CPT code 25135: Bone lesion surgery, carpal bone, autograft2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $534.15 for 25135 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25135 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 25135 covers

An orthopedic or hand surgeon removes or curettes a benign bone cyst or tumor in a carpal bone, then fills the resulting defect with bone taken from the same patient. The operation is generally performed in an operating room. The code includes obtaining the autograft; it is distinguished from carpal bone lesion treatment without graft and from grafting with donor allograft.

The operative report should identify the affected carpal bone, the lesion and its benign character, the excision or curettage performed, and the use and source of the autograft. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 bilateral reporting is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 Delaware compares for 25135

Across 109 of 109 payment localities, the facility rate for 25135 runs from $480.41 in Arkansas to $659.26 in San Benito County, CA. Delaware pays $534.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25135 rates by state

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

See 25135 in every payment locality

How the 25135 rate is calculated

Each of 25135’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 25135

25135 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 25135

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

How 25135 has changed in Delaware

Price 25135 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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