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See a sample rate comparisonCPT 26502 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.
Reconstruction Of Tendon Pulle, Reconstruction Of Tendon Pulley Each Tendon Withtendon Orfascial Graft (Includes Obtaining Graft) (Separate Procedure)
| 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 26502 |
| Medicaid Fee Schedule | View Medicaid rates for 26502 |
National average reimbursement for CPT 26502 by major payers:
$978.21
$970.69
$1,006.70
$1,225.95
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CPT 26502
5 of 25 sample ratesHigher to lower in this preview
Plaza Surgery Center, L.P., Plaza Surgery Center
Plaza Surgery Center Lp
$6,898.00Published ratePeachtree Orthopaedic Surgery Center-North, LLC
Peachtree Orthopaedic Surgery Centernorth LLC
$2,116.00Published rateOphthalmology Surgery Center Of Illinois, LLC
Ophthalmology Surgery Center Of Illinois LLC
$1,882.00Published rateWilmington Gastroenterology Endoscopy Center, Inc
Wilmington Gastroenterology Endoscopy Center Inc
$1,414.00Published rateFort Myers Endoscopy Center LLC
$300.00Published rate
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See a sample payer proposalCPT 26502 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26502 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 26502 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 |
|---|---|---|
| 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) |
| 26508-CPT | Moderate | Release Thenar Muscle For Contract |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26502 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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