No office rate
Both involve secondary flexor tendon reconstruction with a free graft. The tendon zone distinguishes them: 26373 is for zone 2; 26372 is for other zones.
On this page
CMS RVU26D · Effective 2026-10-01
26373 Flexor tendon repair Medicare reimbursement rates in Utah
Reports secondary reconstruction of a zone 2 finger flexor tendon using a free tendon graft, with selection based on repair history and tendon zone. Compare 26373 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 26373 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
$830.31
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 26373: Secondary zone 2 flexor tendon graft repair
Reports secondary reconstruction of a zone 2 finger flexor tendon using a free tendon graft, with selection based on repair history and tendon zone.
A hand surgeon uses this code for secondary reconstruction of a flexor tendon in zone 2 when a free tendon graft is used. The procedure addresses a tendon that cannot be restored with a direct repair or advancement alone, such as a chronic tendon defect after an injury. It is typically performed in an operating room, with the operative report identifying the affected tendon, zone, graft use, and secondary nature of the reconstruction.
Report one unit for each tendon treated, selecting the code based on the tendon zone, whether the repair is primary or secondary, and whether a free graft is used. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is not appropriate for this code. An assistant at surgery may be paid; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26373
- 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 RVU8.20 · 32%
- Practice expense (office) RVU16.06 · 62%
- Malpractice RVU1.74 · 7%
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.
26373 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Both involve zone 2 reconstruction with a free graft, but 26358 is primary and 26373 is secondary.
No office rate
Both describe secondary zone 2 flexor tendon reconstruction. Choose 26373 when a free graft is used; 26357 describes reconstruction without one.
Compare 26373 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
$830.31
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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 26373 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,582
- Code
- 26373
- Physician work
- 8.20
- Practice expense
- 16.06
- Malpractice
- 1.74
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.20 | × 1.000 | 8.2000 |
| Practice expense | 16.06 | × 0.940 | 15.0964 |
| Malpractice | 1.74 | × 0.898 | 1.5625 |
| Total RVUs | 24.8589 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$830.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.2 | 1 |
| Practice expense | 16.06 | 0.94 |
| Malpractice | 1.74 | 0.898 |
(8.2 × 1 + 16.06 × 0.94 + 1.74 × 0.898) × $33.4009 = $830.31
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.
26373 billing questions
How is 26373 distinguished from 26372?
Both describe secondary flexor tendon reconstruction with a free graft. The tendon zone determines which code to select: 26373 is for zone 2, while 26372 is for a zone other than zone 2.
When would 26358 be used instead?
26358 describes a primary zone 2 flexor tendon reconstruction using a free graft. Use 26373 when the operative circumstances call for a secondary reconstruction.
Is the code reported per tendon or per hand?
Report one unit for each tendon reconstructed. The operative note should identify each treated tendon and support the zone and graft details.
Can modifier 50 be used when both hands are treated?
No. Modifier 50 is not appropriate for this code; report the services according to the applicable code and claim-line instructions.
How does the multiple procedure rule affect payment?
For procedures in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures to 50%. This code has a 90-day global period.
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.
2,57926358,,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
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
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