No office rate
Use 26356 for a primary hand or finger tendon repair without grafting; use 26390 when the operation is a revision of prior tendon treatment.
On this page
CMS RVU26D · Effective 2026-10-01
26390 Tendon revision Medicare reimbursement rates in Massachusetts
Reports surgical revision of a tendon in the hand or finger, typically when a prior tendon procedure requires corrective work. Compare 26390 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 26390 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
$868.40–$949.69
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 26390: Hand or finger tendon revision
Reports surgical revision of a tendon in the hand or finger, typically when a prior tendon procedure requires corrective work.
A hand surgeon revises a tendon in the hand or finger when prior tendon surgery has left a problem requiring operative correction. The service may be performed by an orthopedic or plastic surgeon in an operating room. The operative record should identify the affected tendon and site, the prior procedure or condition prompting revision, and the corrective work actually performed. This code describes revision, not simply a new primary tendon repair or treatment of restricted movement by manipulation.
Report the code when the surgeon performs revision of the hand or finger tendon; distinguish it from a repair performed as the primary procedure and from tendon release for adhesions. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26390
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.19 · 36%
- Practice expense (office) RVU14.34 · 56%
- Malpractice RVU1.96 · 8%
70
Medicare services in 2024 · #5141 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.
26390 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
26358 describes tendon repair involving a graft. It is a primary repair option, whereas 26390 identifies revision surgery.
No office rate
26440 is for releasing flexor tendon adhesions. Choose 26390 when the surgeon revises the tendon rather than performing tenolysis alone.
Compare 26390 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
$949.69
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$868.40
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26390 billing questions
How is revision different from a primary tendon repair?
Use revision when the operation corrects a problem involving a previously treated tendon. A primary repair code describes a tendon repair performed as the primary procedure rather than revision of prior work.
Is tendon adhesions release the same service?
No. Tenolysis frees a tendon restricted by adhesions; report revision when the surgeon performs corrective surgery on the tendon itself rather than only releasing adhesions.
Does this code have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for both hands or fingers?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
When can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is 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.
2,58026370,,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
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