26357 Repair finger/hand tendon
Also known as: Flexor-extensor repair with graft, Combined tendon repair and graft, Dual system tendon graft
Surgical repair and grafting of both flexor and extensor tendons of the finger or hand, combining tendon repair with graft placement for two separate tendon systems that are damaged beyond primary repair capability.
In Plain Language
Fixing and grafting both bending and straightening tendons in a finger; Complex repair using graft material for multiple tendons
Clinical Context
Used in severe crushing or mangling injuries where both tendon systems cannot be primarily repaired due to tissue loss or contamination. Typically in Zone 2 injuries or combined laceration patterns.
RVU Breakdown
| Work RVU | 10.73 |
| Total RVU | 10.73 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.73, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26357?
CPT 26357 (Repair finger/hand tendon) is a Surgery code. Surgical repair and grafting of both flexor and extensor tendons of the finger or hand, combining tendon repair with graft placement for two separate tendon systems that are damaged beyond primary repair capability.
What is the wRVU value for CPT 26357?
The work RVU for CPT 26357 is 10.73. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26357 used?
Used in severe crushing or mangling injuries where both tendon systems cannot be primarily repaired due to tissue loss or contamination. Typically in Zone 2 injuries or combined laceration patterns.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.