CPT code 25101: Wrist arthrotomy, exploration, drainage, or foreign body2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $387.36 for 25101 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25101 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25101 covers

This service involves opening the wrist joint through an incision so the surgeon can inspect the joint, drain it, or remove a foreign body. It may be performed by an orthopedic or hand surgeon in a hospital or ambulatory surgery setting. The operative report should identify the wrist joint and describe the findings and the work performed, such as the exploration, drainage, or foreign body extraction.

Report this code when the documented procedure matches that open joint work; a biopsy or removal of synovial tissue is a different service. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 25101

Across 109 of 109 payment localities, the facility rate for 25101 runs from $348.45 in Arkansas to $485.38 in San Benito County, CA. Delaware pays $387.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25101 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 25101 in every payment locality

How the 25101 rate is calculated

Each of 25101’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 25101

25101 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 25101

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 25101 has changed in Delaware

Price 25101 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates