CPT code 25215: Carpectomy, entire proximal carpal row2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $613.92 for 25215 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25215 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 25215 covers

A proximal row carpectomy removes the scaphoid, lunate, and triquetrum, the three bones forming the wrist’s proximal carpal row. A hand or orthopedic surgeon may perform it for selected cases of painful wrist arthritis, including arthritis after carpal injury or collapse, when the remaining joint surfaces can support the intended reconstruction. The operation is commonly performed in a hospital outpatient or ambulatory surgery setting, and may also be performed in an inpatient setting.

Report 25215 when the documented procedure removes the entire proximal row, rather than one carpal bone. The operative note should identify the bones removed, the side, the indication, and any distinct procedures performed in the same session. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; 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.

How Connecticut compares for 25215

Across 109 of 109 payment localities, the facility rate for 25215 runs from $516.40 in Arkansas to $704.83 in Alaska. Connecticut pays $613.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25215 rates by state

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

See 25215 in every payment locality

How the 25215 rate is calculated

Each of 25215’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 25215

25215 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 25215

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

How 25215 has changed in Connecticut

Price 25215 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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