Billing code 26580: Cleft hand repairMedicare rate & RVUs in Nevada
Reconstructs a congenital central hand cleft, typically to improve hand structure and function when the metacarpal or digit pattern is deficient.
CMS doesn’t publish an office rate for 26580 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 26580 covers
This code represents operative reconstruction of a congenital cleft hand, a central deficiency that can leave a gap or abnormal separation in the hand’s skeletal and soft-tissue structure. A hand surgeon, commonly an orthopedic or plastic surgeon with hand expertise, performs the repair in an operating-room setting. The operative plan depends on the individual anatomy and may address the central cleft and associated deformity as part of the reconstruction.
Report the code when the operative diagnosis and procedure document repair of the cleft-hand deformity, rather than an isolated webbed-finger, extra-digit, or thumb-reconstruction procedure. The record should describe the affected hand, the congenital structural deficiency, and the reconstructive work performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
26580 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,425.73 |
How the 26580 rate is calculated
Each of 26580’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 26580
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 19.26Practice expense 19.99Malpractice 4.10
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26580
26580 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26580
Cleft hand repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 26580
Cleft hand repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
26580 without 50 · national facility
$1,447.93
Cleft hand repair
26580-50 · Bilateral: 150%
$2,171.90
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
26580 compared with similar codes
Compare codes
26580 vs 26560 vs 26550 vs 26587: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26560Web-space repair
- Use 26580 for reconstruction of a congenital central hand cleft. Code 26560 is for syndactyly repair, not central-deficiency reconstruction.
- 26550Thumb reconstruction
- Code 26550 describes pollicization, a procedure that repositions a digit to create a thumb. It does not describe repair of a cleft hand.
- 26587Extra digit reconstruction
- Code 26587 is for reconstruction of an extra digit. Code 26580 addresses the congenital central cleft rather than polydactyly.
26580 billing questions
How is cleft hand repair distinguished from syndactyly repair?
Cleft hand repair addresses a congenital central hand deficiency. Codes 26560–26562 are for repair of webbed fingers; select based on the operative condition and work documented.
Is this code used for reconstruction of an extra digit?
No. Code 26580 describes cleft-hand reconstruction; code 26587 is for reconstruction of an extra digit. The operative target should support the code reported.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral cleft hand repair reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
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 paid at 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 26580 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →