26490 Revise thumb tendon
Also known as: Thumb tendon revision, Thumb tendon re-repair, Thumb tendon reconstruction
Surgical revision, re-repair, or reconstruction of thumb tendons, performed when prior tendon surgery has failed, or to optimize thumb function through improved tendon positioning or transfer.
In Plain Language
Fixing a thumb tendon that needs repair or improvement; Revision surgery to improve thumb tendon function
Clinical Context
Indicated for failed thumb tendon repairs, poor functional outcome from prior surgery, or when revision for improved opposition or pinch is needed.
RVU Breakdown
| Work RVU | 8.39 |
| Total RVU | 8.39 |
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 8.39, this code ranks in the 52nd percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26490?
CPT 26490 (Revise thumb tendon) is a Surgery code. Surgical revision, re-repair, or reconstruction of thumb tendons, performed when prior tendon surgery has failed, or to optimize thumb function through improved tendon positioning or transfer.
What is the wRVU value for CPT 26490?
The work RVU for CPT 26490 is 8.39. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26490 used?
Indicated for failed thumb tendon repairs, poor functional outcome from prior surgery, or when revision for improved opposition or pinch is needed.
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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.