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

Excision of a primary dorsal or volar wrist ganglion, reported when the surgeon removes the cyst and its attachment rather than treating a recurrence.

CMS RVU26DEffective Oct 1, 2026One payment locality7.6K Medicare services in 2024

In Nevada, Medicare pays $317.49 for 25111 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$317.49Hospital or facility

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.

We’ll open 25111 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 25111 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Nevada 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. Nevada pays $317.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

25111 in Nevada vs other payment areas
  1. Nevada · this page$317.49
  2. Los Angeles, CA · California$351.97+$34.48
  3. Washington, DC area · District of Columbia$362.44+$44.95
  4. Miami, FL · Florida$362.23+$44.74
  5. Chicago, IL · Illinois$351.25+$33.76
  6. Manhattan, NY · New York$371.07+$53.58
  7. Alaska · Alaska$380.50+$63.01

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

25111 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$288.41
ArkansasArkansas—$284.34
ArizonaArizona—$312.10
Bakersfield, CACalifornia—$332.21
Chico, CACalifornia—$330.37
El Centro, CACalifornia—$330.49
Fresno, CACalifornia—$330.37
Hanford, CACalifornia—$330.37

25111 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25111 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 25111

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.44

3.44 RVUs× 1.000 GPCI

Practice expense5.51

5.51 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

9.6100

Conversion factor

$33.4009

Medicare rate

$320.98

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,393

Code
25111
Physician work
3.44
Practice expense
5.51
Malpractice
0.66

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 25111 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.44× 1.0003.4400
Practice expense5.51× 1.0015.5155
Malpractice0.66× 0.8330.5498
Total RVUs9.5053
Conversion factor× 33.4009

Facility rate, Nevada$317.49

Facility: (3.44 × 1 + 5.51 × 1.001 + 0.66 × 0.833) × $33.4009 = $317.49

Open 25111 in the RVU calculator

Payment rules and modifiers for 25111

25111 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25111

Wrist ganglion excision, primary ganglion

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25111

Wrist ganglion excision, primary ganglion

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25111 without 50 · national facility

$320.98

Wrist ganglion excision, primary ganglion

25111-50 · Bilateral: 150%

$481.47

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 25111 has changed in Nevada

25111 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$317.49RVU26D
2026-07-01Not available in this setting$317.49RVU26C
2026-04-01Not available in this setting$317.49RVU26B
2026-01-01Not available in this setting$317.49RVU26A
2025-10-01Not available in this setting$325.31RVU25D
2025-07-01Not available in this setting$325.31RVU25C
2025-04-01Not available in this setting$325.31RVU25B
2025-01-01Not available in this setting$325.31RVU25A
2024-10-01Not available in this setting$330.68RVU24D
2024-07-01Not available in this setting$330.68RVU24C
2024-04-01Not available in this setting$330.68RVU24B
2024-03-09Not available in this setting$330.68RVU24AR
2024-01-01Not available in this setting$325.28RVU24A
2023-10-01Not available in this setting$337.34RVU23D
2023-07-01Not available in this setting$337.34RVU23C
2023-04-01Not available in this setting$337.34RVU23B
2023-01-01Not available in this setting$337.34RVU23A
2022-10-01Not available in this setting$343.62RVU22D
2022-07-01Not available in this setting$343.62RVU22C
2022-04-01Not available in this setting$343.62RVU22B
2022-01-01Not available in this setting$343.62RVU22A
2021-10-01Not available in this setting$342.85RVU21D
2021-07-01Not available in this setting$342.85RVU21C
2021-04-01Not available in this setting$342.85RVU21B
2021-01-01Not available in this setting$342.85RVU21A
2020-10-01Not available in this setting$336.98RVU20D
2020-07-01Not available in this setting$336.98RVU20C
2020-04-01Not available in this setting$336.98RVU20B
2020-01-01Not available in this setting$336.98RVU20A
2019-10-01Not available in this setting$333.05RVU19D
2019-07-01Not available in this setting$333.05RVU19C
2019-04-01Not available in this setting$333.05RVU19B
2019-01-01Not available in this setting$333.05RVU19A
2018-10-01Not available in this setting$332.32RVU18D
2018-07-01Not available in this setting$332.32RVU18C
2018-04-01Not available in this setting$332.32RVU18B
2018-01-01Not available in this setting$332.32RVU18AR1
2017-10-01Not available in this setting$333.97RVU17D
2017-07-01Not available in this setting$333.97RVU17C
2017-04-01Not available in this setting$333.97RVU17B
2017-01-01Not available in this setting$333.97RVU17A
2016-10-01Not available in this setting$336.80RVU16D
2016-07-01Not available in this setting$336.80RVU16C
2016-04-01Not available in this setting$336.80RVU16B
2016-01-01Not available in this setting$336.80RVU16A
2015-10-01Not available in this setting$338.01RVU15D
2015-07-01Not available in this setting$338.01RVU15C
2015-04-01Not available in this setting$336.33RVU15B
2015-01-01Not available in this setting$336.33RVU15A
2014-10-01Not available in this setting$336.39RVU14D
2014-07-01Not available in this setting$336.39RVU14C
2014-04-01Not available in this setting$336.39RVU14B
2014-01-01Not available in this setting$336.39RVU14A
2013-10-01Not available in this setting$341.13RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 25111 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

25111 billing questions

When should 25111 be chosen over 25112?

Use 25111 for primary excision of a wrist ganglion. Use 25112 when the ganglion is recurrent after prior excision.

How does 25111 differ from 25110?

25111 is specific to primary ganglion excision at the wrist. Consider 25110 for an eligible tendon-sheath or joint-capsule lesion of the forearm or wrist that is not being reported as a primary wrist ganglion.

What documentation supports reporting 25111?

Document the wrist side and ganglion location, the diagnosis, whether it is primary or recurrent, and the operative findings and removal.

Are related postoperative visits separately reported?

Related postoperative care during the 90-day global period is included. CMS also includes the day-before preoperative visit in the global period.

How are bilateral procedures and other procedures in the same session handled?

CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported for this operation?

CMS does not pay assistant-at-surgery services for this code. Co-surgeons and team surgery are not permitted.

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

Show the CMS file lines behind this rate
RVUs for 25111PPRRVU2026_Oct_nonQPP.csv, line 2,393 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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