26550 Pollicization digit
Also known as: Pollicization, Index pollicization, Digit-to-thumb transfer
Surgical transfer of a digit, typically an index finger, to the thumb position to restore thumb function, performed when thumb is absent or non-functional.
In Plain Language
Making a second finger function as a thumb; Surgery to create a functioning thumb from another finger
Clinical Context
Indicated for thumb absence, severe thumb dysfunction, or loss where functional reconstruction as pollicized digit improves hand function.
RVU Breakdown
| Work RVU | 21.14 |
| Total RVU | 21.14 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 21.14, this code ranks in the 84th percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26550?
CPT 26550 (Pollicization digit) is a Surgery code. Surgical transfer of a digit, typically an index finger, to the thumb position to restore thumb function, performed when thumb is absent or non-functional.
What is the wRVU value for CPT 26550?
The work RVU for CPT 26550 is 21.14. This code is primarily used by Hand Surgery, Orthopedic Surgery, Microsurgery. It has a 90-day global period.
When is CPT 26550 used?
Indicated for thumb absence, severe thumb dysfunction, or loss where functional reconstruction as pollicized digit improves hand function.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.