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See a sample rate comparisonCPT 26499 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.
Correct Claw Finger Other Method
| 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 F8 - Right hand, fourth digit F9 - Right hand, fifth digit |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26499 |
| Medicaid Fee Schedule | View Medicaid rates for 26499 |
National average reimbursement for CPT 26499 by major payers:
$1,095.08
$1,129.92
$1,167.04
$1,416.97
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CPT 26499
5 of 25 sample ratesHigher to lower in this preview
Basalt Orthopedic Surgery Center, LLC, Bosc
Basalt Orthopedic Surgery Center LLC
$7,328.00Published rateCp Surgery Center, LLC
$3,993.00Published rateBeacon Orthopaedics Surgery Center, LLC, Summit Surgery Center
Beacon Orthopaedics Surgery Center LLC
$1,946.00Published rateApex Medical Surgery Center, LLC
Apex Medical Surgery Center LLC
$1,345.00Published rateEye Surgicenter LLC
$770.00Published rate
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See a sample payer proposalCPT 26499 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26499 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 26499 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 |
|---|---|---|
| 26490-CPT | High | Opponensplasty; Superficialis Tndon Trnsfer Typ Ea Tndon, Opponensplasty; Superficialis Tendon Transfer Type Each Tendon |
| 26492-CPT | High | Opponensplasty; Tndon Trnsfer W/ Grft (Inclu Obtain Grft), Opponensplasty; Tendon Transfer With Graft (Includes Obtaining Graft) |
| 26494-CPT | High | Move Tendon For Hand Function, A Functioning Muscle Is Moved From Its Original Attachment To A New One. The Procedure Is Done To Improve Lost Hand Function. |
| 26499-CPT | High | Correct Claw Finger Other Method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26499 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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