CPT code 26550: Thumb reconstruction, finger-to-thumb repositioning2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $1,538.14 for 26550 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26550 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 26550 covers

A hand surgeon uses an existing finger, usually the index finger, to create a thumb when the thumb is absent or severely underdeveloped. The operation moves and reshapes the digit into the thumb position, with adjustments to its bones, tendons, nerves, blood supply, and surrounding skin to support opposition and grasp. It is performed in an operating room, commonly for congenital hand differences such as thumb hypoplasia or absence.

Report the code when the operative work is pollicization, rather than a toe-to-hand transfer or a less extensive change in finger position. The operative report should identify the digit moved, the recipient thumb position, laterality, and reconstructive work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 26550

Across 109 of 109 payment localities, the facility rate for 26550 runs from $1,369.38 in Arkansas to $1,868.34 in Alaska. Montana pays $1,538.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26550 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 26550 in every payment locality

How the 26550 rate is calculated

Each of 26550’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 26550

26550 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 26550

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 26550 has changed in Montana

Price 26550 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates