Billing code 26555: Finger transferMedicare rate & RVUs in Alaska

Reports surgery that relocates one existing finger to a different position on the hand to address a positional or reconstructive need.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 26555 in Alaska.

—Office (non-facility)
$1,575.03Hospital or facility

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

We’ll open 26555 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 26555 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 26555 covers

The surgeon moves one existing finger to a different position on the hand as a reconstructive procedure. The operation may be considered when the placement of a digit needs surgical correction; it is distinct from transferring a toe to the hand or converting a finger into a thumb. Hand surgeons typically perform the procedure in an operating room, with the operative plan and anatomy determining the reconstruction.

Report 26555 for the single-finger positional transfer documented in the operative report, not simply for releasing a contracted joint or revising a finger joint. The note should identify the digit and its original and intended positions and describe the transfer performed. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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.

26555 in Alaska*

26555 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*Unavailable$1,575.03

How the 26555 rate is calculated

Each of 26555’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 · 26555

RVUs × geographic indexes × conversion factor

Work16.65

16.65 RVUs× 1.000 GPCI

Practice expense18.99

18.99 RVUs× 1.000 GPCI

Malpractice3.55

3.55 RVUs× 1.000 GPCI

Adjusted RVUs

39.1900

Conversion factor

$33.4009

Medicare rate

$1,308.98

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 26555

26555 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26555

Finger transfer

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26555

Finger 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

26555 without 51 · national facility

$1,308.98

Finger transfer

26555-51 · Second procedure: 50%

$654.49

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

26555 compared with similar codes

Compare codes · National

5 codes, side by side

  • 26555

    Finger transfer16.65 wRVU

    Not priced

  • 26550

    Thumb reconstruction21.14 wRVU

    Not priced

  • 26553

    Toe-hand transfer46.97 wRVU

    Not priced

  • 26525

    Contracture release5.36 wRVU

    Not priced

  • 26567

    Finger osteotomy6.82 wRVU

    Not priced

How to choose

26550Thumb reconstruction
Use 26555 when an existing finger is moved to another position. Use 26550 when a digit is converted into a thumb.
26553Toe-hand transfer
26553 describes a single toe transferred to the hand; 26555 repositions a finger already on the hand.
26525Contracture release
26525 releases a finger contracture. A release alone is not the positional transfer reported with 26555.
26567Finger osteotomy
26567 addresses correction of a finger deformity. Choose 26555 when the documented operation is specifically a single-finger positional transfer.

26555 billing questions

How is 26555 different from pollicization?

26555 reports repositioning a single finger. Pollicization (26550) converts a digit into a thumb, which is a different reconstructive procedure.

Does 26555 include moving a toe to the hand?

No. Toe-to-hand transfer is reported with the applicable toe-transfer code, such as 26553 for a single toe transfer, rather than 26555.

What documentation supports 26555?

Document which finger was moved, its original and intended positions, and the operative steps that establish a positional transfer rather than a joint revision or contracture release.

Can modifier 50 be reported for two sides?

No. Modifier 50 is inappropriate for this code. The CMS bilateral adjustment does not apply to its descriptor or anatomy.

How does the multiple-procedure reduction affect 26555?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 26555PPRRVU2026_Oct_nonQPP.csv, line 2,644 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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