Billing code 26952: Digit amputationMedicare rate & RVUs in Delaware
Reports amputation of a single finger or thumb when local tissue is advanced to cover the residual digit, such as with a V-Y flap.
CMS doesn’t publish an office rate for 26952 in Delaware.
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 9 sections
What 26952 covers
This service removes a finger or thumb at a joint or through a phalanx and uses nearby tissue advanced into the defect to cover the residual digit. A V-Y advancement flap is a familiar example. Hand surgeons typically perform it in an operating room for traumatic tissue loss or a nonviable, painful digit when direct closure is not the documented closure method. The service includes treatment of the digital nerves as part of the amputation procedure.
Select this code when the operative report supports amputation of one digit and a local advancement flap; direct closure instead points to the related 26951. Document the digit, amputation level, and flap technique. The 90-day global period 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. Medicare does not pay an assistant at surgery for this code; 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.
26952 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $659.60 |
How the 26952 rate is calculated
Each of 26952’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 · 26952
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.32Practice expense 12.44Malpractice 1.23
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26952
26952 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26952
Digit amputation
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 26952
Digit amputation
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 51 · payment effect
With and without the modifier
26952 without 51 · national facility
$667.68
Digit amputation
26952-51 · Second procedure: 50%
$333.84
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%).
26952 compared with similar codes
Compare codes
26952 vs 26951 vs 26910 vs 26989: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26951Digit amputation
- Choose 26952 for a local advancement flap covering the amputation site; choose 26951 when the documented closure is direct.
- 26910Ray amputation
- 26910 describes an amputation that includes the metacarpal as a ray procedure. 26952 is for a finger or thumb amputation with local advancement-flap coverage.
- 26989Unlisted px hands/fingers
- Use 26989 only when no listed hand or finger procedure code describes the service. A digit amputation with a local advancement flap is specifically represented by 26952.
26952 billing questions
How does 26952 differ from 26951?
Use 26952 when local tissue is advanced to cover the amputation site. Code 26951 is the choice when the digit is closed directly.
Is the advancement flap separately reported?
No. The local advancement flap is the distinguishing closure method included in 26952; do not report it again as a separate service.
What documentation supports 26952?
The operative report should identify the digit and amputation level and describe the local tissue advancement used to cover the site. A note describing only direct closure does not support this code's flap distinction.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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