No office rate
Choose 26951 for direct closure. Choose 26952 when a local advancement flap is used to close the amputation site.
On this page
CMS RVU26D · Effective 2026-10-01
26951 Digit amputation Medicare reimbursement rates in Maine
Reports removal of a finger or thumb at a joint or phalanx when the remaining tissue is closed directly rather than with an advancement flap. Compare 26951 office and facility rates across CMS payment localities in Maine.
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 26951 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$647.55–$680.82
2 of 2 localities have a supported rate.
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 26951: Finger or thumb amputation with direct closure
Reports removal of a finger or thumb at a joint or phalanx when the remaining tissue is closed directly rather than with an advancement flap.
A hand surgeon or other qualified surgeon removes a finger or thumb at a joint or through a phalanx, then closes the remaining tissue directly. The operation may be performed for a digit that is nonviable after trauma or has severe infection or tissue loss. The code covers primary or secondary amputation and includes neurectomies. It is distinct from an amputation requiring a local advancement flap for closure.
Document the digit, level of amputation, clinical reason, and closure method; the record should support direct closure rather than flap reconstruction. Medicare applies a 90-day global period, including the day-before preoperative visit and 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. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26951
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.89 · 28%
- Practice expense (office) RVU13.88 · 66%
- Malpractice RVU1.17 · 6%
6K
Medicare services in 2024 · #1753 by national volume
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.
26951 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
Code 26910 describes removal that includes the metacarpal as a ray amputation; 26951 is for amputation at a joint or phalanx.
26989
No office rateUnlisted px hands/fingers
Use 26989 only when the hand or finger procedure is not represented by a specific listed code such as 26951 or 26952.
Compare 26951 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$647.55
Southern Maine →
Office / nonfacility
Unavailable
Facility
$680.82
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
26951 billing questions
How is this code distinguished from 26952?
Use 26951 when the amputation site is closed directly. Code 26952 is for an amputation closed with a local advancement flap.
What documentation supports direct closure?
Document the digit and amputation level, the reason for removal, and how the wound was closed. The note should make clear that closure did not require a local advancement flap.
Can modifier 50 be used for amputations on both hands?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Are related postoperative visits separately payable?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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.
2,70026862,,Fusion/graft of finger joint,A,,7.37,13.32,NA,13.32,,1.39,22.08,22.08,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70126863,,Fuse/graft added joint,A,,3.79,1.25,NA,1.25,,0.70,5.74,5.74,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70226910,,Amputate metacarpal bone,A,,7.60,13.08,NA,13.08,,1.49,22.17,22.17,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70326951,,Amputation of finger/thumb,A,,5.89,13.88,NA,13.88,,1.17,20.94,20.94,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70426952,,Amputation of finger/thumb,A,,6.32,12.44,NA,12.44,,1.23,19.99,19.99,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70526989,,Unlisted px hands/fingers,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70626990,,Drainage of pelvis lesion,A,,7.75,10.35,NA,10.35,,1.68,19.78,19.78,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00