No office rate
Choose 26952 for a local advancement flap covering the amputation site; choose 26951 when the documented closure is direct.
On this page
CMS RVU26D · Effective 2026-10-01
26952 Digit amputation Medicare reimbursement rates in Missouri
Reports amputation of a single finger or thumb when local tissue is advanced to cover the residual digit, such as with a V-Y flap. Compare 26952 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 26952 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
$609.28–$647.82
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 26952 pays more and less in Missouri
Hand surgery
About 26952: Finger or thumb amputation with advancement flap
Reports amputation of a single finger or thumb when local tissue is advanced to cover the residual digit, such as with a V-Y flap.
This service removes a finger or thumb at a joint or through a phalanx and uses nearby tissue advanced into the defect to cover the residual digit. A V-Y advancement flap is a familiar example. Hand surgeons typically perform it in an operating room for traumatic tissue loss or a nonviable, painful digit when direct closure is not the documented closure method. The service includes treatment of the digital nerves as part of the amputation procedure.
Select this code when the operative report supports amputation of one digit and a local advancement flap; direct closure instead points to the related 26951. Document the digit, amputation level, and flap technique. The 90-day global period 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 26952
- 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 RVU6.32 · 32%
- Practice expense (office) RVU12.44 · 62%
- Malpractice RVU1.23 · 6%
1.5K
Medicare services in 2024 · #2691 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.
26952 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
26910 describes an amputation that includes the metacarpal as a ray procedure. 26952 is for a finger or thumb amputation with local advancement-flap coverage.
26989
No office rateUnlisted px hands/fingers
Use 26989 only when no listed hand or finger procedure code describes the service. A digit amputation with a local advancement flap is specifically represented by 26952.
Compare 26952 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
$641.39
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$647.82
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$609.28
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26952 billing questions
How does 26952 differ from 26951?
Use 26952 when local tissue is advanced to cover the amputation site. Code 26951 is the choice when the digit is closed directly.
Is the advancement flap separately reported?
No. The local advancement flap is the distinguishing closure method included in 26952; do not report it again as a separate service.
What documentation supports 26952?
The operative report should identify the digit and amputation level and describe the local tissue advancement used to cover the site. A note describing only direct closure does not support this code's flap distinction.
Can modifier 50 be used for both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,70126863,,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
2,70726991,,Drainage of pelvis bursa,A,,6.88,14.01,,6.43,,1.41,22.30,14.72,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00