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See a sample rate comparisonCPT 26498 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.
Restore Finger Movement, 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 Function Of The Fingers.
| 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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26498 |
| Medicaid Fee Schedule | View Medicaid rates for 26498 |
National average reimbursement for CPT 26498 by major payers:
$1,593.09
$1,557.09
$1,597.34
$1,922.18
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CPT 26498
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc., Emory Aesthetic Center
Emory University
$6,941.00Published rateCentral Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia
Central Virginia Surgicenter Lp
$3,570.00Published rateJeremy Curtis
Deaconess Hospital Inc
$1,963.19Published rateMadison Surgery Center, LLC
Madison Surgery Center, L.L.C.
$1,421.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26498 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26498 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 26498 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 |
|---|---|---|
| 26497-CPT | High | Restore Finger Movement, 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 Function Of The Fingers. |
| 26498-CPT | High | Restore Finger Movement, 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 Function Of The Fingers. |
| 26500-CPT | Moderate | Reconstr Of Tndon Pulley Ea Tndon; W/ Local Tissues (Sepa, Reconstruction Of Tendon Pulley Each Tendon; With Local Tissues (Sepa |
| 26502-CPT | Moderate | Reconstruction Of Tendon Pulle, Reconstruction Of Tendon Pulley Each Tendon Withtendon Orfascial Graft (Includes Obtaining Graft) (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26498 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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