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See a sample rate comparisonCPT 26392 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.
Removal Of Prosthetic Rod And, Removal Of Prosthetic Rod And Insertion Of Flexor Tendongraft Hand Or Finger (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 F9 - Right hand, fifth digit F8 - Right hand, fourth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26392 |
| Medicaid Fee Schedule | View Medicaid rates for 26392 |
National average reimbursement for CPT 26392 by major payers:
$1,336.53
$1,329.67
$1,359.99
$1,646.81
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CPT 26392
5 of 25 sample ratesHigher to lower in this preview
Silicon Valley Surgery Center, Lp
Silicon Valley Surgery Center, L.P.
$4,691.00Published rateSurgery Center At University Park, LLC, Premier Surgery Center Of Sarasota
Surgery Center At University Park LLC
$3,347.00Published rateWoodhams Laser & Lens Implant Center LLC
Woodhams Laser Lens Implant Center LLC
$1,763.00Published rateWest Lakes Surgery Center LLC
West Lakes Surgery Center, LLC
$1,466.00Published rateWinter Haven Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center
$575.00Published rate
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See a sample payer proposalCPT 26392 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26392 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 26392 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 |
|---|---|---|
| 26372-CPT | High | Repair Of Tendon In Hand, Surgery To Repair Or Reattach The Profundus Tendon To Improve Joint Function. This Tendon Extends From The Outside Of The Lower Arm To The Index Finger. |
| 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. |
| 26392-CPT | High | Removal Of Prosthetic Rod And, Removal Of Prosthetic Rod And Insertion Of Flexor Tendongraft Hand Or Finger (Includes Obtaining Graft) Each Tendon |
| 26412-CPT | High | Repair Graft Hand Tendon, Repair Extensor Tendon Hand Primary Or Secondary With Free Graft Includes Obtaining 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 26392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26392 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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