26477 Tendon shortening
Also known as: Tendon shortening, Tendon plication, Tendon tightening
Surgical shortening of tendons in the hand to address laxity, improve functional positioning, or prevent overstretching of weakened tendon units.
In Plain Language
Tightening a loose tendon in the hand; Shortening a tendon for better hand function
Clinical Context
Performed for lax or overstretched tendons that result in loss of functional positioning or grip strength, particularly in neurologic or paralytic conditions.
RVU Breakdown
| Work RVU | 5.19 |
| Total RVU | 5.19 |
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 5.19, this code ranks in the 35th 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 26477?
CPT 26477 (Tendon shortening) is a Surgery code. Surgical shortening of tendons in the hand to address laxity, improve functional positioning, or prevent overstretching of weakened tendon units.
What is the wRVU value for CPT 26477?
The work RVU for CPT 26477 is 5.19. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26477 used?
Performed for lax or overstretched tendons that result in loss of functional positioning or grip strength, particularly in neurologic or paralytic conditions.
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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.