CPT code 26554: Toe-to-hand transfer, double transfer2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $3,779.76 for 26554 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26554 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 26554 covers

A surgeon transfers two toe units to the hand to reconstruct missing or nonfunctional digits, using microsurgical techniques to connect the transferred tissue to the recipient site. Hand and reconstructive microsurgeons perform this operation, commonly for congenital hand differences or after traumatic digit loss, in an operating room setting. The double transfer describes the number of toes transferred; it does not mean transfers to both hands.

Select this code when the operation transfers two toes to the hand, and retain the operative report to support the number of transferred toes and the reconstructive work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is 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 Washington, DC area compares for 26554

Across 109 of 109 payment localities, the facility rate for 26554 runs from $3,068.13 in Arkansas to $4,252.20 in Alaska. Washington, DC area pays $3,779.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26554 rates by state

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

See 26554 in every payment locality

How the 26554 rate is calculated

Each of 26554’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 26554

26554 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 26554

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

How 26554 has changed in Washington, DC area

Price 26554 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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