CPT code 25136: Wrist bone lesion, with allograft2026 Medicare rate & RVUs

Medicare pays $483.31 for 25136 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 25136 covers

An orthopedic or hand surgeon uses this service to remove or curette a bone cyst or benign tumor in the wrist and fill the resulting defect with donor bone. The target is a bone lesion, such as one in the carpal region, rather than a tendon or other soft-tissue mass. The work is typically performed in an operating-room setting when the lesion requires operative treatment and grafting.

Select this code when the wrist bone lesion is treated with an allograft; the corresponding autograft service is a different code. The operative report should identify the lesion site, removal or curettage performed, and use of allograft. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for bilateral surgery is paid at 150%. An assistant at surgery may be paid; 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.

Where 25136 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

25136 rates by state

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

How the 25136 rate is calculated

Each of 25136’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 25136

25136 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

25136 compared with similar codes

How to choose

25135Bone lesion surgeryCarpal bone, autograft

The wrist bone lesion and grafting work are similar, but 25135 represents autogenous bone graft; 25136 represents allograft.

25130Wrist bone lesionWithout bone graft

This code represents wrist bone lesion removal or curettage without grafting. Choose 25136 when allograft is used to fill the defect.

25126Bone lesion surgeryRadius or ulna, with allograft

Both include allograft, but 25126 is for a forearm bone lesion; 25136 is for a wrist bone lesion.

Codes related to 25136

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