No office rate
Choose 26560 for a simple repair; 26561 describes a complicated syndactyly repair.
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CMS RVU26D · Effective 2026-10-01
26560 Web-space repair Medicare reimbursement rates in Utah
Reports surgical separation of a simple syndactyly, such as congenital webbing between fingers, for each treated web space. Compare 26560 office and facility rates across CMS payment localities in Utah.
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 26560 in Utah?
Utah 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
$608.85
1 of 1 localities have a supported rate.
Payment area: Utah
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 surgery
About 26560: Simple syndactyly repair
Reports surgical separation of a simple syndactyly, such as congenital webbing between fingers, for each treated web space.
A hand surgeon releases a simple syndactyly by separating fingers joined by a web of tissue and shaping the space between them. This operation is most often performed for congenital finger webbing, with the specific release and closure guided by the involved digits and the extent of the connection. It is performed in an operating room, including hospital outpatient or ambulatory surgery settings.
Select this code when the operative report supports a simple repair; use the more specific sibling code when the repair is complicated or includes skin grafting. Document the affected digits and web space, the extent of tissue separation, and the repair performed. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 26560
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.38 · 28%
- Practice expense (office) RVU12.57 · 66%
- Malpractice RVU1.15 · 6%
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.
26560 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Choose 26562 when the complicated syndactyly repair includes skin grafting; 26560 is for a simple repair.
No office rate
26580 addresses reconstruction of a cleft hand, not simple separation of webbed fingers.
Compare 26560 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
Utah →
Office / nonfacility
Unavailable
Facility
$608.85
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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 26560 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,646
- Code
- 26560
- Physician work
- 5.38
- Practice expense
- 12.57
- Malpractice
- 1.15
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.38 | × 1.000 | 5.3800 |
| Practice expense | 12.57 | × 0.940 | 11.8158 |
| Malpractice | 1.15 | × 0.898 | 1.0327 |
| Total RVUs | 18.2285 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$608.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.38 | 1 |
| Practice expense | 12.57 | 0.94 |
| Malpractice | 1.15 | 0.898 |
(5.38 × 1 + 12.57 × 0.94 + 1.15 × 0.898) × $33.4009 = $608.85
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.
26560 billing questions
How does 26560 differ from 26561 and 26562?
Use 26560 for a simple syndactyly repair. The sibling codes describe more complex repair circumstances, with 26562 identifying repair that includes skin grafting.
Should modifier 50 be appended when both hands are treated?
No. Modifier 50 is inappropriate for this code. Document the web spaces treated and report the applicable code for the work performed.
Is related postoperative care separately reported during the global period?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit. Services outside that included care should be evaluated on their own facts.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted under the listed CMS rules.
What should the operative note document?
Identify the affected fingers and web space, describe the extent of the tissue connection and separation, and explain why the repair is simple rather than a more complex sibling-code service.
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.
2,64326554,,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
2,64626560,,Repair of web finger,A,,5.38,12.57,NA,12.57,,1.15,19.10,19.10,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64726561,,Repair of web finger,A,,10.82,15.20,NA,15.20,,2.31,28.33,28.33,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64826562,,Repair of web finger,A,,16.26,19.49,NA,19.49,,3.46,39.21,39.21,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,64926565,,Correct metacarpal flaw,A,,6.74,12.62,NA,12.62,,1.31,20.67,20.67,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985