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See a sample rate comparisonCPT 26410 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.
Rpair Extenso Tndon Hand Primar Or Second; W/O Free Graf, Repair Extensor Tendon Hand Primary Or Secondary; Without Free Graf
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26410 |
| Medicaid Fee Schedule | View Medicaid rates for 26410 |
National average reimbursement for CPT 26410 by major payers:
$825.97
$779.24
$833.09
$987.16
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CPT 26410
5 of 25 sample ratesHigher to lower in this preview
Methodist Healthcare System Of San Antonio, Ltd., L.L.P., Methodist Hospital
$3,661.00Published rateSeaside Surgery Center, LLC
Seaside Surgery Center LLC
$1,258.00Published rateBeverly Hills Regional Surgery Center Lp
$720.00Published rateBellingham Ear Nose Throat And Facial Surgery Inc, Whatcom Surgery Center
Bellingham Ear, Nose, Throat & Facial Plastic Surgery, Inc. P.S.
$560.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$197.00Published rate
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See a sample payer proposalCPT 26410 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26410 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 26410 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 |
|---|---|---|
| 26185-CPT | Moderate | Sesamoidectomy, Thumb Or Finger |
| 26320-CPT | Moderate | Remove Implant Fingeror Hand |
| 26340-CPT | Moderate | Finger Joint Physical Therapy, Manual Stretching And Rotation Of A Finger Joint Under Anesthesia To Regain Range Of Motion. |
| 26410-CPT | Moderate | Rpair Extenso Tndon Hand Primar Or Second; W/O Free Graf, Repair Extensor Tendon Hand Primary Or Secondary; Without Free Graf |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26410 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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