No office rate
Both address repair at the distal finger extensor tendon insertion. The grafted counterpart applies when the repair uses a free graft.
On this page
CMS RVU26D · Effective 2026-10-01
26432 Tendon repair Medicare reimbursement rates in Mississippi
Reports surgical repair of an extensor tendon where it attaches at a finger’s distal end, including repair for a mallet finger injury. Compare 26432 office and facility rates across CMS payment localities in Mississippi.
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 26432 in Mississippi?
Mississippi 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
$482.95
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 26432: Distal finger extensor tendon repair
Reports surgical repair of an extensor tendon where it attaches at a finger’s distal end, including repair for a mallet finger injury.
This service repairs an extensor tendon at its distal finger attachment, restoring the tendon’s connection near the distal phalanx. A hand surgeon commonly performs it for a mallet finger injury when surgical repair is indicated. The work may take place in an operating room or an ambulatory surgery setting; the operative report should identify the affected finger, the distal insertion site, and the repair performed.
Select this code when the repair is at the distal insertion and does not use a free graft. Distinguish it from other finger extensor tendon repairs by documenting the repair location and from the grafted counterpart by documenting whether a free graft was used. CMS assigns 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 others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 26432
- 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 RVU4.06 · 25%
- Practice expense (office) RVU11.40 · 70%
- Malpractice RVU0.79 · 5%
668
Medicare services in 2024 · #3302 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.
26432 compared with similar codes
Office rates for Mississippi, from the same CMS release.
No office rate
This code is for a finger extensor tendon repair without a free graft away from the distal insertion; 26432 specifies the distal attachment.
No office rate
This code describes a grafted finger extensor tendon repair at a site other than the distal insertion. For a distal insertion repair, distinguish by graft use and site.
No office rate
This code concerns extensor tendon repair in the hand rather than repair at a finger’s distal tendon insertion.
Compare 26432 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
Mississippi →
Office / nonfacility
Unavailable
Facility
$482.95
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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 26432 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
2,593
- Code
- 26432
- Physician work
- 4.06
- Practice expense
- 11.40
- Malpractice
- 0.79
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.06 | × 1.000 | 4.0600 |
| Practice expense | 11.40 | × 0.861 | 9.8154 |
| Malpractice | 0.79 | × 0.739 | 0.5838 |
| Total RVUs | 14.4592 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$482.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.06 | 1 |
| Practice expense | 11.4 | 0.861 |
| Malpractice | 0.79 | 0.739 |
(4.06 × 1 + 11.4 × 0.861 + 0.79 × 0.739) × $33.4009 = $482.95
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.
26432 billing questions
When is this code a better fit than a general finger extensor tendon repair code?
Use it when the operative report identifies repair at the tendon’s distal insertion on the finger, as in a surgically treated mallet finger. A repair at another finger tendon site may call for a different code.
How does the grafted counterpart differ?
The key distinction is whether the distal insertion repair uses a free tendon graft. Report this code for repair without a free graft; use the grafted counterpart when a free graft is used.
What documentation supports reporting this service?
Document the injured finger, the distal tendon attachment being repaired, the operative repair, and whether a free graft was used. The diagnosis and operative findings should support why surgical repair was performed.
Can modifier 50 be used when both hands or fingers are involved?
CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate. Identify the treated finger or fingers in the claim documentation.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. CMS also applies the standard multiple procedure reduction when other procedures are performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. 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.
2,59026420,,Repair/graft finger tendon,A,,6.77,13.45,NA,13.45,,1.28,21.50,21.50,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59126426,,Repair finger/hand tendon,A,,6.16,6.92,NA,6.92,,1.17,14.25,14.25,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,59226428,,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
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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974