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See a sample rate comparisonCPT 26180 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.
Excision Of Tendon, Finger, Flexor
| 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 F7 - Right hand, third digit 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26180 |
| Medicaid Fee Schedule | View Medicaid rates for 26180 |
National average reimbursement for CPT 26180 by major payers:
$610.57
$595.20
$626.18
$740.16
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CPT 26180
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$2,833.00Published rateTampa Minimally Invasive Spine Surgery Center, LLC
Tampa Minimally Invasive Spine Surgery Center LLC
$1,188.00Published rateDoctors Park Surgery Inc
Doctors Park Surgery, Inc
$811.00Published ratePremier Surgery Center Of Santa Maria LLC
Premier Surgery Center Of Santa Maria, Inc.
$600.00Published rateSurgery Center Of West Monroe, LLC
$386.00Published rate
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See a sample payer proposalCPT 26180 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26180 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 26180 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 26180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26180 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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