No office rate
Both codes describe flexor tendon repair without a free graft in zones 1 or 2; 26350 is for primary repair, while 26352 is for secondary repair.
On this page
CMS RVU26D · Effective 2026-10-01
26350 Flexor tendon repair Medicare reimbursement rates in Utah
Reports primary repair or advancement of a finger or hand flexor tendon in zone 1 or 2, without a free graft, for each tendon treated. Compare 26350 office and facility rates across CMS payment localities in Utah.
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 26350 in Utah?
Utah 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
$704.95
1 of 1 localities have a supported rate.
Payment area: Utah
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 26350: Primary flexor tendon repair, zones 1-2
Reports primary repair or advancement of a finger or hand flexor tendon in zone 1 or 2, without a free graft, for each tendon treated.
This code describes primary repair or advancement of a flexor tendon in zone 1 or 2 without a free graft, reported for each tendon treated. Hand surgeons, including orthopedic or plastic surgeons, commonly perform the procedure in an operating room after a finger or hand injury such as a laceration has divided a flexor tendon. The operative record should identify the tendon, anatomical zone, primary repair, and whether a graft was used.
Select the code based on the tendon’s zone and the type of repair; a secondary repair or a repair using a free graft is represented elsewhere in the family. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery.
CMS billing rules for 26350
- 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 RVU6.05 · 27%
- Practice expense (office) RVU14.88 · 67%
- Malpractice RVU1.19 · 5%
810
Medicare services in 2024 · #3132 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.
26350 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Both describe primary flexor tendon repair without a free graft. Choose 26350 for zones 1 or 2 and 26356 for zones 3, 4, or 5.
No office rate
This code is for flexor tendon repair in zones 1 or 2 using a free graft; 26350 describes repair without a free graft.
Compare 26350 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
Utah →
Office / nonfacility
Unavailable
Facility
$704.95
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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 26350 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,575
- Code
- 26350
- Physician work
- 6.05
- Practice expense
- 14.88
- Malpractice
- 1.19
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.05 | × 1.000 | 6.0500 |
| Practice expense | 14.88 | × 0.940 | 13.9872 |
| Malpractice | 1.19 | × 0.898 | 1.0686 |
| Total RVUs | 21.1058 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$704.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1 |
| Practice expense | 14.88 | 0.94 |
| Malpractice | 1.19 | 0.898 |
(6.05 × 1 + 14.88 × 0.94 + 1.19 × 0.898) × $33.4009 = $704.95
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.
26350 billing questions
When is this code selected instead of 26356?
Use 26350 for primary flexor tendon repair in zone 1 or 2. Code 26356 describes primary repair in zones 3, 4, or 5.
Does this code include a free tendon graft?
No. This code describes repair without a free graft; a repair using a free graft belongs to the graft-specific code family.
How many units are reported when multiple tendons are repaired?
The code is reported for each tendon treated. Document the tendon and zone for each repair.
Can modifier 50 be used for repairs on both hands?
No. CMS identifies modifier 50 as inappropriate for this code. The descriptor is based on each tendon treated, not a bilateral adjustment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.
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.
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57626352,,Repair/graft hand tendon,A,,7.67,14.94,NA,14.94,,1.48,24.09,24.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57726356,,Repair finger/hand tendon,A,,9.32,11.45,NA,11.45,,1.79,22.56,22.56,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57826357,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985