CPT code 25120: Bone lesion removal, radius or ulna, without graft2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $437.85 for 25120 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25120 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 25120 covers

An orthopedic surgeon uses this service to remove or curette a benign bone cyst or tumor located in the radius or ulna. The operation treats a lesion in the forearm bone itself, not a ganglion, tendon-sheath growth, or other soft-tissue mass. It is typically performed in an operating room, with the operative report identifying the affected bone and describing the lesion treatment. A specimen may be submitted for pathologic examination when clinically indicated.

Report 25120 when the documented procedure is excision or curettage of the radius or ulna lesion and the service does not include bone grafting. The operative note should support the bone involved, lesion, and work performed; use a grafting sibling when grafting is part of the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment requires medical-necessity documentation, co-surgeon payment requires supporting documentation, and team surgery is 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 Wisconsin compares for 25120

Across 109 of 109 payment localities, the facility rate for 25120 runs from $423.27 in Arkansas to $581.31 in San Benito County, CA. Wisconsin pays $437.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25120 rates by state

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

See 25120 in every payment locality

How the 25120 rate is calculated

Each of 25120’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 25120

25120 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 25120

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

How 25120 has changed in Wisconsin

Price 25120 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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