CPT code 25145: Bone lesion removal, forearm with fixation2026 Medicare rate & RVUs

Medicare pays $502.35 for 25145 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 25145 covers

The surgeon removes or curettes a lesion in the radius or ulna and stabilizes the treated bone with internal fixation. This is an operative service typically performed by an orthopedic or hand surgeon in a hospital operating room or ambulatory surgery center. The fixation is part of the distinction from lesion removal without fixation; a procedure limited to soft tissue or a wrist joint is not this service.

The operative report should identify the affected forearm bone, the lesion and its treatment, and the fixation performed. Distinguish this service from bone-lesion procedures that include grafting or more extensive tumor resection based on the work documented. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 25145 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

25145 rates by state

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

How the 25145 rate is calculated

Each of 25145’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 25145

25145 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

25145 compared with similar codes

How to choose

25120Bone lesion removalRadius or ulna, without graft

Use 25120 for forearm bone-lesion excision or curettage without internal fixation. This code describes the procedure when fixation is part of the operative work.

25125Bone lesion excisionForearm, with autograft

This code is associated with autogenous grafting after forearm lesion removal. Select based on whether grafting or fixation is documented as the defining additional work.

25126Bone lesion surgeryRadius or ulna, with allograft

This code is associated with allograft reconstruction after forearm lesion removal. It differs from fixation without that grafting work.

25170Bone tumor resectionRadius or ulna

25170 describes resection of a radius or ulna tumor. It is distinct from lesion removal with fixation when the documented operation is a more extensive tumor resection.

Codes related to 25145

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