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See a sample rate comparisonCPT 26390 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.
Hand Or Finger Tendon Surgery, Surgery To Remove A Tendon From A Hand Or Finger. A Temporary Rod Is Implanted To Prepare The Surrounding Tissue For A Tendon Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None F9 - Right hand, fifth digit F8 - Right hand, fourth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26390 |
| Medicaid Fee Schedule | View Medicaid rates for 26390 |
National average reimbursement for CPT 26390 by major payers:
$1,208.49
$1,142.79
$1,175.76
$1,427.65
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CPT 26390
5 of 25 sample ratesHigher to lower in this preview
Alle-Kiski Medical Center
Highmark Health
$18,877.48Published rateValley Surgery Center LLC
$2,835.00Published rateRegional Eye Surgery Center, LLC
$2,090.00Published rateThibodaux Endoscopy LLC
Thibodaux Endoscopy, L.L.C.
$1,263.00Published rateEastside Surgery Center, LLC
Painmds Ambulatory Surgical Center LLC
$543.00Published rate
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See a sample payer proposalCPT 26390 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26390 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 26390 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 |
| 26390-CPT | High | Hand Or Finger Tendon Surgery, Surgery To Remove A Tendon From A Hand Or Finger. A Temporary Rod Is Implanted To Prepare The Surrounding Tissue For A Tendon Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26390 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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