CPT code 25112: Tendon lesion excision, recurrent lesion2026 Medicare rate & RVUs in Minnesota

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 RVU26DEffective Oct 1, 2026One payment locality474 Medicare services in 2024

In Minnesota, Medicare pays $362.08 for 25112 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$362.08Hospital or facility

Check a contract rate as a % of Medicare · 25112 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 25112 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 25112 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 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.

How Minnesota compares for 25112

Across 109 of 109 payment localities, the facility rate for 25112 runs from $335.24 in Arkansas to $466.69 in San Benito County, CA. Minnesota pays $362.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

25112 in Minnesota vs other payment areas
  1. Minnesota · this page$362.08
  2. Los Angeles, CA · California$409.27+$47.19
  3. Washington, DC area · District of Columbia$423.46+$61.38
  4. Miami, FL · Florida$430.06+$67.98
  5. Chicago, IL · Illinois$417.20+$55.12
  6. Manhattan, NY · New York$435.75+$73.67
  7. Alaska · Alaska$452.61+$90.53

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

Every other payment area

25112 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$339.87
ArkansasArkansas—$335.24
ArizonaArizona—$366.80
Bakersfield, CACalifornia—$387.28
Chico, CACalifornia—$384.83
El Centro, CACalifornia—$384.98
Fresno, CACalifornia—$384.83
Hanford, CACalifornia—$384.83

25112 rates by state

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

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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
25112 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 25112 in every payment locality

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

Office or facility?

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.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,394

Code
25112
Physician work
4.55
Practice expense
5.86
Malpractice
0.88

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 25112 in Minnesota
ComponentRVULocality factorAdjusted
Physician work4.55× 1.0004.5500
Practice expense5.86× 1.0296.0299
Malpractice0.88× 0.2960.2605
Total RVUs10.8404
Conversion factor× 33.4009

Facility rate, Minnesota$362.08

Facility: (4.55 × 1 + 5.86 × 1.029 + 0.88 × 0.296) × $33.4009 = $362.08

Open 25112 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 25112 has changed in Minnesota

25112 · 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$362.08RVU26D
2026-07-01Not available in this setting$362.08RVU26C
2026-04-01Not available in this setting$362.08RVU26B
2026-01-01Not available in this setting$362.08RVU26A
2025-10-01Not available in this setting$379.08RVU25D
2025-07-01Not available in this setting$379.08RVU25C
2025-04-01Not available in this setting$379.08RVU25B
2025-01-01Not available in this setting$379.08RVU25A
2024-10-01Not available in this setting$385.19RVU24D
2024-07-01Not available in this setting$385.19RVU24C
2024-04-01Not available in this setting$385.19RVU24B
2024-03-09Not available in this setting$385.19RVU24AR
2024-01-01Not available in this setting$378.91RVU24A
2023-10-01Not available in this setting$386.21RVU23D
2023-07-01Not available in this setting$386.21RVU23C
2023-04-01Not available in this setting$386.21RVU23B
2023-01-01Not available in this setting$386.21RVU23A
2022-10-01Not available in this setting$385.97RVU22D
2022-07-01Not available in this setting$385.97RVU22C
2022-04-01Not available in this setting$385.97RVU22B
2022-01-01Not available in this setting$385.97RVU22A
2021-10-01Not available in this setting$384.92RVU21D
2021-07-01Not available in this setting$384.92RVU21C
2021-04-01Not available in this setting$384.92RVU21B
2021-01-01Not available in this setting$384.92RVU21A
2020-10-01Not available in this setting$384.64RVU20D
2020-07-01Not available in this setting$384.64RVU20C
2020-04-01Not available in this setting$384.64RVU20B
2020-01-01Not available in this setting$384.64RVU20A
2019-10-01Not available in this setting$382.86RVU19D
2019-07-01Not available in this setting$382.86RVU19C
2019-04-01Not available in this setting$382.86RVU19B
2019-01-01Not available in this setting$382.86RVU19A
2018-10-01Not available in this setting$381.95RVU18D
2018-07-01Not available in this setting$381.95RVU18C
2018-04-01Not available in this setting$381.95RVU18B
2018-01-01Not available in this setting$381.95RVU18AR1
2017-10-01Not available in this setting$379.65RVU17D
2017-07-01Not available in this setting$379.65RVU17C
2017-04-01Not available in this setting$379.65RVU17B
2017-01-01Not available in this setting$379.65RVU17A
2016-10-01Not available in this setting$377.62RVU16D
2016-07-01Not available in this setting$377.62RVU16C
2016-04-01Not available in this setting$377.62RVU16B
2016-01-01Not available in this setting$377.62RVU16A
2015-10-01Not available in this setting$378.02RVU15D
2015-07-01Not available in this setting$378.02RVU15C
2015-04-01Not available in this setting$376.14RVU15B
2015-01-01Not available in this setting$376.14RVU15A
2014-10-01Not available in this setting$374.60RVU14D
2014-07-01Not available in this setting$374.60RVU14C
2014-04-01Not available in this setting$374.60RVU14B
2014-01-01Not available in this setting$374.60RVU14A
2013-10-01Not available in this setting$372.79RVU13D
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 25112 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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

Show the CMS file lines behind this rate
RVUs for 25112PPRRVU2026_Oct_nonQPP.csv, line 2,394 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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