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See a sample rate comparisonCPT 26489 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26489 |
| Medicaid Fee Schedule | View Medicaid rates for 26489 |
National average reimbursement for CPT 26489 by major payers:
$1,289.20
$1,239.51
$1,296.83
$1,631.92
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CPT 26489
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Of Cool Springs LLC, Vanderbilt Surgery Center Cool Springs
Ambulatory Surgery Center Of Cool Springs LLC
$6,026.00Published rateBsc Reid Park LLC
$2,799.00Published rateRockville Md Endoscopy Asc LLC, Gastrointestinal Endoscopy Associates (Giea)
Rockville Md Endoscopy Asc LLC
$1,654.00Published rateOrthoarkansas Surgery Center LLC
$1,253.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 26489 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26489 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 26489 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 |
|---|---|---|
| 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. |
| 26483-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. |
| 26485-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. |
| 26489-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 26489. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26489 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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