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See a sample rate comparisonCPT 26562 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.
Rpair Of Syndactyly (Web Finger) Ea Web Spac; Complx (Eg Invol, Repair Of Syndactyly (Web Finger) Each Web Space; Complex (Eg Involvi
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 26562 |
| Medicaid Fee Schedule | View Medicaid rates for 26562 |
National average reimbursement for CPT 26562 by major payers:
$1,738.17
$1,772.77
$1,896.48
$2,203.30
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CPT 26562
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$7,323.00Published rateAmarillo Endoscopy Center, Lp
Amarillo Endoscopy Center Lp
$3,570.00Published rateEhlers Eye Surgery LLC
$1,700.00Published rateDothan Surgery Center, LLC, Dothan Surgery Center
Dothan Surgery Center, LLC
$1,207.00Published rateEye Surgery Center Of Wisconsin, LLC
$585.00Published rate
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See a sample payer proposalCPT 26562 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 26562 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 26562 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 |
|---|---|---|
| 26560-CPT | Moderate | Rpair Of Syndactyly (Web Finger) Ea Web Spac; W/ Skin Flaps, Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps |
| 26561-CPT | High | Rpair Of Syndactyly (Web Finger) Ea Web Spac; W/ Skin Flaps, Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps And |
| 26562-CPT | High | Rpair Of Syndactyly (Web Finger) Ea Web Spac; Complx (Eg Invol, Repair Of Syndactyly (Web Finger) Each Web Space; Complex (Eg Involvi |
| 26580-CPT | High | Repair Cleft Hand |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26562 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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