CPT code 25230: Radius resection, partial bone removal2026 Medicare rate & RVUs

Medicare pays $413.50 for 25230 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 25230 covers

An orthopedic or hand surgeon reports this service when an operation removes part of the radius while leaving the remaining radial bone in place. The operative report should identify the radius as the bone treated and describe the portion removed. The code distinguishes radial bone resection from removal of the ulna or one or more carpal bones; it does not identify a particular diagnosis or resection technique.

Select the code from the documented bone and extent of resection, not simply because surgery occurred at the wrist. The operative report should support the radial site and partial extent. Medicare classifies this as major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons are paid only with 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 25230 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

25230 rates by state

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

How the 25230 rate is calculated

Each of 25230’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 25230

25230 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

25230 compared with similar codes

How to choose

25240Ulna ostectomyPartial bone removal

This code is for partial resection of the radius; 25240 is for partial resection of the ulna.

25210Carpal bone removalOne bone

25210 removes one carpal bone. Use this code when the operative report instead documents partial removal of the radius.

25215CarpectomyEntire proximal carpal row

25215 removes multiple carpal bones; it is not the code for partial resection of the radius.

Codes related to 25230

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