No office rate
26551 is the great-toe-specific transfer. Use 26553 for a single transfer when the great-toe-specific service does not apply.
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CMS RVU26D · Effective 2026-10-01
26553 Toe-hand transfer Medicare reimbursement rates in Oklahoma
Reports microsurgical transfer of one toe to the hand to reconstruct a missing or severely deficient digit, with the great-toe-specific and double-transfer services coded separately. Compare 26553 office and facility rates across CMS payment localities in Oklahoma.
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 26553 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2767.72
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
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 reconstruction
About 26553: Single toe-to-hand transfer
Reports microsurgical transfer of one toe to the hand to reconstruct a missing or severely deficient digit, with the great-toe-specific and double-transfer services coded separately.
This operation moves one toe, along with the tissues needed for reconstruction, to the hand and reconnects its blood supply using microsurgical techniques. Hand surgeons and reconstructive microsurgeons perform it to restore useful digit length, opposition, or grasp after traumatic loss or for a congenital hand deficiency. The operation involves coordinated treatment of the donor foot and recipient hand, typically in an operating room.
Select this code for a single toe transfer; use the great-toe-specific code when that service applies and the double-transfer code when two toes are transferred. The operative report should identify the number and source of transferred toes, the recipient-hand reconstruction, and the microsurgical work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 bilateral procedures are paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 26553
- 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 RVU46.97 · 53%
- Practice expense (office) RVU31.45 · 36%
- Malpractice RVU10.05 · 11%
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.
26553 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
26554 describes a double toe-to-hand transfer; 26553 describes a single transfer.
No office rate
26556 transfers a toe joint to the hand, rather than transferring a whole toe as in 26553.
No office rate
26550 reconstructs a thumb by pollicization of an existing digit; 26553 uses a toe transferred from the foot.
Compare 26553 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.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
Unavailable
Facility
$2767.72
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 26553 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
2,642
- Code
- 26553
- Physician work
- 46.97
- Practice expense
- 31.45
- Malpractice
- 10.05
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 46.97 | × 1.000 | 46.9700 |
| Practice expense | 31.45 | × 0.893 | 28.0848 |
| Malpractice | 10.05 | × 0.777 | 7.8089 |
| Total RVUs | 82.8637 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$2767.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 46.97 | 1 |
| Practice expense | 31.45 | 0.893 |
| Malpractice | 10.05 | 0.777 |
(46.97 × 1 + 31.45 × 0.893 + 10.05 × 0.777) × $33.4009 = $2767.72
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
26553 billing questions
When should 26553 be chosen instead of 26551?
Use 26553 for a single toe transfer when the great-toe-specific service does not apply. Code 26551 identifies transfer of the great toe.
How does 26553 differ from 26554?
26553 represents one transferred toe; 26554 is for a double toe transfer. The operative report should support the number of toes transferred.
Is related postoperative care separately reported during the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation.
How is a bilateral procedure handled?
For a bilateral procedure reported with modifier 50, CMS pays at 150%.
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 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.
2,63926548,,Reconstruct finger joint,A,,8.01,13.39,NA,13.39,,1.53,22.93,22.93,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64026550,,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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193