$607.78–$644.85
Use 26145 for synovectomy around a tendon affected by tenosynovitis. Use 26160 for excision of a discrete tendon-sheath or joint-capsule lesion, such as a cyst.
On this page
CMS RVU26D · Effective 2026-10-01
26145 Tenosynovectomy Medicare reimbursement rates in Maine
Removal of diseased synovial tissue around a flexor tendon in the palm or finger for significant tenosynovitis that impairs tendon gliding. Compare 26145 office and facility rates across CMS payment localities in Maine.
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 26145 in Maine?
Maine 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
$452.90–$469.96
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 26145: Flexor tendon sheath synovectomy
Removal of diseased synovial tissue around a flexor tendon in the palm or finger for significant tenosynovitis that impairs tendon gliding.
Code 26145 represents removal of diseased synovial tissue surrounding a flexor tendon in the palm or finger while preserving the tendon itself. A hand surgeon typically performs the procedure for substantial proliferative tenosynovitis that restricts tendon excursion, including inflammatory disease such as rheumatoid arthritis. The operative report should identify the treated tendon and document the synovial disease and extent of the synovectomy.
Report the service for each tendon treated, distinguishing synovectomy from removal of a tendon or excision of a discrete sheath lesion. This major surgery 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26145
- 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 RVU6.33 · 43%
- Practice expense (office) RVU7.04 · 48%
- Malpractice RVU1.21 · 8%
12.9K
Medicare services in 2024 · #1341 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.
26145 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
26170 removes a tendon in the palm. Code 26145 removes diseased synovial tissue around a flexor tendon while preserving the tendon.
No office rate
26180 removes a tendon in a finger. Code 26145 is for synovectomy around a flexor tendon, not excision of the tendon itself.
Compare 26145 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$452.90
Southern Maine →
Office / nonfacility
Unavailable
Facility
$469.96
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26145 billing questions
Does this code describe removal of the tendon?
No. It describes removal of diseased synovial tissue around a flexor tendon; the tendon itself is preserved. Tendon excision is represented by a different procedure.
How is the number of tendons reflected in reporting?
The service is described per tendon. The operative note should identify each tendon treated and document the synovectomy performed.
How does this differ from 26160?
26145 addresses diseased synovium around a tendon. Code 26160 is for excision of a discrete lesion of the tendon sheath or joint capsule, such as a cyst.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used for both hands or fingers?
No. CMS identifies bilateral adjustment as inappropriate 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. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
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.
2,55426130,,Remove wrist joint lining,A,,5.45,7.11,NA,7.11,,1.17,13.73,13.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55526135,,Revise finger joint each,A,,6.95,7.28,NA,7.28,,1.32,15.55,15.55,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55626140,,Revise finger joint each,A,,6.18,7.02,NA,7.02,,1.19,14.39,14.39,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55726145,,Tendon excision palm/finger,A,,6.33,7.04,NA,7.04,,1.21,14.58,14.58,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55826160,,Remove tendon sheath lesion,A,,3.48,15.55,,5.10,,0.66,19.69,9.24,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,55926170,,Removal of palm tendon each,A,,4.79,6.02,NA,6.02,,0.92,11.73,11.73,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,56026180,,Removal of finger tendon,A,,5.22,6.69,NA,6.69,,1.00,12.91,12.91,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00