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See a sample rate comparisonCPT 26551 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.
Trnsfer Toe-To-Hand W/ Microvasc Anastomsis; Great Toe Wrap-A, Transfer Toe-To-Hand With Microvascular Anastomosis; Great Toe Wrap-A
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26551 |
| Medicaid Fee Schedule | View Medicaid rates for 26551 |
National average reimbursement for CPT 26551 by major payers:
$4,228.36
$4,357.83
$4,392.57
$5,289.37
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CPT 26551
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$11,972.00Published rateEndoscopy Center Of Ocean County, LLC
Endoscopy Center Of Ocean County, PC
$4,703.00Published rateSan Antonio Tx Endoscopy Asc Lp, San Antonio Gastroenterology Endoscopy Center - Med Center
San Antonio Tx Endoscopy Asc Lp
$2,813.00Published rateMurrieta Specialty Surgery Center PC A Professional Corporation
$2,100.00Published ratePain Care Center Of Georgia LLC
$1,100.00Published rate
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See a sample payer proposalCPT 26551 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26551 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 26551 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 |
|---|---|---|
| 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 |
| 26551-CPT | High | Trnsfer Toe-To-Hand W/ Microvasc Anastomsis; Great Toe Wrap-A, Transfer Toe-To-Hand With Microvascular Anastomosis; Great Toe Wrap-A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26551 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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