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See a sample rate comparisonCPT 26477 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.
Tendon Shortening, Extensor, Single, Eac
| 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 RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26477 |
| Medicaid Fee Schedule | View Medicaid rates for 26477 |
National average reimbursement for CPT 26477 by major payers:
$778.41
$797.88
$822.04
$1,018.15
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CPT 26477
5 of 25 sample ratesHigher to lower in this preview
Kc Surgicenter, LLC
Kc Surgicenter LLC
$2,279.00Published ratePhysicians Ambulatory Surgery Center, LLC
$1,210.00Published rateAmarillo Surgery And Endoscopy, Lp, Adc Endoscopy Specialists
Amarillo Surgery And Endoscopy Lp
$688.00Published rateMohs And Skin Surgery Center, LLC
Mohs And Skin Surgery Center LLC
$531.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$266.00Published rate
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See a sample payer proposalCPT 26477 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26477 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 26477 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26477. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26477 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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