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See a sample rate comparisonCPT 26500 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.
Reconstr Of Tndon Pulley Ea Tndon; W/ Local Tissues (Sepa, Reconstruction Of Tendon Pulley Each Tendon; With Local Tissues (Sepa
| 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 LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 26500 |
| Medicaid Fee Schedule | View Medicaid rates for 26500 |
National average reimbursement for CPT 26500 by major payers:
$883.18
$856.70
$886.03
$1,094.01
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CPT 26500
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$2,817.00Published rateBaptist Plaza Surgicare Lp, Saint Thomas Surgery Center - Midtown
$1,509.00Published rateRattner Vascular Medical Center Asc LLC
$816.00Published rateM. Reza Mizani, M.D., P.A., Total Vascular Care
M. Reza Mizani Md, PA
$645.00Published rateAmelia Island Surgery Center LLC
$350.00Published rate
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See a sample payer proposalCPT 26500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26500 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 26500 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 26500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26500 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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