CPT code 25230: Radius resection, partial bone removal2026 Medicare rate & RVUs in Missouri
Reports surgical removal of part of the radius when the operative target is radial bone, rather than the ulna or carpal bones.
CMS doesn’t publish an office rate for 25230 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $400.25 |
| Metropolitan St. Louis, MO | Unavailable | $403.76 |
| Rest of Missouri | Unavailable | $384.41 |
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.
How the rate is built · 25230
RVUs × geographic indexes × conversion factor
Work5.24
5.24 RVUs× 1.000 GPCI
Practice expense6.12
6.12 RVUs× 1.000 GPCI
Malpractice1.02
1.02 RVUs× 1.000 GPCI
Adjusted RVUs
12.3800
Conversion factor
$33.4009
Medicare rate
$413.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25230
25230 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25230
Radius resection, partial bone removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25230
Radius resection, partial bone removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25230 without 50 · national facility
$413.50
Radius resection, partial bone removal
25230-50 · Bilateral: 150%
$620.25
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25230 compared with similar codes
Compare codes · National
4 codes, side by side
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.
25230 billing questions
How is this distinguished from partial ulna resection?
Use this code when the operative report identifies the radius as the bone partially removed. The neighboring ulna resection code applies when the ulna is the operative target.
Does removal of carpal bones belong here?
No. This code is for partial resection of the radius; removal of one or more wrist carpal bones is represented by separate carpectomy codes.
What documentation supports reporting this code?
The operative report should identify the radius, state that only part of it was removed, and describe the extent of the resection.
How is bilateral surgery reported?
For bilateral partial radius resection, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%. An assistant at surgery is not paid; co-surgeon payment requires supporting documentation.
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
Show the CMS file lines behind this rate
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