CPT code 25111: Wrist ganglion excision, primary ganglion2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $310.14 for 25111 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25111 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 25111 covers

This procedure removes a ganglion arising at the wrist, commonly from the joint capsule or a tendon sheath. The surgeon exposes the cyst, removes it and addresses its attachment as part of the operation. Orthopedic and hand surgeons typically perform the procedure in an operating room or ambulatory surgery setting. A dorsal or volar wrist ganglion is the characteristic clinical target; this code identifies a primary excision rather than removal of a recurrent ganglion.

Report 25111 when the operative record supports a wrist ganglion and documents that it is not recurrent. Include the wrist side, location, diagnosis, and operative findings. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting 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 New Mexico compares for 25111

Across 109 of 109 payment localities, the facility rate for 25111 runs from $284.34 in Arkansas to $404.74 in San Benito County, CA. New Mexico pays $310.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25111 rates by state

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

See 25111 in every payment locality

How the 25111 rate is calculated

Each of 25111’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 25111

25111 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 25111

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

How 25111 has changed in New Mexico

Price 25111 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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