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See a sample rate comparisonCPT 26479 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, Flexor, Hand/Finger,S
| 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 F1 - Left hand, second digit LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26479 |
| Medicaid Fee Schedule | View Medicaid rates for 26479 |
National average reimbursement for CPT 26479 by major payers:
$896.11
$858.45
$890.61
$1,092.56
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CPT 26479
5 of 25 sample ratesHigher to lower in this preview
Hackensack Musculoskeletal Surgery Center, LLC
Hackensack Musculoskeletal Surgery Center LLC
$3,521.00Published ratePiedmont Asc LLC
$1,400.00Published rateNovamed Surgery Center Of St Peters LLC, St Peters Ambulatory Surgery Center
Novamed Surgery Center Of St Peters LLC
$1,039.00Published rateLake Ridge Ambulatory Surgery Center, LLC, Lake Ridge Surgery Center
Lake Ridge Ambulatory Surgery Center LLC
$639.00Published rateFredericktown Ambulatory Surgical Facility, Inc.
Fredericktown Ambulatory Surgical Facility Inc
$367.00Published rate
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See a sample payer proposalCPT 26479 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26479 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 26479 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 |
|---|---|---|
| 26477-CPT | Moderate | Tendon Shortening, Extensor, Single, Eac |
| 26478-CPT | Moderate | Lengthen Tendon Flexor Hand |
| 26479-CPT | Moderate | Tendon Shortening, Flexor, Hand/Finger,S |
| 26480-CPT | High | Surgery On Tendon In Hand, A Functioning Tendon Is Detached From Its Original Insertion Onto Bone And Re-Sewn Onto A Different Bone Or Tendon. The Procedure Is Done To Improve Lost Hand Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26479. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26479 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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