CPT 26352
Global 090 ActiveRepair/graft hand tendon
CPT 26352 Billing & Documentation Guide
CPT code 26352 (Repair/graft hand tendon) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.67, a non-facility practice expense RVU of 14.94, and a malpractice RVU of 1.48, a total non-facility RVU of 24.09 and facility RVU of 24.09. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $824.52, though rates vary from $710.29 to $1030.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 26352, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 26352 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 26352 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 26352
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.67 | 7.67 |
| Practice Expense RVU | 14.94 | 14.94 |
| Malpractice RVU | 1.48 | 1.48 |
| Total RVU | 24.09 | 24.09 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 26352
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $882.64 | $882.64 | $833.95 - $1030.43 | 29 |
| Florida | $853.09 | $853.09 | $807.54 - $900.67 | 3 |
| Georgia | $791.78 | $791.78 | $760.23 - $823.32 | 2 |
| Illinois | $833.71 | $833.71 | $789.04 - $872.93 | 4 |
| Michigan | $794.33 | $794.33 | $767.59 - $821.07 | 2 |
| North Carolina | $753.35 | $753.35 | $753.35 - $753.35 | 1 |
| New York | $892.23 | $892.23 | $765 - $957.7 | 5 |
| Ohio | $761.61 | $761.61 | $761.61 - $761.61 | 1 |
| Pennsylvania | $800.12 | $800.12 | $760.99 - $839.24 | 2 |
| Texas | $794.79 | $794.79 | $756.21 - $828.45 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 26352
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 26352 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01810 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0490T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0565T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 26352
What does CPT code 26352 mean? +
CPT code 26352 represents: Repair/graft hand tendon. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 26352? +
The 2026 Medicare national average non-facility payment for CPT 26352 is $824.52. Rates range from $710.29 to $1030.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 26352? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 26352? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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