26442 Release palm & finger tendon
Also known as: Extensive Dupuytren's release, Multiple digit release, Extensive fascia release
Surgical release of contractured palmar and finger fascia and tendons, performed for more extensive contractures involving multiple digits or more significant fascial involvement.
In Plain Language
Extensive surgery to release tight tissue in palm and multiple fingers; Treatment for severe clenched hand
Clinical Context
Performed for advanced Dupuytren's contracture with involvement of multiple digits, or when previous release procedures have recurred.
RVU Breakdown
| Work RVU | 9.51 |
| Total RVU | 9.51 |
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 9.51, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26442?
CPT 26442 (Release palm & finger tendon) is a Surgery code. Surgical release of contractured palmar and finger fascia and tendons, performed for more extensive contractures involving multiple digits or more significant fascial involvement.
What is the wRVU value for CPT 26442?
The work RVU for CPT 26442 is 9.51. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26442 used?
Performed for advanced Dupuytren's contracture with involvement of multiple digits, or when previous release procedures have recurred.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.