No office rate
Use 26560 for simple syndactyly repair. This code is for complicated repair involving a skin graft.
On this page
CMS RVU26D · Effective 2026-10-01
26562 Web-space repair Medicare reimbursement rates in Indiana
Reports surgical separation of complicated webbed fingers using a skin graft, with each treated web space serving as the reporting unit. Compare 26562 office and facility rates across CMS payment localities in Indiana.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 26562 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1202.73
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Hand surgery
About 26562: Complicated syndactyly repair with skin graft
Reports surgical separation of complicated webbed fingers using a skin graft, with each treated web space serving as the reporting unit.
This procedure separates fingers joined by syndactyly when the web-space reconstruction is complicated, such as involvement of multiple digits, and uses a skin graft to cover the resulting defect. Hand surgeons typically perform it in an operating room for congenital webbing that limits finger separation or function. The operative report should describe the digits and web space treated, the extent and complexity of the separation, and the graft used.
Report the code for each web space repaired, supported by documentation identifying the spaces treated and the graft-based reconstruction. The service has a 90-day global period, which 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 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.
CMS billing rules for 26562
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.26 · 41%
- Practice expense (office) RVU19.49 · 50%
- Malpractice RVU3.46 · 9%
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.
26562 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 26561 for complicated syndactyly repair without the skin-graft distinction; use 26562 when the complicated repair includes a graft.
No office rate
Code 26580 addresses reconstruction of a cleft hand. Code 26562 separates syndactylous fingers and reconstructs the web space with a skin graft.
Compare 26562 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Indiana →
Office / nonfacility
Unavailable
Facility
$1202.73
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26562 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,648
- Code
- 26562
- Physician work
- 16.26
- Practice expense
- 19.49
- Malpractice
- 3.46
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.26 | × 1.000 | 16.2600 |
| Practice expense | 19.49 | × 0.927 | 18.0672 |
| Malpractice | 3.46 | × 0.486 | 1.6816 |
| Total RVUs | 36.0088 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1202.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.26 | 1 |
| Practice expense | 19.49 | 0.927 |
| Malpractice | 3.46 | 0.486 |
(16.26 × 1 + 19.49 × 0.927 + 3.46 × 0.486) × $33.4009 = $1202.73
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
26562 billing questions
How does this code differ from 26561?
Use 26562 for complicated syndactyly repair with a skin graft. Code 26561 describes complicated repair without the graft distinction.
What is the reporting unit?
The unit is each web space repaired. Document the specific web spaces treated rather than counting the individual fingers alone.
Can modifier 50 be used when both hands are treated?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,64526556,,Toe joint transfer,A,,48.51,33.33,NA,33.33,,10.37,92.21,92.21,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64626560,,Repair of web finger,A,,5.38,12.57,NA,12.57,,1.15,19.10,19.10,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64726561,,Repair of web finger,A,,10.82,15.20,NA,15.20,,2.31,28.33,28.33,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64826562,,Repair of web finger,A,,16.26,19.49,NA,19.49,,3.46,39.21,39.21,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64926565,,Correct metacarpal flaw,A,,6.74,12.62,NA,12.62,,1.31,20.67,20.67,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65026567,,Correct finger deformity,A,,6.82,12.81,NA,12.81,,1.33,20.96,20.96,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65126568,,Lengthen metacarpal/finger,A,,9.04,16.32,NA,16.32,,1.92,27.28,27.28,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915