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See a sample rate comparisonCPT 26352 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Graft Hand Tendon, Repair Or Advancement Flexor Tendon Not In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Secondary With Free Graft Includes Obtaining Graft Each Tendon
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26352 |
| Medicaid Fee Schedule | View Medicaid rates for 26352 |
National average reimbursement for CPT 26352 by major payers:
$1,158.48
$1,104.81
$1,162.16
$1,378.66
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CPT 26352
5 of 25 sample ratesHigher to lower in this preview
Osu Wexner Medical Center Ambulatory Surgery Center, Osu Wexner Medical Center Ambulatory Surgery Center New Albany
Osu Wexner Medical Center Ambulatory Surgery Center
$4,436.25Published rateCenter For Health Ambulatory Surgery Center, LLC
Center For Health Ambulatory Surgery Center LLC
$3,085.00Published rateCrossings Surgery Center, LLC
Orthopedics Rhode Island, Inc.
$2,112.00Published rateSurgicare Of Wichita, LLC
Surgicare Of Wichita LLC
$1,469.00Published rateInterventional Pain Center Of Chesterfield L L C
$700.00Published rate
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See a sample payer proposalCPT 26352 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26352 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 26352 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 |
|---|---|---|
| 26350-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon Not In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Primary Or Secondary Without Free Graft Each Tendon |
| 26352-CPT | High | Repair Graft Hand Tendon, Repair Or Advancement Flexor Tendon Not In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Secondary With Free Graft Includes Obtaining Graft Each Tendon |
| 26356-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Primary Without Free Graft Each Tendon |
| 26357-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Secondary Without Free Graft Each Tendon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26352. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26352 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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