Billing code 26562: Web-space repairMedicare rate & RVUs in Oregon
Reports surgical separation of complicated webbed fingers using a skin graft, with each treated web space serving as the reporting unit.
CMS doesn’t publish an office rate for 26562 in Oregon.
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 26562 covers
This procedure separates fingers joined by syndactyly when the web-space reconstruction is complicated, such as involvement of multiple digits, and uses a skin graft to cover the resulting defect. Hand surgeons typically perform it in an operating room for congenital webbing that limits finger separation or function. The operative report should describe the digits and web space treated, the extent and complexity of the separation, and the graft used.
Report the code for each web space repaired, supported by documentation identifying the spaces treated and the graft-based reconstruction. The service has a 90-day global period, which 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 multiple procedure reduction. Modifier 50 is inappropriate for this code. 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.
Where 26562 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,361.01 |
| Rest Of Oregon | Unavailable | $1,272.72 |
How the 26562 rate is calculated
Each of 26562’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 · 26562
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.26Practice expense 19.49Malpractice 3.46
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 26562
26562 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26562
Web-space 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 26562
Web-space 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 51 · payment effect
With and without the modifier
26562 without 51 · national facility
$1,309.65
Web-space repair
26562-51 · Second procedure: 50%
$654.83
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
26562 compared with similar codes
Compare codes
26562 vs 26560 vs 26561 vs 26580: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 26560Web-space repair
- Use 26560 for simple syndactyly repair. This code is for complicated repair involving a skin graft.
- 26561Web-space repair
- Use 26561 for complicated syndactyly repair without the skin-graft distinction; use 26562 when the complicated repair includes a graft.
- 26580Cleft hand repair
- Code 26580 addresses reconstruction of a cleft hand. Code 26562 separates syndactylous fingers and reconstructs the web space with a skin graft.
26562 billing questions
How does this code differ from 26561?
Use 26562 for complicated syndactyly repair with a skin graft. Code 26561 describes complicated repair without the graft distinction.
What is the reporting unit?
The unit is each web space repaired. Document the specific web spaces treated rather than counting the individual fingers alone.
Can modifier 50 be used when both hands are treated?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery 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 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
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