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See a sample rate comparisonCPT 26471 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.
Tenodesis Pip Stabilization
| 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 FA - Left hand, thumb 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26471 |
| Medicaid Fee Schedule | View Medicaid rates for 26471 |
National average reimbursement for CPT 26471 by major payers:
$907.02
$843.40
$881.66
$1,072.31
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CPT 26471
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$3,994.00Published rateHaymarket Surgery Center, LLC
Haymarket Surgery Center
$1,258.00Published rateNorthwest Community Day Surgery Center II LLC
$819.00Published rateAtlanta Surgery North
$700.00Published rateSanta Lucia Surgical Center LLC
$297.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26471 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26471 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 26471 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 |
|---|---|---|
| 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 |
| 26471-CPT | Moderate | Tenodesis Pip Stabilization |
| 26474-CPT | Moderate | Tenodesis; For Distal Joint Stabilizatio |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26471 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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