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See a sample rate comparisonCPT 26145 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Synovectomy Tendon Sheath Ra, Synovectomy Tendon Sheath Radical (Tenosynovectomy)Flexor Tendon Palm Andor Finger Each Tendonsynovectomy Tendon Sheath Radical (Tenosynovec Tomy)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service F7 - Right hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26145 |
| Medicaid Fee Schedule | View Medicaid rates for 26145 |
National average reimbursement for CPT 26145 by major payers:
$707.76
$691.19
$726.94
$855.02
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CPT 26145
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$5,672.00Published rateCrossings Surgery Center, LLC
Orthopedics Rhode Island, Inc.
$1,076.00Published rateInland Outpatient Surgery Center, Inc.
$680.00Published rateHarbin Clinic, LLC, Harbin Gi
The Harbin Clinic, L.L.C.
$525.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$266.00Published rate
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See a sample payer proposalCPT 26145 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26145 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 26145 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 26145-CPT | Moderate | Synovectomy Tendon Sheath Ra, Synovectomy Tendon Sheath Radical (Tenosynovectomy)Flexor Tendon Palm Andor Finger Each Tendonsynovectomy Tendon Sheath Radical (Tenosynovec Tomy) |
| 26160-CPT | Moderate | Remove Tendon Sheath Lesion, Excision Of Lesion Of Tendon Sheath Or Joint Capsule Eg Cyst Mucous Cyst Or Ganglion Hand Or Finger |
| 26170-CPT | Moderate | Excision Of Tendon,Palm,Flexor,Single,Ea |
| 26180-CPT | Moderate | Excision Of Tendon, Finger, Flexor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26145 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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