CPT code 25115: Lesion excision, wrist or forearm2026 Medicare rate & RVUs in Iowa

In Iowa, Medicare pays $639.04 for 25115 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25115 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 25115 covers

This code represents an operation to remove a lesion in the wrist or forearm. It is typically performed by an orthopedic or hand surgeon in an operating room or, when appropriate, an office procedure setting. The operative report should identify the lesion’s location and the tissues involved, and describe the work performed. A wrist or forearm location alone is not enough to distinguish this service from excision of a tendon-sheath lesion, a joint procedure, or removal of a bone lesion.

Report the code when the documented operation matches its specific procedure, rather than selecting it from the lesion’s general location or diagnosis alone. Include the operative findings and the anatomic site in the record to support code selection. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; 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 Iowa compares for 25115

Across 109 of 109 payment localities, the facility rate for 25115 runs from $628.98 in Arkansas to $859.84 in Alaska. Iowa pays $639.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25115 rates by state

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

See 25115 in every payment locality

How the 25115 rate is calculated

Each of 25115’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 25115

25115 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 25115

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

How 25115 has changed in Iowa

Price 25115 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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