No office rate
26350 is for flexor tendon repair; 26370 is for extensor tendon repair. Identify the tendon and its function from the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
26370 Tendon repair Medicare reimbursement rates in Massachusetts
Reports surgical repair of an extensor tendon in the hand or finger without a free graft, such as repair after a tendon laceration. Compare 26370 office and facility rates across CMS payment localities in Massachusetts.
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 26370 in Massachusetts?
Massachusetts 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
$779.91–$857.40
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 26370: Hand or finger extensor tendon repair
Reports surgical repair of an extensor tendon in the hand or finger without a free graft, such as repair after a tendon laceration.
This code describes operative repair of an extensor tendon in the hand or a finger without using a free tendon graft. A hand surgeon or other qualified surgeon may perform the repair after an injury such as a laceration that interrupts tendon continuity and impairs finger or thumb extension. The procedure is generally performed in an operating room, with the operative report identifying the tendon repaired and the repair technique.
Select the code based on the documented tendon, repair, and use or absence of a free graft; distinguish it from flexor tendon repair and grafted repair codes. Report each eligible tendon as directed by CPT guidance, supported by the operative details. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26370
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.10 · 31%
- Practice expense (office) RVU14.31 · 63%
- Malpractice RVU1.34 · 6%
236
Medicare services in 2024 · #4179 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.
26370 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
26356 is in the flexor tendon repair family. Choose 26370 when the repaired structure is an extensor tendon.
No office rate
26372 is a related extensor tendon repair code associated with graft use. This code describes repair without a free graft.
No office rate
26390 describes revision of a hand or finger tendon; 26370 reports tendon repair rather than revision.
Compare 26370 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$857.40
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$779.91
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26370 billing questions
How does this differ from the hand flexor tendon repair codes?
This code is for an extensor tendon repair. Codes in the 26350–26358 family describe flexor tendon repairs; use the operative report to identify which tendon was repaired.
When should a grafted repair code be considered?
Use a graft-related code when the documented repair uses a free tendon graft. This code describes repair without a free graft.
Can the surgeon report modifier 50 for repairs on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. Apply the applicable coding instructions for the documented services rather than modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
When is an assistant-at-surgery claim payable?
Medicare assistant-at-surgery payment requires documentation that the assistant's involvement was medically necessary.
Can co-surgeons or a surgical team report this repair?
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.
2,57726356,,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
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