No office rate
26551 describes transfer of a great toe to the hand. Choose 26556 when the transferred structure is a toe joint, not the whole toe.
On this page
CMS RVU26D · Effective 2026-10-01
26556 Toe joint transfer Medicare reimbursement rates in Kansas
Reports microsurgical transfer of a toe joint to the hand when reconstruction requires a vascularized joint rather than transfer of an entire toe. Compare 26556 office and facility rates across CMS payment localities in Kansas.
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 26556 in Kansas?
Kansas 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
$2801.23
1 of 1 localities have a supported rate.
Payment area: Kansas
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 reconstruction
About 26556: Vascularized toe joint transfer to hand
Reports microsurgical transfer of a toe joint to the hand when reconstruction requires a vascularized joint rather than transfer of an entire toe.
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.
CMS billing rules for 26556
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU48.51 · 53%
- Practice expense (office) RVU33.33 · 36%
- Malpractice RVU10.37 · 11%
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.
26556 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
26553 describes a single toe transfer to the hand. 26556 represents transfer of a toe joint for hand reconstruction.
No office rate
26554 describes transfer of two toes to the hand. 26556 is selected for toe-joint transfer rather than a double-toe transfer.
Compare 26556 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
Kansas →
Office / nonfacility
Unavailable
Facility
$2801.23
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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 26556 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,645
- Code
- 26556
- Physician work
- 48.51
- Practice expense
- 33.33
- Malpractice
- 10.37
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 48.51 | × 1.000 | 48.5100 |
| Practice expense | 33.33 | × 0.904 | 30.1303 |
| Malpractice | 10.37 | × 0.504 | 5.2265 |
| Total RVUs | 83.8668 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$2801.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 48.51 | 1 |
| Practice expense | 33.33 | 0.904 |
| Malpractice | 10.37 | 0.504 |
(48.51 × 1 + 33.33 × 0.904 + 10.37 × 0.504) × $33.4009 = $2801.23
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.
26556 billing questions
How is this different from a whole-toe transfer code?
Use 26556 when the transferred structure is a toe joint for hand reconstruction. Codes 26551, 26553, and 26554 describe transfer of toe digit tissue rather than an isolated toe joint.
What operative details support reporting 26556?
The record should identify the toe joint moved to the hand, the donor and recipient sites, the reconstructive indication, and the microsurgical vascular work.
Is the preoperative visit or routine postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral toe joint transfers?
No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor or anatomy makes modifier 50 unsuitable.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced to 50%.
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.
2,64226553,,Single transfer toe-hand,A,,46.97,31.45,NA,31.45,,10.05,88.47,88.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64326554,,Double transfer toe-hand,A,,55.58,35.11,NA,35.11,,11.88,102.57,102.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64426555,,Positional change of finger,A,,16.65,18.99,NA,18.99,,3.55,39.19,39.19,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64526556,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958