No office rate
Choose 26587 for reconstructive work on a duplicated digit. Code 26555 concerns positional change of a finger, not polydactyly reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
26587 Extra digit reconstruction Medicare reimbursement rates in Massachusetts
Reconstructs a duplicated finger or thumb in congenital polydactyly when surgery restores the form or function of the retained digit. Compare 26587 office and facility rates across CMS payment localities in Massachusetts.
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 26587 in Massachusetts?
Massachusetts 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
$979.56–$1056.91
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 26587: Reconstruction of a duplicated finger
Reconstructs a duplicated finger or thumb in congenital polydactyly when surgery restores the form or function of the retained digit.
This service is for reconstructive surgery on a duplicated finger or thumb caused by congenital polydactyly. The hand surgeon addresses the retained digit’s form and function, with work involving bone and soft tissue as needed. It is most often performed by an orthopedic hand surgeon or plastic surgeon in an operating room, commonly for a child with a duplicated thumb or finger.
Report the code when the operative work reconstructs the retained digit, rather than only removing a rudimentary extra digit. The operative report should identify the duplicated anatomy and describe the structures reconstructed. Medicare assigns a 90-day global period, including 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% reduction. Assistant-at-surgery payment may be available; co-surgeon and team-surgery billing are not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 26587
- 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 RVU14.14 · 49%
- Practice expense (office) RVU11.93 · 41%
- Malpractice RVU3.01 · 10%
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.
26587 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Code 26550 is for pollicization, converting another digit to serve as a thumb. Code 26587 addresses reconstruction when a digit is duplicated.
No office rate
Code 26560 addresses repair of joined fingers. Code 26587 is for reconstruction related to a duplicated finger or thumb.
Compare 26587 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1056.91
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$979.56
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26587 billing questions
When should this code be chosen instead of a code for removing an extra digit?
Use this code when the operation reconstructs the retained digit in a duplicated-digit anomaly. Removal alone, without that reconstructive work, is a different service.
What documentation supports reporting this code?
Document the duplicated digit and its anatomy, the structures addressed, and the reconstructive work performed on the retained digit.
Can modifier 50 be used when both hands are treated?
No. Modifier 50 is inappropriate for this code under the CMS bilateral adjustment rule.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be available, but co-surgeon and team-surgery billing 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.
2,65026567,,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
2,65226580,,Repair cleft hand,A,,19.26,19.99,NA,19.99,,4.10,43.35,43.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65326587,,Reconstruct extra finger,A,,14.14,11.93,NA,11.93,,3.01,29.08,29.08,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65426590,,Repair finger deformity,A,,18.20,18.03,NA,18.03,,3.88,40.11,40.11,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65526591,,Repair muscles of hand,A,,3.30,10.82,NA,10.82,,0.62,14.74,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,65626593,,Release muscles of hand,A,,5.36,12.63,NA,12.63,,1.04,19.03,19.03,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00