No office rate
Use 26350 when the documented service matches its primary flexor tendon repair circumstances. This code is selected only when the operative details match its distinct repair or graft-reconstruction descriptor.
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CMS RVU26D · Effective 2026-10-01
26392 Hand tendon repair Medicare reimbursement rates in Oregon
Reports operative repair or graft reconstruction of a hand tendon when the documented procedure matches this tendon-repair code rather than a neighboring technique or service. Compare 26392 office and facility rates across CMS payment localities in Oregon.
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 26392 in Oregon?
Oregon 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
$948.78–$1021.38
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 26392: Hand tendon repair or graft reconstruction
Reports operative repair or graft reconstruction of a hand tendon when the documented procedure matches this tendon-repair code rather than a neighboring technique or service.
This code represents operative repair or reconstruction of a tendon in the hand, including a procedure involving tendon grafting when that is the technique documented. A hand surgeon or other qualified surgeon typically performs the work in an operating room, often to restore tendon continuity and function after injury or to address a damaged tendon. The operative report should identify the tendon and hand, describe the repair or reconstruction performed, and document graft use when applicable.
Choose this code by matching the operative technique and circumstances to its full CPT descriptor, including distinctions from neighboring codes for primary repair, secondary repair, tendon zone, or graft method. Report units according to the descriptor’s tendon-specific instructions and support them with the operative note. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global surgical payment. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26392
- 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 RVU10.24 · 35%
- Practice expense (office) RVU16.70 · 57%
- Malpractice RVU2.18 · 7%
43
Medicare services in 2024 · #5443 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.
26392 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
26352 is a neighboring primary flexor tendon repair code with a specific tendon-zone distinction. Base selection on the operative site and technique, not simply the fact that a hand tendon was repaired.
No office rate
26358 describes a related tendon repair or graft service with different descriptor-level circumstances. Check the full descriptors and operative report to identify the exact procedure performed.
No office rate
26390 is for tendon revision, while this code represents repair or graft reconstruction. A revision service should not be treated as an interchangeable repair.
Compare 26392 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
Portland →
Office / nonfacility
Unavailable
Facility
$1021.38
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$948.78
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26392 billing questions
How do I distinguish this code from a primary tendon repair code?
Compare the operative technique and circumstances with the full descriptors for this code and the primary-repair codes. The operative note should make clear whether the surgeon performed a primary repair or a graft-based or other reconstruction.
What documentation supports reporting this service?
Document the hand tendon treated, the injury or tendon problem, the operative repair or reconstruction, and graft use when applicable. The record should support the specific technique represented by this code rather than a neighboring repair code.
Can the related postoperative visits be billed separately?
The Medicare 90-day global period includes related postoperative care, as well as the day-before preoperative visit. Services outside the included global care require separate consideration based on the circumstances and applicable coding rules.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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.
2,58126372,,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
2,58726415,,Excision hand/finger tendon,A,,8.30,14.89,NA,14.89,,1.76,24.95,24.95,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00