CPT code 25112: Tendon lesion excision, recurrent lesion2026 Medicare rate & RVUs in Maryland
Removal of a recurrent lesion arising from a tendon sheath or capsule in the forearm or wrist, such as a ganglion that has returned.
CMS doesn’t publish an office rate for 25112 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 25112 covers
Code 25112 represents operative removal of a recurrent lesion arising from a tendon sheath or capsule in the forearm and/or wrist, commonly a ganglion that has returned after prior treatment. The surgeon exposes the involved structure and excises the lesion. Hand and orthopedic surgeons typically perform this procedure in an operating room or ambulatory surgery setting; the lesion’s location and operative history guide the approach.
Report 25112 when the record identifies the lesion’s forearm or wrist location, its tendon-sheath or capsular origin, and its recurrent status. Document relevant prior treatment, operative findings, and the work performed; distinguish a recurrent lesion from a deep lesion reported with 25111. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, co-surgeons, or team surgery for this service.
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.
Where 25112 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $400.78 |
| Rest of Maryland | Unavailable | $378.55 |
| Washington, DC area | Unavailable | $423.46 |
How the 25112 rate is calculated
Each of 25112’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 · 25112
RVUs × geographic indexes × conversion factor
Work4.55
4.55 RVUs× 1.000 GPCI
Practice expense5.86
5.86 RVUs× 1.000 GPCI
Malpractice0.88
0.88 RVUs× 1.000 GPCI
Adjusted RVUs
11.2900
Conversion factor
$33.4009
Medicare rate
$377.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25112
25112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25112
Tendon lesion excision, recurrent lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25112
Tendon lesion excision, recurrent lesion
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25112 without 50 · national facility
$377.10
Tendon lesion excision, recurrent lesion
25112-50 · Bilateral: 150%
$565.65
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).
25112 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25110Lesion excisionTendon sheath or capsule
- 25110 is for a non-deep, nonrecurrent lesion of a tendon sheath or capsule in the forearm or wrist. Choose 25112 when the lesion is recurrent.
- 25111Wrist ganglion excisionPrimary ganglion
- 25111 identifies a deep tendon-sheath or capsular lesion. 25112 identifies recurrence; select based on the documented distinction.
- 25118Tendon sheath excisionWrist tenosynovectomy
- 25118 concerns excision of a wrist tendon sheath itself. 25112 concerns removal of a recurrent lesion arising from a tendon sheath or capsule.
- 25109Tendon excisionEach flexor or extensor tendon
- 25109 involves excision of tendon tissue in the forearm or wrist. 25112 is for a recurrent lesion arising from the tendon sheath or capsule.
25112 billing questions
When is 25112 appropriate instead of 25110 or 25111?
Use 25112 when the tendon-sheath or capsular lesion is recurrent. Code 25110 describes the non-deep, nonrecurrent level, while 25111 is for a deep lesion.
What documentation supports reporting a recurrent lesion?
Record the forearm or wrist site, the lesion’s tendon-sheath or capsular origin, its recurrent status, relevant prior treatment, and the operative findings.
Does 25112 include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 25112 handled when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 be used for bilateral excision?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Is an assistant surgeon or co-surgeon payable for 25112?
No. CMS restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this service.
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
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