CPT code 26554: Toe-to-hand transfer, double transfer2026 Medicare rate & RVUs in Mississippi
Reports microsurgical transfer of two toes to the hand to reconstruct digit function after congenital absence or traumatic digit loss.
In Mississippi, Medicare pays $3,159.36 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.
On this page 11 sections
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 Mississippi 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. Mississippi pays $3,159.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$3,159.36
- Los Angeles, CA · California$3,583.32+$423.96
- Washington, DC area · District of Columbia$3,779.76+$620.40
- Miami, FL · Florida$4,080.72+$921.36
- Chicago, IL · Illinois$3,958.65+$799.29
- Manhattan, NY · New York$3,967.25+$807.89
- Alaska · Alaska$4,252.20+$1,092.84
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $3,107.13 |
| ArkansasArkansas | — | $3,068.13 |
| ArizonaArizona | — | $3,332.44 |
| Bakersfield, CACalifornia | — | $3,418.63 |
| Chico, CACalifornia | — | $3,385.95 |
| El Centro, CACalifornia | — | $3,387.94 |
| Fresno, CACalifornia | — | $3,385.95 |
| Hanford, CACalifornia | — | $3,385.95 |
| Madera, CACalifornia | — | $3,385.95 |
| Merced, CACalifornia | — | $3,385.95 |
| Modesto, CACalifornia | — | $3,385.95 |
| Napa, CACalifornia | — | $3,720.58 |
| Oxnard, CACalifornia | — | $3,541.75 |
| Redding, CACalifornia | — | $3,385.95 |
| Rest of CaliforniaCalifornia | — | $3,385.95 |
| Riverside, CACalifornia | — | $3,513.60 |
| Sacramento, CACalifornia | — | $3,499.80 |
| Salinas, CACalifornia | — | $3,485.82 |
| San Diego, CACalifornia | — | $3,529.74 |
| Marin County, CACalifornia | — | $3,868.43 |
| San Francisco, CACalifornia | — | $3,854.94 |
| San Benito County, CACalifornia | — | $3,964.36 |
| Santa Clara County, CACalifornia | — | $3,909.20 |
| San Luis Obispo, CACalifornia | — | $3,436.38 |
| Santa Cruz, CACalifornia | — | $3,532.93 |
| Santa Maria, CACalifornia | — | $3,488.46 |
| Santa Rosa, CACalifornia | — | $3,564.88 |
| Stockton, CACalifornia | — | $3,385.95 |
| Vallejo, CACalifornia | — | $3,701.14 |
| Visalia, CACalifornia | — | $3,385.95 |
| Yuba City, CACalifornia | — | $3,385.95 |
| ColoradoColorado | — | $3,436.36 |
| ConnecticutConnecticut | — | $3,636.69 |
| DelawareDelaware | — | $3,381.06 |
| Fort Lauderdale, FLFlorida | — | $3,761.79 |
| Rest of FloridaFlorida | — | $3,573.92 |
| Atlanta, GAGeorgia | — | $3,530.02 |
| Rest of GeorgiaGeorgia | — | $3,375.46 |
| Hawaii, Guam, HIHawaii | — | $3,419.54 |
| IowaIowa | — | $3,086.98 |
| IdahoIdaho | — | $3,123.00 |
| East St. Louis, ILIllinois | — | $3,734.47 |
| Rest of IllinoisIllinois | — | $3,547.30 |
| Suburban Chicago, ILIllinois | — | $3,776.92 |
| IndianaIndiana | — | $3,136.37 |
| KansasKansas | — | $3,116.54 |
| KentuckyKentucky | — | $3,262.03 |
| New Orleans, LALouisiana | — | $3,410.71 |
| Rest of LouisianaLouisiana | — | $3,274.40 |
| Metropolitan Boston, MAMassachusetts | — | $3,685.90 |
| Rest of MassachusettsMassachusetts | — | $3,437.24 |
| Baltimore area, MDMaryland | — | $3,635.28 |
| Rest of MarylandMaryland | — | $3,426.03 |
| Rest of MaineMaine | — | $3,182.12 |
| Southern Maine, MEMaine | — | $3,268.96 |
| Detroit, MIMichigan | — | $3,657.09 |
| Rest of MichiganMichigan | — | $3,375.09 |
| MinnesotaMinnesota | — | $3,180.59 |
| Metropolitan Kansas City, MOMissouri | — | $3,345.27 |
| Metropolitan St. Louis, MOMissouri | — | $3,370.43 |
| Rest of MissouriMissouri | — | $3,253.78 |
| MontanaMontana | — | $3,425.14 |
| North CarolinaNorth Carolina | — | $3,204.11 |
| North DakotaNorth Dakota | — | $3,190.23 |
| NebraskaNebraska | — | $3,088.82 |
| New HampshireNew Hampshire | — | $3,424.41 |
| Northern New JerseyNew Jersey | — | $3,757.50 |
| Rest of New JerseyNew Jersey | — | $3,646.57 |
| New MexicoNew Mexico | — | $3,408.35 |
| NevadaNevada | — | $3,360.84 |
| NYC suburbs and Long Island, NYNew York | — | $4,106.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,704.20 |
| Queens, NYNew York | — | $3,933.56 |
| Rest of New YorkNew York | — | $3,249.44 |
| OhioOhio | — | $3,327.08 |
| OklahomaOklahoma | — | $3,211.96 |
| Portland, OROregon | — | $3,484.22 |
| Rest of OregonOregon | — | $3,303.39 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,584.01 |
| Rest of PennsylvaniaPennsylvania | — | $3,307.94 |
| Puerto RicoPuerto Rico | — | $3,432.88 |
| Rhode IslandRhode Island | — | $3,457.05 |
| South CarolinaSouth Carolina | — | $3,277.28 |
| South DakotaSouth Dakota | — | $3,162.45 |
| TennesseeTennessee | — | $3,135.49 |
| Austin, TXTexas | — | $3,452.42 |
| Beaumont, TXTexas | — | $3,292.21 |
| Brazoria, TXTexas | — | $3,342.93 |
| Dallas, TXTexas | — | $3,381.60 |
| Fort Worth, TXTexas | — | $3,375.03 |
| Galveston, TXTexas | — | $3,364.32 |
| Houston, TXTexas | — | $3,581.77 |
| Rest of TexasTexas | — | $3,327.63 |
| UtahUtah | — | $3,315.09 |
| VirginiaVirginia | — | $3,289.33 |
| Virgin Islands, VIUnited States Virgin Islands | — | $3,432.88 |
| VermontVermont | — | $3,218.18 |
| Rest of WashingtonWashington | — | $3,417.38 |
| King County, WAWashington | — | $3,712.34 |
| WisconsinWisconsin | — | $3,102.09 |
| West VirginiaWest Virginia | — | $3,443.33 |
| WyomingWyoming | — | $3,322.76 |
26554 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 26554
RVUs × geographic indexes × conversion factor
Work55.58
55.58 RVUs× 1.000 GPCI
Practice expense35.11
35.11 RVUs× 1.000 GPCI
Malpractice11.88
11.88 RVUs× 1.000 GPCI
Adjusted RVUs
102.5700
Conversion factor
$33.4009
Medicare rate
$3,425.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,643
- Code
- 26554
- Physician work
- 55.58
- Practice expense
- 35.11
- Malpractice
- 11.88
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 55.58 | × 1.000 | 55.5800 |
| Practice expense | 35.11 | × 0.861 | 30.2297 |
| Malpractice | 11.88 | × 0.739 | 8.7793 |
| Total RVUs | 94.5890 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$3159.36
Facility: (55.58 × 1 + 35.11 × 0.861 + 11.88 × 0.739) × $33.4009 = $3159.36
Payment rules and modifiers for 26554
26554 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26554
Toe-to-hand transfer, double transfer
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26554
Toe-to-hand transfer, double transfer
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
26554 without 50 · national facility
$3,425.93
Toe-to-hand transfer, double transfer
26554-50 · Bilateral: 150%
$5,138.90
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 26554 has changed in Mississippi
26554 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $3,159.36 | RVU26D |
| 2026-07-01 | Not available in this setting | $3,159.36 | RVU26C |
| 2026-04-01 | Not available in this setting | $3,159.36 | RVU26B |
| 2026-01-01 | Not available in this setting | $3,159.36 | RVU26A |
| 2025-10-01 | Not available in this setting | $3,400.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $3,400.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $3,400.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $3,400.38 | RVU25A |
| 2024-10-01 | Not available in this setting | $3,487.51 | RVU24D |
| 2024-07-01 | Not available in this setting | $3,487.51 | RVU24C |
| 2024-04-01 | Not available in this setting | $3,487.51 | RVU24B |
| 2024-03-09 | Not available in this setting | $3,487.51 | RVU24AR |
| 2024-01-01 | Not available in this setting | $3,430.59 | RVU24A |
| 2023-10-01 | Not available in this setting | $3,517.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $3,517.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $3,517.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $3,517.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $3,548.52 | RVU22D |
| 2022-07-01 | Not available in this setting | $3,548.52 | RVU22C |
| 2022-04-01 | Not available in this setting | $3,548.52 | RVU22B |
| 2022-01-01 | Not available in this setting | $3,548.52 | RVU22A |
| 2021-10-01 | Not available in this setting | $3,564.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $3,564.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $3,564.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $3,564.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,565.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,565.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,565.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,565.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,495.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,495.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,495.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,495.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,497.36 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,497.36 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,497.36 | RVU18B |
| 2018-01-01 | Not available in this setting | $3,497.36 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $3,117.53 | RVU17D |
| 2017-07-01 | Not available in this setting | $3,117.53 | RVU17C |
| 2017-04-01 | Not available in this setting | $3,117.53 | RVU17B |
| 2017-01-01 | Not available in this setting | $3,117.53 | RVU17A |
| 2016-10-01 | Not available in this setting | $3,140.66 | RVU16D |
| 2016-07-01 | Not available in this setting | $3,140.66 | RVU16C |
| 2016-04-01 | Not available in this setting | $3,140.66 | RVU16B |
| 2016-01-01 | Not available in this setting | $3,140.66 | RVU16A |
| 2015-10-01 | Not available in this setting | $3,064.49 | RVU15D |
| 2015-07-01 | Not available in this setting | $3,064.49 | RVU15C |
| 2015-04-01 | Not available in this setting | $3,049.24 | RVU15B |
| 2015-01-01 | Not available in this setting | $3,049.24 | RVU15A |
| 2014-10-01 | Not available in this setting | $3,065.80 | RVU14D |
| 2014-07-01 | Not available in this setting | $3,065.80 | RVU14C |
| 2014-04-01 | Not available in this setting | $3,065.80 | RVU14B |
| 2014-01-01 | Not available in this setting | $3,065.80 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,989.68 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,989.68 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,989.68 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,989.68 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
26554 billing questions
Does “double transfer” mean two toes or two hands?
It means two toes are transferred to the hand. A procedure on both hands is a separate bilateral consideration, not the meaning of “double transfer.”
When should 26554 be selected instead of 26553?
Use 26554 for a double toe-to-hand transfer. Code 26553 describes a single toe transfer.
How does 26554 differ from 26551?
Code 26551 identifies transfer of the great toe to the hand. Code 26554 identifies a double transfer; choose based on the transfer performed and documented.
What documentation supports the double-transfer code?
The operative report should establish that two toes were transferred to the hand and describe the reconstructive procedure.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
Show the CMS file lines behind this rate
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