26358 Repair/graft hand tendon
Also known as: Multi-tendon repair with graft, Complex tendon graft, Accessory tendon repair
Surgical repair and grafting of tendons in the hand with involvement of multiple tendon units, repair of more than one tendon strand with graft material. This includes repair and grafting of accessory structures or additional tendon components.
In Plain Language
Extensive tendon repair using graft material for multiple structures; Complex surgery to fix several tendons with added tissue
Clinical Context
Performed in severe hand injuries involving multiple tendon lacerations, extensive crush injuries, or when revision of prior failed tendon repairs is necessary with additional grafting.
RVU Breakdown
| Work RVU | 12.29 |
| Total RVU | 12.29 |
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 12.29, this code ranks in the 66th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26358?
CPT 26358 (Repair/graft hand tendon) is a Surgery code. Surgical repair and grafting of tendons in the hand with involvement of multiple tendon units, repair of more than one tendon strand with graft material. This includes repair and grafting of accessory structures or additional tendon components.
What is the wRVU value for CPT 26358?
The work RVU for CPT 26358 is 12.29. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26358 used?
Performed in severe hand injuries involving multiple tendon lacerations, extensive crush injuries, or when revision of prior failed tendon repairs is necessary with additional grafting.
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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.