No office rate
Both concern finger tendon repair. Use the code whose full descriptor matches the operative technique and circumstances documented; do not choose based on the short descriptor alone.
On this page
CMS RVU26D · Effective 2026-10-01
26434 Finger tendon repair Medicare reimbursement rates in Kentucky
Reports operative repair or grafting of a finger tendon when the documented procedure and anatomy meet this code’s descriptor. Compare 26434 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 26434 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
$640.19
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 26434: Finger tendon repair or graft
Reports operative repair or grafting of a finger tendon when the documented procedure and anatomy meet this code’s descriptor.
This service covers operative repair or reconstruction of a tendon in a finger. A hand or orthopedic surgeon may perform it after a tendon injury or when damaged or deficient tendon tissue prevents useful finger motion. The operative report should identify the finger and tendon treated and describe the repair or graft work performed; those details establish whether this code, rather than a neighboring hand or finger tendon code, fits the procedure.
For Medicare, the service has 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 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. Document the operative findings and technique, including graft use when applicable.
CMS billing rules for 26434
- 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 RVU6.10 · 29%
- Practice expense (office) RVU13.35 · 64%
- Malpractice RVU1.31 · 6%
12
Medicare services in 2024 · #6140 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.
26434 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
This is another finger tendon repair or graft code. The operative details and the full code descriptor determine which applies.
No office rate
This code describes grafting of a hand or finger tendon. Compare it with this repair-or-graft code using the exact work documented in the operative report.
No office rate
26410 concerns hand tendon repair, while 26434 concerns a finger tendon. The treated anatomy and full descriptor guide code selection.
Compare 26434 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
$640.19
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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 26434 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,595
- Code
- 26434
- Physician work
- 6.10
- Practice expense
- 13.35
- Malpractice
- 1.31
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.10 | × 1.000 | 6.1000 |
| Practice expense | 13.35 | × 0.889 | 11.8681 |
| Malpractice | 1.31 | × 0.915 | 1.1986 |
| Total RVUs | 19.1668 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$640.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.1 | 1 |
| Practice expense | 13.35 | 0.889 |
| Malpractice | 1.31 | 0.915 |
(6.1 × 1 + 13.35 × 0.889 + 1.31 × 0.915) × $33.4009 = $640.19
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.
26434 billing questions
What documentation supports reporting this code?
The operative report should identify the finger and tendon and describe the repair or graft performed. Include findings that explain why the tendon required operative treatment.
How do I distinguish this from a hand tendon repair code?
This code is for a finger tendon. Choose a hand tendon code when the treated tendon and procedure meet that code’s descriptor instead.
Is modifier 50 appropriate when both hands or sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
CMS indicates that an assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures 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.
2,59226428,,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
2,59626437,,Realignment of tendons,A,,5.84,12.49,NA,12.49,,1.12,19.45,19.45,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59726440,,Release palm/finger tendon,A,,5.03,13.25,NA,13.25,,0.96,19.24,19.24,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59826442,,Release palm & finger tendon,A,,9.51,17.42,NA,17.42,,1.84,28.77,28.77,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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