CPT code 25125: Bone lesion excision, forearm, with autograft2026 Medicare rate & RVUs

Medicare pays $570.82 for 25125 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25125 covers

An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the radius or ulna and fills the defect with the patient's own bone graft. The procedure is performed in an operative setting when the lesion requires surgical treatment and grafting to address the bone defect. The operative report should identify the affected forearm bone, the lesion treated, the excision or curettage, and the autograft used; this code includes obtaining the graft.

Select this service when the forearm bone lesion is treated with autograft, rather than reporting the corresponding excision or curettage without graft. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery is paid only when medical necessity is documented; 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.

Where 25125 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25125 rates by state

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

How the 25125 rate is calculated

Each of 25125’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 25125

25125 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

25125 compared with similar codes

How to choose

25120Bone lesion removalRadius or ulna, without graft

Both address a cyst or benign tumor in the radius or ulna. Choose 25125 when autograft is used to fill the defect; 25120 describes treatment without graft.

25126Bone lesion surgeryRadius or ulna, with allograft

The graft source distinguishes these related forearm procedures: 25125 uses the patient's own bone, while 25126 uses allograft.

25135Bone lesion surgeryCarpal bone, autograft

This related grafted lesion procedure applies to a wrist bone. Use 25125 for a lesion in the radius or ulna.

Codes related to 25125

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

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