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See a sample rate comparisonCPT 26550 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Pollicization Of A Digit
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26550 |
| Medicaid Fee Schedule | View Medicaid rates for 26550 |
National average reimbursement for CPT 26550 by major payers:
$2,220.32
$2,175.68
$2,264.06
$2,674.17
Compare published rates across providers.
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CPT 26550
5 of 25 sample ratesHigher to lower in this preview
Fairfax Surgical Center, L.P.
Fairfax Surgical Center Lp
$6,310.00Published rateHosp Of The Univ Of PA Spu
Trustees Of The University Of Pennsylvania
$3,276.00Published rateSpine And Pain Physicians Surgery Center, LLC
Spine And Pain Physicians Surgery Center LLC
$1,927.00Published rateOrthopedics Surgical Center Of The North Shore LLC
Orthopedic Surgical Center Of The North Shore
$1,522.75Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 26550 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26550 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 26550 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 26545-CPT | Moderate | Reconstruct Hand Ligament, Surgery To Reconstruct A Collateral Ligament Of The Hand Or Finger Using A Graft. These Ligaments Help Stabilize The Bones When The Hand Or Finger Moves From Side-To-Side. |
| 26546-CPT | High | Repair Non-Union Metacarpal O, Repair Non-Union Metacarpal Or Phalanx (Includesobtainingbone Graft With Or Without External Or I Nternal Fixation) |
| 26548-CPT | High | Rpair & Reconstr Finger Volar Plat Interphalang Joint, Repair And Reconstruction Finger Volar Plate Interphalangeal Joint |
| 26550-CPT | High | Pollicization Of A Digit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26550 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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