26474 Fusion of finger tendons
Also known as: Multiple tendon fusion, Multi-digit tenodesis, Complex tendon fusion
Surgical fusion of multiple finger tendons to each other to provide improved functional positioning and coordination, typically performed for neurologic deficit affecting multiple digits.
In Plain Language
Tying multiple finger tendons together for better hand function; Fusing several finger tendons to improve grip
Clinical Context
Performed when multiple finger tendons require fusion for functional positioning, such as in spinal cord injury, stroke, or other neurologic conditions affecting multiple digits.
RVU Breakdown
| Work RVU | 5.35 |
| Total RVU | 5.35 |
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 5.35, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26474?
CPT 26474 (Fusion of finger tendons) is a Surgery code. Surgical fusion of multiple finger tendons to each other to provide improved functional positioning and coordination, typically performed for neurologic deficit affecting multiple digits.
What is the wRVU value for CPT 26474?
The work RVU for CPT 26474 is 5.35. This code is primarily used by Hand Surgery, Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 26474 used?
Performed when multiple finger tendons require fusion for functional positioning, such as in spinal cord injury, stroke, or other neurologic conditions affecting multiple digits.
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.