26390 Revise hand/finger tendon
Also known as: Tendon re-repair, Revision tendon surgery, Secondary repair
Surgical revision or re-repair of previously repaired hand or finger tendons, performed when primary tendon repair has failed, become adhesed, or requires optimization for improved function.
In Plain Language
Fixing a tendon that was previously repaired but not working well; Revision surgery for failed tendon repair
Clinical Context
Indicated for failed primary tendon repairs, adhesion lysis with repeat repair, or transition from simple to more complex repair after primary repair inadequacy. May include tenosynovectomy and neurolysis.
RVU Breakdown
| Work RVU | 9.19 |
| Total RVU | 9.19 |
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 9.19, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26390?
CPT 26390 (Revise hand/finger tendon) is a Surgery code. Surgical revision or re-repair of previously repaired hand or finger tendons, performed when primary tendon repair has failed, become adhesed, or requires optimization for improved function.
What is the wRVU value for CPT 26390?
The work RVU for CPT 26390 is 9.19. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26390 used?
Indicated for failed primary tendon repairs, adhesion lysis with repeat repair, or transition from simple to more complex repair after primary repair inadequacy. May include tenosynovectomy and neurolysis.
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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.