No office rate
Choose 26553 when one toe is transferred to the hand. This code is for a double transfer.
On this page
CMS RVU26D · Effective 2026-10-01
26554 Toe-to-hand transfer Medicare reimbursement rates in Missouri
Reports microsurgical transfer of two toes to the hand to reconstruct digit function after congenital absence or traumatic digit loss. Compare 26554 office and facility rates across CMS payment localities in Missouri.
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 26554 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$3253.78–$3370.43
3 of 3 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.
Where 26554 pays more and less in Missouri
Hand surgery
About 26554: Double toe-to-hand transfer
Reports microsurgical transfer of two toes to the hand to reconstruct digit function after congenital absence or traumatic digit loss.
A surgeon transfers two toe units to the hand to reconstruct missing or nonfunctional digits, using microsurgical techniques to connect the transferred tissue to the recipient site. Hand and reconstructive microsurgeons perform this operation, commonly for congenital hand differences or after traumatic digit loss, in an operating room setting. The double transfer describes the number of toes transferred; it does not mean transfers to both hands.
Select this code when the operation transfers two toes to the hand, and retain the operative report to support the number of transferred toes and the reconstructive work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 26554
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU55.58 · 54%
- Practice expense (office) RVU35.11 · 34%
- Malpractice RVU11.88 · 12%
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.
26554 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Code 26551 identifies a great toe-to-hand transfer; 26554 identifies a double transfer. Follow the procedure actually performed.
No office rate
Code 26556 concerns transfer of a toe joint to the hand, not transfer of two toes.
No office rate
Pollicization repositions a digit already on the hand to create a thumb; 26554 transfers two toes from the foot.
Compare 26554 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$3345.27
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$3370.43
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$3253.78
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26554 billing questions
Does “double transfer” mean two toes or two hands?
It means two toes are transferred to the hand. A procedure on both hands is a separate bilateral consideration, not the meaning of “double transfer.”
When should 26554 be selected instead of 26553?
Use 26554 for a double toe-to-hand transfer. Code 26553 describes a single toe transfer.
How does 26554 differ from 26551?
Code 26551 identifies transfer of the great toe to the hand. Code 26554 identifies a double transfer; choose based on the transfer performed and documented.
What documentation supports the double-transfer code?
The operative report should establish that two toes were transferred to the hand and describe the reconstructive procedure.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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.
2,64026550,,Pollicization digit,A,,21.14,20.42,NA,20.42,,4.50,46.06,46.06,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64126551,,Great toe-hand transfer,A,,47.27,31.71,NA,31.71,,10.10,89.08,89.08,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64226553,,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