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See a sample rate comparisonCPT 26450 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.
Tenotomy, Flexor, Single, Palm, Open, Ea
| 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 26450 |
| Medicaid Fee Schedule | View Medicaid rates for 26450 |
National average reimbursement for CPT 26450 by major payers:
$612.97
$562.67
$608.59
$736.86
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CPT 26450
5 of 25 sample ratesHigher to lower in this preview
Riverwalk Asc, LLC, Riverwalk Asc
$5,532.00Published rateCoastal Endo, LLC, Coastal Endoscopy Center
$1,668.00Published rateNorth Bend Medical Center Inc, Nbmc-Day Surgery
$865.00Published rateSummit Endoscopy Center
$661.00Published rateGreen Surgery Center LLC
$393.00Published rate
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See a sample payer proposalCPT 26450 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26450 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 26450 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 |
|---|---|---|
| 26442-CPT | High | Tenolysis Flexor Palm And Finger |
| 26450-CPT | Moderate | Tenotomy, Flexor, Single, Palm, Open, Ea |
| 26455-CPT | Moderate | Tenotomy Flexor Finger Open |
| 26460-CPT | Moderate | Tenotomy Extensor Hand Or Fi, Tenotomy Extensor Hand Or Finger Open Each Tendontenotomy Extensor Hand Or Finger Open 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 26450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26450 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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