky
Reports operative repair or grafting of a hand tendon when the surgeon restores tendon continuity or function through the service represented by this code. Compare 26358 office and facility rates across CMS payment localities in Kentucky.
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 26358 in Kentucky?
Kentucky 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
$877.47
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 26358: Hand tendon repair or graft
Reports operative repair or grafting of a hand tendon when the surgeon restores tendon continuity or function through the service represented by this code.
A hand surgeon reports this service for an operation to repair or reconstruct a tendon in the hand, with a graft included when the procedure requires one. The work may address a tendon disrupted by injury or impaired by a defect that prevents direct repair. The operative report should identify the treated tendon, the hand site, the nature of the tendon problem, and the repair or graft technique. This code describes operative tendon work, not manipulation of a finger or removal of an implant.
Report the code that matches the operation documented; related codes distinguish other hand and finger tendon repair or graft services. The 90-day global period 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 multiple procedure reduction. Bilateral adjustment is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 26358
- 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 RVU12.29 · 44%
- Practice expense (office) RVU13.04 · 47%
- Malpractice RVU2.61 · 9%
74
Medicare services in 2024 · #5108 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.
26358 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
26340 describes manipulation of a finger under anesthesia. Use 26358 for the documented operative tendon repair or graft service instead.
No office rate
26390 concerns revision of a hand or finger tendon. Code 26358 represents the repair or graft service described by its operative documentation, not a revision service by default.
Compare 26358 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$877.47
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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 26358 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,579
- Code
- 26358
- Physician work
- 12.29
- Practice expense
- 13.04
- Malpractice
- 2.61
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.29 | × 1.000 | 12.2900 |
| Practice expense | 13.04 | × 0.889 | 11.5926 |
| Malpractice | 2.61 | × 0.915 | 2.3881 |
| Total RVUs | 26.2707 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$877.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.29 | 1 |
| Practice expense | 13.04 | 0.889 |
| Malpractice | 2.61 | 0.915 |
(12.29 × 1 + 13.04 × 0.889 + 2.61 × 0.915) × $33.4009 = $877.47
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.
26358 billing questions
What documentation supports reporting this code?
The operative report should identify the hand tendon treated, the underlying tendon problem, and the repair or graft work performed. Document the method and the extent of the procedure.
How is this distinguished from nearby tendon repair codes?
Codes 26350, 26352, 26356, 26357, 26372, and 26392 identify other tendon repair or graft services. Choose the code whose full CPT descriptor matches the documented operation rather than relying on the shared short descriptor.
Can this code be reported with modifier 50?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used to report bilateral payment.
Are related postoperative visits separately 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. CMS does not permit co-surgeons or team surgery 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.
2,57626352,,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
2,58026370,,Repair finger/hand tendon,A,,7.10,14.31,NA,14.31,,1.34,22.75,22.75,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58126372,,Repair/graft hand tendon,A,,8.78,16.23,NA,16.23,,1.87,26.88,26.88,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,58226373,,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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631