CPT code 26556: Toe joint transfer, toe joint to hand2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $3,404.69 for 26556 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 26556 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 26556 covers

This procedure moves a toe joint to the hand to reconstruct a finger or other hand joint, using microsurgical vascular anastomosis to establish blood supply. A hand or microsurgery specialist may perform it for selected reconstructive needs, such as joint loss after trauma or a congenital difference. The operation involves the donor toe joint and the recipient hand site; it is distinct from transferring a whole toe or toes.

Select the code when the operative report supports transfer of the joint itself, not merely a toe-digit transfer or local joint reconstruction. Document the donor and recipient sites, the reconstructive purpose, and the microsurgical work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 26556

Across 109 of 109 payment localities, the facility rate for 26556 runs from $2,754.94 in Arkansas to $3,806.88 in Alaska. Washington, DC area pays $3,404.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26556 rates by state

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

See 26556 in every payment locality

How the 26556 rate is calculated

Each of 26556’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 26556

26556 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 51

Codes related to 26556

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

How 26556 has changed in Washington, DC area

Price 26556 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