CPT code 25240: Ulna ostectomy, partial bone removal2026 Medicare rate & RVUs in South Dakota

Reports removal of a limited portion of the ulna, commonly for ulnocarpal abutment or positive ulnar variance treated with a wafer procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In South Dakota, Medicare pays $388.10 for 25240 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$388.10Hospital or facility

Check a contract rate as a % of Medicare · 25240 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 25240 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 25240 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 25240 covers

This service removes a limited amount of ulnar bone, often near the wrist, to address painful contact between the ulna and carpal bones or to correct positive ulnar variance. A hand or orthopedic surgeon may perform the procedure as an open operation or, for a wafer resection, arthroscopically. The operative report should identify the treated side, the portion and amount of bone removed, the technique, and the clinical reason for resection.

Select this code when the documented procedure is a partial ulna ostectomy; distinguish it from removal of the radius, carpal bones, or a shortening osteotomy. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment require supporting documentation, with medical necessity documented for an assistant. 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 South Dakota compares for 25240

Across 109 of 109 payment localities, the facility rate for 25240 runs from $365.41 in Arkansas to $503.93 in San Benito County, CA. South Dakota pays $388.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

25240 in South Dakota vs other payment areas
  1. South Dakota · this page$388.10
  2. Los Angeles, CA · California$443.54+$55.44
  3. Washington, DC area · District of Columbia$459.92+$71.82
  4. Miami, FL · Florida$470.43+$82.33
  5. Chicago, IL · Illinois$456.41+$68.31
  6. Manhattan, NY · New York$474.35+$86.25
  7. Alaska · Alaska$495.10+$107.00

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

25240 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$370.39
ArkansasArkansas—$365.41
ArizonaArizona—$399.32
Bakersfield, CACalifornia—$420.15
Chico, CACalifornia—$417.34
El Centro, CACalifornia—$417.51
Fresno, CACalifornia—$417.34
Hanford, CACalifornia—$417.34

25240 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25240 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 25240 in every payment locality

How the 25240 rate is calculated

Each of 25240’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 · 25240

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.18

5.18 RVUs× 1.000 GPCI

Practice expense6.10

6.10 RVUs× 1.000 GPCI

Malpractice1.01

1.01 RVUs× 1.000 GPCI

Adjusted RVUs

12.2900

Conversion factor

$33.4009

Medicare rate

$410.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,412

Code
25240
Physician work
5.18
Practice expense
6.10
Malpractice
1.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 25240 in South Dakota
ComponentRVULocality factorAdjusted
Physician work5.18× 1.0005.1800
Practice expense6.10× 1.0006.1000
Malpractice1.01× 0.3360.3394
Total RVUs11.6194
Conversion factor× 33.4009

Facility rate, South Dakota$388.10

Facility: (5.18 × 1 + 6.1 × 1 + 1.01 × 0.336) × $33.4009 = $388.10

Open 25240 in the RVU calculator

Payment rules and modifiers for 25240

25240 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25240

Ulna ostectomy, partial bone removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25240

Ulna ostectomy, 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25240 without 50 · national facility

$410.50

Ulna ostectomy, partial bone removal

25240-50 · Bilateral: 150%

$615.75

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).

When to use modifier 50

How 25240 has changed in South Dakota

25240 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$388.10RVU26D
2026-07-01Not available in this setting$388.10RVU26C
2026-04-01Not available in this setting$388.10RVU26B
2026-01-01Not available in this setting$388.10RVU26A
2025-10-01Not available in this setting$412.48RVU25D
2025-07-01Not available in this setting$412.48RVU25C
2025-04-01Not available in this setting$412.48RVU25B
2025-01-01Not available in this setting$412.48RVU25A
2024-10-01Not available in this setting$419.41RVU24D
2024-07-01Not available in this setting$419.41RVU24C
2024-04-01Not available in this setting$419.41RVU24B
2024-03-09Not available in this setting$419.41RVU24AR
2024-01-01Not available in this setting$412.57RVU24A
2023-10-01Not available in this setting$421.45RVU23D
2023-07-01Not available in this setting$421.45RVU23C
2023-04-01Not available in this setting$421.45RVU23B
2023-01-01Not available in this setting$421.45RVU23A
2022-10-01Not available in this setting$421.51RVU22D
2022-07-01Not available in this setting$421.51RVU22C
2022-04-01Not available in this setting$421.51RVU22B
2022-01-01Not available in this setting$421.51RVU22A
2021-10-01Not available in this setting$421.97RVU21D
2021-07-01Not available in this setting$421.97RVU21C
2021-04-01Not available in this setting$421.97RVU21B
2021-01-01Not available in this setting$421.97RVU21A
2020-10-01Not available in this setting$424.04RVU20D
2020-07-01Not available in this setting$424.04RVU20C
2020-04-01Not available in this setting$424.04RVU20B
2020-01-01Not available in this setting$424.04RVU20A
2019-10-01Not available in this setting$423.16RVU19D
2019-07-01Not available in this setting$423.16RVU19C
2019-04-01Not available in this setting$423.16RVU19B
2019-01-01Not available in this setting$423.16RVU19A
2018-10-01Not available in this setting$422.92RVU18D
2018-07-01Not available in this setting$422.92RVU18C
2018-04-01Not available in this setting$422.92RVU18B
2018-01-01Not available in this setting$422.92RVU18AR1
2017-10-01Not available in this setting$419.66RVU17D
2017-07-01Not available in this setting$419.66RVU17C
2017-04-01Not available in this setting$419.66RVU17B
2017-01-01Not available in this setting$419.66RVU17A
2016-10-01Not available in this setting$417.76RVU16D
2016-07-01Not available in this setting$417.76RVU16C
2016-04-01Not available in this setting$417.76RVU16B
2016-01-01Not available in this setting$417.76RVU16A
2015-10-01Not available in this setting$418.91RVU15D
2015-07-01Not available in this setting$418.91RVU15C
2015-04-01Not available in this setting$416.83RVU15B
2015-01-01Not available in this setting$416.83RVU15A
2014-10-01Not available in this setting$415.61RVU14D
2014-07-01Not available in this setting$415.61RVU14C
2014-04-01Not available in this setting$415.61RVU14B
2014-01-01Not available in this setting$415.61RVU14A
2013-10-01Not available in this setting$414.85RVU13D
2013-07-01Not available in this setting$414.85RVU13C
2013-04-01Not available in this setting$414.85RVU13B
2013-01-01Not available in this setting$414.85RVU13AR

Price 25240 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

25240 billing questions

How does this differ from a ulnar shortening osteotomy?

This code describes partial removal of ulna. A shortening osteotomy uses an osteotomy approach; use the code that matches the documented technique, such as 25390 when its requirements are met.

When would 25230 be reported instead?

25230 describes partial removal of the radius. Choose based on the bone actually treated, as documented in the operative report.

What documentation supports reporting 25240?

Document the indication, side, ulnar location, amount or segment removed, and operative technique. The note should make clear that the work was a partial ulna ostectomy.

How is bilateral surgery reported?

CMS lists bilateral reporting with modifier 50, paid at 150%. The operative record should support treatment of both sides.

How does payment work when other procedures are performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What surgical-assistance documentation is needed?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment also 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
RVUs for 25240PPRRVU2026_Oct_nonQPP.csv, line 2,412 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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