Soft tissue repair · Hand

26551

Great-toe wrap-around transfer to the hand with microvascular anastomosis and bone graft for thumb reconstruction

Verified May 8, 2026 · 7 sources ↓

Medicare
$2,975.35
Total RVUs
89.08
Global, days
90
Region
Hand
Drawn from CMSMdclarityEmednyAAPCEatonhand

Documentation requirements

What must appear in the operative or office note to support the claim.

Source · Editorial brief grounded in 7 cited references ↓

  • Indication for reconstruction: document mechanism of thumb loss (traumatic amputation, congenital absence, tumor resection) and level of deficit
  • Donor site description: confirm great toe harvest with wrap-around skin flap technique and bone graft harvest specifics
  • Microvascular anastomosis: identify recipient and donor vessels anastomosed, technique used, and confirmed patency at closure
  • Tendon and nerve coaptation: name each structure repaired or connected at the recipient site
  • Intraoperative Doppler or flow assessment confirming flap perfusion before wound closure
  • Separate consent documentation for both the hand reconstruction and the foot donor site procedure

Applicable modifiers

Modifiers commonly billed with this code.

Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual

What this code covers

Source · Editorial summary grounded in 7 cited references ↓

CPT 26551 describes a toe-to-hand transfer in which the surgeon harvests the great toe — including its skin envelope, neurovascular bundle, tendons, and associated bone graft — and transplants it to reconstruct an absent or unsalvageable thumb. The procedure requires microvascular anastomosis to restore arterial inflow and venous outflow at the recipient site. It is most commonly performed for traumatic thumb loss or congenital thumb absence where the great toe's size and shape provide the best functional and aesthetic match.

This is a high-complexity microvascular procedure carrying a 90-day global period. All routine post-operative management of both the donor foot and the recipient hand falls within that global window. Unrelated problems treated during the global period require modifier 24; a separately identifiable E/M on the day of surgery requires modifier 25.

Code 26553 covers a non-great-toe single transfer; 26554 covers a double non-great-toe transfer. Do not report 69990 (operating microscope) separately — it is bundled under NCCI policy when microvascular anastomosis is integral to the procedure. Confirm current NCCI PTP edits before billing adjunct codes on the same date.

RVU & reimbursement

Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.

Source · CMS Physician Fee Schedule, RVU26A · January 2026

Work RVU47.27
Practice expense RVU31.71
Malpractice RVU10.1
Total RVU89.08
Medicare national rate$2,975.35
Global period90 days

Payment by site of service

Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.

Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026

SettingMedicare rate (national)
Office (PFS non-facility)
Procedure performed in physician's office
$2,975.35
HOPD (APC 5114)
Hospital outpatient department
$7,413.38
ASC (PI J8)
Ambulatory surgical center (freestanding)
$4,682.29

Common denial reasons

The recurring reasons claims for CPT 26551 get rejected.

Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓

  • Missing or inadequate documentation of microvascular anastomosis — payers require vessel-level detail, not just 'microsurgical technique'
  • Operative note describes only one anatomical site (hand) without a complete account of great-toe harvest at the donor foot
  • Unbundling denial when 69990 (operating microscope) is billed separately on the same claim
  • Medical necessity not established — absence of imaging, prior treatment records, or clear documentation of thumb loss etiology
  • Wrong laterality modifier or omitted laterality modifier causing adjudication mismatch

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 7 cited references ↓

01Can 26551 and 26553 be billed together on the same hand?
Only if distinct separate toe transfers are performed to reconstruct different digits on the same hand. Each transfer must be individually documented with its own harvest description and microvascular anastomosis record. Append modifier 51 to the secondary code and expect scrutiny — payers may request operative records confirming two independent free-flap transfers.
02Is 69990 separately billable with 26551?
No. NCCI bundles 69990 into procedures where microsurgery is integral to the code's description, and microvascular anastomosis is definitional to 26551. Billing 69990 alongside 26551 will generate a PTP edit denial.
03What modifier is needed for a second surgery on the same thumb during the 90-day global?
Modifier 78 if the return to the OR addresses a complication related to the original transfer (e.g., flap compromise, vascular thrombosis). Modifier 79 if the procedure is unrelated to the transfer. Do not use 78 and 79 interchangeably — payers audit global-period claims closely on high-RVU reconstructive codes.
04How should the foot donor site be coded?
The great-toe harvest is part of 26551's procedure description and is not separately reportable. Do not add a separate flap harvest or wound closure code for the foot. If the foot wound requires a split-thickness skin graft for closure beyond primary repair, document that distinction clearly and confirm NCCI edits before billing an additional graft code.
05Does 26551 require prior authorization, and what documentation supports it?
Most commercial payers require prior authorization for this procedure given its high complexity and cost. Submit operative planning notes, imaging documenting the thumb deficit, evidence of prior treatment or failed alternatives, and a letter of medical necessity addressing functional impairment. Congenital cases may require additional genetic or pediatric consultation records depending on payer policy.
06When is modifier 22 appropriate for 26551?
Use modifier 22 when documented circumstances substantially increase physician work beyond the typical great-toe wrap-around transfer — for example, severe scarring from prior burns, prior failed reconstruction, or vascular anomalies requiring extended dissection. Attach a cover letter quantifying the additional time and complexity; without it, payers routinely deny modifier 22 requests on reconstructive codes.

Mira AI Scribe

Mira's AI scribe captures the great-toe harvest technique (wrap-around flap with bone graft), the specific vessels and nerves anastomosed or coapted, confirmed intraoperative perfusion, and the functional deficit that indicated reconstruction. That documentation prevents the most common denial: an operative note that mentions microvascular work without naming the anastomosed structures or establishing why the great toe — rather than a lesser-toe or prosthetic option — was selected.

See how Mira captures CPT 26551 documentation

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