CPT code 25130: Wrist bone lesion, without bone graft2026 Medicare rate & RVUs in Utah
Reports operative removal or curettage of a cyst or benign tumor in a carpal bone when the procedure does not include bone grafting.
In Utah, Medicare pays $414.20 for 25130 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25130 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 25130 covers
An orthopedic surgeon uses this service to remove or curette a cyst or benign tumor arising in a carpal bone. It describes treatment of the bone lesion itself, rather than removal of a wrist tendon-sheath mass or a lesion in the radius or ulna. The procedure is generally performed in an operating room, with the excised material available for pathologic examination when indicated.
Choose the code when the operative report identifies the carpal bone treated and documents excision or curettage without grafting. The 90-day global period includes the preoperative visit on the day before surgery and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Utah compares for 25130
Across 109 of 109 payment localities, the facility rate for 25130 runs from $383.43 in Arkansas to $532.09 in San Benito County, CA. Utah pays $414.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$414.20
- Los Angeles, CA · California$467.12+$52.92
- Washington, DC area · District of Columbia$483.46+$69.26
- Miami, FL · Florida$491.49+$77.29
- Chicago, IL · Illinois$476.90+$62.70
- Manhattan, NY · New York$497.66+$83.46
- Alaska · Alaska$518.40+$104.20
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $388.67 |
| ArkansasArkansas | — | $383.43 |
| ArizonaArizona | — | $419.18 |
| Bakersfield, CACalifornia | — | $442.20 |
| Chico, CACalifornia | — | $439.39 |
| El Centro, CACalifornia | — | $439.55 |
| Fresno, CACalifornia | — | $439.39 |
| Hanford, CACalifornia | — | $439.39 |
| Madera, CACalifornia | — | $439.39 |
| Merced, CACalifornia | — | $439.39 |
| Modesto, CACalifornia | — | $439.39 |
| Napa, CACalifornia | — | $495.51 |
| Oxnard, CACalifornia | — | $463.22 |
| Redding, CACalifornia | — | $439.39 |
| Rest of CaliforniaCalifornia | — | $439.39 |
| Riverside, CACalifornia | — | $450.26 |
| Sacramento, CACalifornia | — | $457.51 |
| Salinas, CACalifornia | — | $455.75 |
| San Diego, CACalifornia | — | $463.93 |
| Marin County, CACalifornia | — | $519.79 |
| San Francisco, CACalifornia | — | $518.64 |
| San Benito County, CACalifornia | — | $532.09 |
| Santa Clara County, CACalifornia | — | $527.40 |
| San Luis Obispo, CACalifornia | — | $448.86 |
| Santa Cruz, CACalifornia | — | $466.32 |
| Santa Maria, CACalifornia | — | $456.76 |
| Santa Rosa, CACalifornia | — | $470.78 |
| Stockton, CACalifornia | — | $439.39 |
| Vallejo, CACalifornia | — | $493.85 |
| Visalia, CACalifornia | — | $439.39 |
| Yuba City, CACalifornia | — | $439.39 |
| ColoradoColorado | — | $439.71 |
| ConnecticutConnecticut | — | $458.46 |
| DelawareDelaware | — | $425.70 |
| Fort Lauderdale, FLFlorida | — | $461.00 |
| Rest of FloridaFlorida | — | $438.14 |
| Atlanta, GAGeorgia | — | $441.71 |
| Rest of GeorgiaGeorgia | — | $413.54 |
| Hawaii, Guam, HIHawaii | — | $446.87 |
| IowaIowa | — | $391.79 |
| IdahoIdaho | — | $395.46 |
| East St. Louis, ILIllinois | — | $447.44 |
| Rest of IllinoisIllinois | — | $430.69 |
| Suburban Chicago, ILIllinois | — | $464.10 |
| IndianaIndiana | — | $397.44 |
| KansasKansas | — | $392.98 |
| KentuckyKentucky | — | $403.53 |
| New Orleans, LALouisiana | — | $422.45 |
| Rest of LouisianaLouisiana | — | $404.10 |
| Metropolitan Boston, MAMassachusetts | — | $477.17 |
| Rest of MassachusettsMassachusetts | — | $438.53 |
| Baltimore area, MDMaryland | — | $457.79 |
| Rest of MarylandMaryland | — | $432.52 |
| Rest of MaineMaine | — | $400.48 |
| Southern Maine, MEMaine | — | $416.44 |
| Detroit, MIMichigan | — | $446.30 |
| Rest of MichiganMichigan | — | $416.04 |
| MinnesotaMinnesota | — | $413.52 |
| Metropolitan Kansas City, MOMissouri | — | $416.65 |
| Metropolitan St. Louis, MOMissouri | — | $420.36 |
| Rest of MissouriMissouri | — | $399.57 |
| MississippiMississippi | — | $391.42 |
| MontanaMontana | — | $430.80 |
| North CarolinaNorth Carolina | — | $403.92 |
| North DakotaNorth Dakota | — | $410.83 |
| NebraskaNebraska | — | $392.91 |
| New HampshireNew Hampshire | — | $435.69 |
| Northern New JerseyNew Jersey | — | $479.57 |
| Rest of New JerseyNew Jersey | — | $461.49 |
| New MexicoNew Mexico | — | $419.36 |
| NevadaNevada | — | $425.46 |
| NYC suburbs and Long Island, NYNew York | — | $512.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $466.85 |
| Queens, NYNew York | — | $497.21 |
| Rest of New YorkNew York | — | $409.83 |
| OhioOhio | — | $411.96 |
| OklahomaOklahoma | — | $399.76 |
| Portland, OROregon | — | $449.53 |
| Rest of OregonOregon | — | $419.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $449.60 |
| Rest of PennsylvaniaPennsylvania | — | $410.94 |
| Puerto RicoPuerto Rico | — | $432.79 |
| Rhode IslandRhode Island | — | $437.86 |
| South CarolinaSouth Carolina | — | $409.06 |
| South DakotaSouth Dakota | — | $408.47 |
| TennesseeTennessee | — | $395.19 |
| Austin, TXTexas | — | $440.17 |
| Beaumont, TXTexas | — | $408.64 |
| Brazoria, TXTexas | — | $422.88 |
| Dallas, TXTexas | — | $426.79 |
| Fort Worth, TXTexas | — | $425.02 |
| Galveston, TXTexas | — | $424.94 |
| Houston, TXTexas | — | $443.43 |
| Rest of TexasTexas | — | $416.36 |
| VirginiaVirginia | — | $417.21 |
| Virgin Islands, VIUnited States Virgin Islands | — | $432.79 |
| VermontVermont | — | $412.00 |
| Rest of WashingtonWashington | — | $436.79 |
| King County, WAWashington | — | $483.57 |
| WisconsinWisconsin | — | $398.27 |
| West VirginiaWest Virginia | — | $416.53 |
| WyomingWyoming | — | $422.10 |
25130 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 25130 rate is calculated
Each of 25130’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 · 25130
RVUs × geographic indexes × conversion factor
Work5.29
5.29 RVUs× 1.000 GPCI
Practice expense6.60
6.60 RVUs× 1.000 GPCI
Malpractice1.01
1.01 RVUs× 1.000 GPCI
Adjusted RVUs
12.9000
Conversion factor
$33.4009
Medicare rate
$430.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,402
- Code
- 25130
- Physician work
- 5.29
- Practice expense
- 6.60
- Malpractice
- 1.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.29 | × 1.000 | 5.2900 |
| Practice expense | 6.60 | × 0.940 | 6.2040 |
| Malpractice | 1.01 | × 0.898 | 0.9070 |
| Total RVUs | 12.4010 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$414.20
Facility: (5.29 × 1 + 6.6 × 0.94 + 1.01 × 0.898) × $33.4009 = $414.20
Payment rules and modifiers for 25130
25130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25130
Wrist bone lesion, without bone graft
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 25130
Wrist bone lesion, without bone graft
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
25130 without 50 · national facility
$430.87
Wrist bone lesion, without bone graft
25130-50 · Bilateral: 150%
$646.31
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).
How 25130 has changed in Utah
25130 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $414.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $414.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $414.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $414.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $435.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $435.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $435.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $435.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $442.77 | RVU24D |
| 2024-07-01 | Not available in this setting | $442.77 | RVU24C |
| 2024-04-01 | Not available in this setting | $442.77 | RVU24B |
| 2024-03-09 | Not available in this setting | $442.77 | RVU24AR |
| 2024-01-01 | Not available in this setting | $435.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $441.80 | RVU23D |
| 2023-07-01 | Not available in this setting | $441.80 | RVU23C |
| 2023-04-01 | Not available in this setting | $441.80 | RVU23B |
| 2023-01-01 | Not available in this setting | $441.80 | RVU23A |
| 2022-10-01 | Not available in this setting | $439.50 | RVU22D |
| 2022-07-01 | Not available in this setting | $439.50 | RVU22C |
| 2022-04-01 | Not available in this setting | $439.50 | RVU22B |
| 2022-01-01 | Not available in this setting | $439.50 | RVU22A |
| 2021-10-01 | Not available in this setting | $439.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $439.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $439.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $439.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $447.15 | RVU20D |
| 2020-07-01 | Not available in this setting | $447.15 | RVU20C |
| 2020-04-01 | Not available in this setting | $447.15 | RVU20B |
| 2020-01-01 | Not available in this setting | $447.15 | RVU20A |
| 2019-10-01 | Not available in this setting | $450.98 | RVU19D |
| 2019-07-01 | Not available in this setting | $450.98 | RVU19C |
| 2019-04-01 | Not available in this setting | $450.98 | RVU19B |
| 2019-01-01 | Not available in this setting | $450.98 | RVU19A |
| 2018-10-01 | Not available in this setting | $450.57 | RVU18D |
| 2018-07-01 | Not available in this setting | $450.57 | RVU18C |
| 2018-04-01 | Not available in this setting | $450.57 | RVU18B |
| 2018-01-01 | Not available in this setting | $450.57 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $446.13 | RVU17D |
| 2017-07-01 | Not available in this setting | $446.13 | RVU17C |
| 2017-04-01 | Not available in this setting | $446.13 | RVU17B |
| 2017-01-01 | Not available in this setting | $446.13 | RVU17A |
| 2016-10-01 | Not available in this setting | $444.55 | RVU16D |
| 2016-07-01 | Not available in this setting | $444.55 | RVU16C |
| 2016-04-01 | Not available in this setting | $444.55 | RVU16B |
| 2016-01-01 | Not available in this setting | $444.55 | RVU16A |
| 2015-10-01 | Not available in this setting | $445.91 | RVU15D |
| 2015-07-01 | Not available in this setting | $445.91 | RVU15C |
| 2015-04-01 | Not available in this setting | $443.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $443.69 | RVU15A |
| 2014-10-01 | Not available in this setting | $440.58 | RVU14D |
| 2014-07-01 | Not available in this setting | $440.58 | RVU14C |
| 2014-04-01 | Not available in this setting | $440.58 | RVU14B |
| 2014-01-01 | Not available in this setting | $440.58 | RVU14A |
| 2013-10-01 | Not available in this setting | $436.28 | RVU13D |
| 2013-07-01 | Not available in this setting | $436.28 | RVU13C |
| 2013-04-01 | Not available in this setting | $436.28 | RVU13B |
| 2013-01-01 | Not available in this setting | $436.28 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
25130 billing questions
How is this different from removing a wrist tendon lesion?
This code is for a lesion within a carpal bone. Codes 25110 and 25111 concern tendon-related lesions, so the operative note should establish which structure contains the lesion.
When should a grafted wrist bone-lesion code be considered?
Use 25130 for removal or curettage without bone grafting. When grafting is part of the procedure, compare the applicable grafted wrist-lesion code, 25135 or 25136.
What should the operative report document?
Document the carpal bone involved, the lesion treated, and whether the surgeon excised or curetted it. Record graft use when applicable, since it may change the code selection.
How does CMS handle bilateral reporting and multiple procedures?
With modifier 50, CMS pays this bilateral procedure at 150%. For multiple procedures in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or another surgeon be paid for this operation?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.
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
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