CPT code 26554: Toe-to-hand transfer2026 Medicare rate & RVUs in Utah
Reports microsurgical transfer of two toes to the hand to reconstruct digit function after congenital absence or traumatic digit loss.
CMS doesn’t publish an office rate for 26554 in Utah.
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 26554 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $3,315.09 |
How the 26554 rate is calculated
Each of 26554’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 · 26554
RVUs × geographic indexes × conversion factor
Work55.58
55.58 RVUs× 1.000 GPCI
Practice expense35.11
35.11 RVUs× 1.000 GPCI
Malpractice11.88
11.88 RVUs× 1.000 GPCI
Adjusted RVUs
102.5700
Conversion factor
$33.4009
Medicare rate
$3,425.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 26554
26554 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 26554
Toe-to-hand transfer
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 26554
Toe-to-hand transfer
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
26554 without 50 · national facility
$3,425.93
Toe-to-hand transfer
26554-50 · Bilateral: 150%
$5,138.90
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).
26554 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 26553Toe-hand transfer
- Choose 26553 when one toe is transferred to the hand. This code is for a double transfer.
- 26551Toe-to-hand transfer
- Code 26551 identifies a great toe-to-hand transfer; 26554 identifies a double transfer. Follow the procedure actually performed.
- 26556Toe joint transfer
- Code 26556 concerns transfer of a toe joint to the hand, not transfer of two toes.
- 26550Thumb reconstruction
- Pollicization repositions a digit already on the hand to create a thumb; 26554 transfers two toes from the foot.
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 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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