No office rate
Use 26370 for primary repair of the profundus tendon when the superficialis remains intact. Use 26372 for secondary repair requiring a free graft.
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CMS RVU26D · Effective 2026-10-01
26372 Hand tendon repair Medicare reimbursement rates in New Jersey
Reports delayed repair of a finger’s profundus flexor tendon using a free graft when the superficialis tendon remains intact. Compare 26372 office and facility rates across CMS payment localities in New Jersey.
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 26372 in New Jersey?
New Jersey 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
$965.48–$1007.27
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 26372: Secondary profundus tendon repair with graft
Reports delayed repair of a finger’s profundus flexor tendon using a free graft when the superficialis tendon remains intact.
This operation restores flexion at the fingertip after an earlier profundus tendon injury that cannot be repaired directly. A hand surgeon reconstructs the profundus tendon with a free tendon graft while the superficialis tendon remains intact. It is typically performed in a surgical facility for a finger that has lost active fingertip flexion after a prior laceration. Obtaining the graft is included in the repair.
Select 26372 for a secondary repair with a free graft, rather than a primary repair or a secondary repair without a graft. The operative report should identify the injured tendon, confirm the condition of the superficialis tendon, describe the graft, and identify each tendon repaired. CMS assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and others at 50%. Do not use modifier 50 for this code. An assistant at surgery may be paid; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26372
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.78 · 33%
- Practice expense (office) RVU16.23 · 60%
- Malpractice RVU1.87 · 7%
36
Medicare services in 2024 · #5547 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.
26372 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Both address secondary profundus tendon repair with an intact superficialis tendon. The free graft distinguishes 26372 from repair without a graft under 26373.
No office rate
Code 26352 describes a graft-based flexor tendon repair in the zone 2 digital tendon sheath. Code 26372 is specific to profundus reconstruction when the superficialis tendon remains intact.
Compare 26372 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1007.27
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$965.48
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26372 billing questions
When is 26372 chosen instead of 26373?
Choose 26372 when the secondary profundus tendon repair uses a free graft. Code 26373 describes the corresponding secondary repair without a free graft.
What distinguishes 26372 from 26370?
Code 26370 is for primary repair of the profundus tendon with the superficialis intact. Code 26372 is for a secondary reconstruction using a free graft.
Is obtaining the tendon graft separately reported?
No. Obtaining the free graft is included in the repair represented by 26372.
Should modifier 50 be used if tendons in both hands are repaired?
No. CMS does not provide a bilateral adjustment for 26372; modifier 50 is inappropriate.
How does CMS handle another procedure performed during the same session?
The standard multiple-procedure reduction applies: CMS pays the highest-valued procedure in full and other procedures at 50%.
Can surgical assistance be billed for this repair?
An assistant at surgery may be paid. CMS does not permit co-surgeon or team-surgery billing for 26372.
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.
2,57826357,,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
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