26428 Repair/graft finger tendon
Also known as: Mid-palmar repair with graft, Palmar approach graft, Palmar tendon graft repair
Surgical repair and grafting of a finger tendon using palmar or mid-palmar approach with graft material to augment repair or bridge defects.
In Plain Language
Complex tendon repair through the palm with tissue graft; Palmar approach tendon repair including graft material
Clinical Context
Indicated for finger tendon injuries requiring palmar exposure with concurrent need for graft material due to tissue loss or complex injury patterns.
RVU Breakdown
| Work RVU | 7.22 |
| Total RVU | 7.22 |
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 7.22, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26428?
CPT 26428 (Repair/graft finger tendon) is a Surgery code. Surgical repair and grafting of a finger tendon using palmar or mid-palmar approach with graft material to augment repair or bridge defects.
What is the wRVU value for CPT 26428?
The work RVU for CPT 26428 is 7.22. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26428 used?
Indicated for finger tendon injuries requiring palmar exposure with concurrent need for graft material due to tissue loss or complex injury 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.