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See a sample rate comparisonCPT 26440 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.
Tenolysis,Simple,Flexor Tendon;Palmor F
| 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 59 - Distinct Procedural Service F7 - Right hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26440 |
| Medicaid Fee Schedule | View Medicaid rates for 26440 |
National average reimbursement for CPT 26440 by major payers:
$934.45
$853.28
$892.34
$1,075.06
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CPT 26440
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC
$2,307.00Published rateBaptist Medical Park Surgery Center LLC
$1,088.00Published ratePiedmont Outpatient Surgery Center, LLC
Piedmont Outpatient Surgery Center LLC
$729.00Published rateNational Surgical Centers Of America LLC, Nscoa
National Surgical Centers Of America LLC
$510.00Published rateBox Hill Surgery Center LLC
$375.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26440 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 26440 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 |
|---|---|---|
| 26428-CPT | High | Repair Graft Finger Tendon, Repair Of Extensor Tendon Central Slip Secondary Eg Boutonniere Deformity With Free Graft Includes Obtaining Graft Each Finger |
| 26432-CPT | Moderate | Splint Injured Tendon, Treatment Of Finger Tendon Injury Using A Splint. Pins May Be Inserted Through The Skin To Stabilize The Finger Joint. |
| 26433-CPT | Moderate | Repair Finger Tendon, Repair Of Finger Tendon On The Top Side Of The Hand (Extensor) Without A Graft Toward The End Of The Finger (Mallet Finger) |
| 26440-CPT | Moderate | Tenolysis,Simple,Flexor Tendon;Palmor F |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26440 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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