26554 Double transfer toe-hand
Also known as: Double toe transfer, Two-toe reconstruction, Extensive toe transfer
Surgical transfer of two toes to the hand to reconstruct multiple digits, performed using microsurgical techniques for patients with loss of multiple hand digits.
In Plain Language
Moving two toes to replace multiple missing hand digits; Two-toe transplant for extensive hand reconstruction
Clinical Context
Indicated for loss of multiple hand digits (typically thumb and one or more fingers) where microsurgical transfer of two toes provides comprehensive reconstruction.
RVU Breakdown
| Work RVU | 55.58 |
| Total RVU | 55.58 |
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 55.58, this code ranks in the 99th percentile among Surgery codes — 7.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26554?
CPT 26554 (Double transfer toe-hand) is a Surgery code. Surgical transfer of two toes to the hand to reconstruct multiple digits, performed using microsurgical techniques for patients with loss of multiple hand digits.
What is the wRVU value for CPT 26554?
The work RVU for CPT 26554 is 55.58. This code is primarily used by Hand Surgery, Microsurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 26554 used?
Indicated for loss of multiple hand digits (typically thumb and one or more fingers) where microsurgical transfer of two toes provides comprehensive reconstruction.
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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.