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See a sample rate comparisonCPT 26555 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.
Finger And Hand Surgery, Surgery To Remove A Finger After An Injury Or Due To Disease. The Remaining Fingers Are Moved And Stitched Into Place To Optimize Use Of The Remaining Fingers.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None F5 - Right hand, thumb F7 - Right hand, third digit RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26555 |
| Medicaid Fee Schedule | View Medicaid rates for 26555 |
National average reimbursement for CPT 26555 by major payers:
$1,906.04
$1,847.38
$1,908.81
$2,266.29
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CPT 26555
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Sugar Land LLP
$6,904.00Published rateMartha Jefferson Hospital, Martha Jefferson Outpatient Surgery Center
Martha Jefferson Hospital
$2,538.00Published rateRembrandt Outpatient Surgery Center PLLC, Rembrandt Outpatient Surgery Center
Rembrandt Outpatient Surgery Center PLLC
$1,800.00Published rateOmaha Ambulatory Surgery Center LLC
$1,278.00Published rateDekalb Gastroenterology Associates III, LLC, Dekalb Endoscopy Center
Dekalb Gastroenterology Associates III LLC
$360.00Published rate
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See a sample payer proposalCPT 26555 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26555 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 26555 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 |
|---|---|---|
| 26555-CPT | High | Finger And Hand Surgery, Surgery To Remove A Finger After An Injury Or Due To Disease. The Remaining Fingers Are Moved And Stitched Into Place To Optimize Use Of The Remaining Fingers. |
| 26565-CPT | Moderate | Osteotomy Metacarpal Deformity |
| 26600-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture Single Withoutmanipulation Each Bone Closed Treatment Ofmetacarpal Fracture Single Without |
| 26607-CPT | Moderate | Closed Treatment Of Metacarpal, Closed Treatment Of Metacarpal Fracture With Manipulation With Internal Or External Fixation Eachbone Closed Treatment Of Metacarpal Fracture Wi Th Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26555 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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