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

In Nevada, Medicare pays $495.12 for 25145 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25145 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 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.

How Nevada compares for 25145

Across 109 of 109 payment localities, the facility rate for 25145 runs from $446.17 in Arkansas to $613.09 in San Benito County, CA. Nevada pays $495.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25145 rates by state

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

See 25145 in every payment locality

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

Codes related to 25145

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

How 25145 has changed in Nevada

Price 25145 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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