No office rate
Both are PIP-level finger tendon tenodeses. Select 26471 for the flexor tendon and 26474 for the extensor tendon.
On this page
CMS RVU26D · Effective 2026-10-01
26471 Finger tenodesis Medicare reimbursement rates in Minnesota
Reports fixation of a finger flexor tendon at the proximal interphalangeal joint to stabilize or control finger position during reconstructive hand surgery. Compare 26471 office and facility rates across CMS payment localities in Minnesota.
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 26471 in Minnesota?
Minnesota 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
$630.53
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 26471: Finger flexor tendon tenodesis at PIP joint
Reports fixation of a finger flexor tendon at the proximal interphalangeal joint to stabilize or control finger position during reconstructive hand surgery.
This procedure anchors a finger flexor tendon at the proximal interphalangeal (PIP) joint to limit or redirect its pull and help control finger position. A hand, orthopedic, or plastic surgeon typically performs it as an operative treatment for a finger deformity or instability when tendon fixation is part of the reconstructive plan. The operative report should identify the finger, the flexor tendon, the PIP-level work, and the fixation performed.
Report this code when the surgeon performs flexor tendon tenodesis at the PIP joint, not a tendon release, length adjustment, or transfer. The major-surgery 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 others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 26471
- 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 RVU5.75 · 30%
- Practice expense (office) RVU12.45 · 65%
- Malpractice RVU1.07 · 6%
220
Medicare services in 2024 · #4235 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.
26471 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
26455 is a finger flexor tenotomy, which cuts the tendon; 26471 fixes the flexor tendon at the PIP joint.
No office rate
26476 represents tendon lengthening. Use it when length is surgically adjusted rather than when the flexor tendon is fixed at the PIP joint.
Compare 26471 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$630.53
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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 26471 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,604
- Code
- 26471
- Physician work
- 5.75
- Practice expense
- 12.45
- Malpractice
- 1.07
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.75 | × 1.000 | 5.7500 |
| Practice expense | 12.45 | × 1.029 | 12.8110 |
| Malpractice | 1.07 | × 0.296 | 0.3167 |
| Total RVUs | 18.8778 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$630.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.75 | 1 |
| Practice expense | 12.45 | 1.029 |
| Malpractice | 1.07 | 0.296 |
(5.75 × 1 + 12.45 × 1.029 + 1.07 × 0.296) × $33.4009 = $630.53
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.
26471 billing questions
How is this different from code 26474?
This code is for flexor tendon tenodesis at the PIP joint; 26474 is the corresponding extensor tendon procedure. Follow the tendon treated in the operative report.
Can a flexor tenotomy be reported instead?
No. Code 26455 describes cutting a finger flexor tendon, while this code describes fixing the tendon at the PIP joint. Choose based on the procedure actually performed.
What documentation supports reporting this code?
Document the finger and flexor tendon treated, the PIP-joint location, the tendon fixation, and the condition prompting the reconstruction.
Does modifier 50 apply when both hands are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. Modifier 50 should not be used.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
2,60126450,,Incision of palm tendon,A,,3.70,9.35,NA,9.35,,0.69,13.74,13.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60226455,,Incision of finger tendon,A,,3.67,9.38,NA,9.38,,0.69,13.74,13.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60326460,,Incise hand/finger tendon,A,,3.49,9.29,NA,9.29,,0.65,13.43,13.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60426471,,Fusion of finger tendons,A,,5.75,12.45,NA,12.45,,1.07,19.27,19.27,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60526474,,Fusion of finger tendons,A,,5.35,13.12,NA,13.12,,1.14,19.61,19.61,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60626476,,Tendon lengthening,A,,5.22,13.07,NA,13.07,,1.12,19.41,19.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,60726477,,Tendon shortening,A,,5.19,12.20,NA,12.20,,0.99,18.38,18.38,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002