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CPT code 25246: Wrist injection, arthrography2026 Medicare rate & RVUs in Galveston, TX

Reports injection of contrast into a wrist joint to prepare for arthrographic imaging, such as evaluation of suspected ligament or triangular fibrocartilage injury.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Galveston, TX, Medicare pays $186.33 for 25246 in the office and $60.96 when it’s performed in a hospital or facility.

$186.33Office (non-facility)
$60.96Hospital or facility
−0.7%vs the national office rate ($187.71)

Check a contract rate as a % of Medicare · 25246 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 25246 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 25246 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 25246 covers

A clinician injects contrast into the wrist joint to prepare for arthrographic imaging. This is commonly performed by a radiologist or an orthopedic specialist when evaluation of internal wrist structures, such as the triangular fibrocartilage complex or intrinsic ligaments, is needed. The study may be followed by radiographic, CT, or MR imaging, depending on the diagnostic question and the ordered examination.

Select this code for the wrist-joint injection, not for imaging alone or an injection into another joint. Documentation should identify the wrist treated, the injection and contrast used, and the clinical reason for the arthrogram; report the imaging service separately when performed and supported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Galveston, TX compares for 25246

Across 109 of 109 payment localities, the office rate for 25246 runs from $166.28 in Arkansas to $250.81 in San Benito County, CA. Galveston, TX pays $186.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

25246 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$186.33
  2. Austin, TX · Texas$195.16+$8.83
  3. Beaumont, TX · Texas$175.15−$11.18
  4. Brazoria, TX · Texas$185.84−$0.49
  5. Dallas, TX · Texas$186.93+$0.60
  6. Fort Worth, TX · Texas$185.63−$0.70
  7. Houston, TX · Texas$188.90+$2.57

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

Every other payment area

25246 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$180.33$60.51
Los Angeles, CACalifornia$212.95$63.59
Washington, DC areaDistrict of Columbia$214.98$66.25
Miami, FLFlorida$200.44$69.00
Chicago, ILIllinois$194.78$67.89
Manhattan, NYNew York$215.49$68.78
AlaskaAlaska$218.00$83.54
AlabamaAlabama$168.69$58.22

25246 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$166.28

$225.10

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
25246 office rate range by state
State / territoryOffice rate rangeLocalities
AK$218.001
AL$168.691
AR$166.281
AZ$182.831
CA$199.39–$250.8129
CO$195.951
CT$200.101
DC$214.981
DE$185.841
FL$184.08–$200.443
GA$173.93–$190.972
GU$204.371
HI$204.371
IA$173.341
ID$174.371
IL$178.52–$195.324
IN$175.391
KS$172.341
KY$172.231
LA$171.88–$180.332
MA$194.72–$215.502
MD$189.43–$214.983
ME$175.07–$184.762
MI$176.49–$186.162
MN$188.361
MO$168.83–$181.203
MS$167.601
MT$187.701
NC$176.921
ND$184.941
NE$174.341
NH$192.701
NJ$202.56–$212.752
NM$177.371
NV$187.071
NY$179.53–$220.435
OH$175.921
OK$172.121
OR$185.78–$202.362
PA$176.31–$195.042
PR$189.141
RI$192.591
SC$176.681
SD$184.611
TN$173.181
TX$175.15–$195.168
UT$179.081
VA$184.03–$214.982
VI$189.141
VT$184.041
WA$194.41–$220.072
WI$178.771
WV$171.921
WY$186.501

See 25246 in every payment locality

How the 25246 rate is calculated

Each of 25246’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 · 25246

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.41

1.41 RVUs× 1.000 GPCI

Practice expense4.07

4.07 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

5.6200

Conversion factor

$33.4009

Medicare rate

$187.71

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

The exact Galveston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,413

Code
25246
Physician work
1.41
Practice expense
4.07
Malpractice
0.14

GPCI2026.csv

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 25246 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0081.4213
Practice expense4.07× 0.9934.0415
Malpractice0.14× 0.8280.1159
Total RVUs5.5787
Conversion factor× 33.4009

Office rate, Galveston, TX$186.33

Office: (1.41 × 1.008 + 4.07 × 0.993 + 0.14 × 0.828) × $33.4009 = $186.33

Facility: (1.41 × 1.008 + 0.29 × 0.993 + 0.14 × 0.828) × $33.4009 = $60.96

Open 25246 in the RVU calculator

Payment rules and modifiers for 25246

The CMS indicators that decide how 25246 is paid alongside other services.

CMS payment indicators · 25246

Wrist injection, arthrography

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25246 without 50 · national office

$187.71

Wrist injection, arthrography

25246-50 · Bilateral: 150%

$281.57

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

Codes related to 25246

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

Codes related to 25246
CodeHow it relatesOffice range, Galveston, TX
Often billed with
73115Contrast wrist study, radiographic arthrographyReports wrist arthrography imaging and radiological supervision and interpretation.$132.33
73222Joint MRI, upper extremity, with contrastMRI of an upper-extremity joint with contrast may follow the wrist injection.$310.63
Same family
24220Arthrographic injection, elbow jointComparable arthrography injection code for the elbow rather than the wrist.$185.00
23350Shoulder injection, for diagnostic imagingComparable arthrography injection code for the shoulder rather than the wrist.$155.88

How 25246 has changed in Galveston, TX

25246 · Office / nonfacility

$186.33

Effective 2026-10-01

The base rate is $2.33 higher than on 2025-10-01, moving from $184.00 to $186.33 (1.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $184.00changed to$186.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Practice expense RVU 4.09 changed to 4.07
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $194.35changed to$184.00

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.24 changed to 4.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $191.18changed to$194.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $202.93changed to$191.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.35 changed to 4.24
    • Malpractice RVU 0.14 changed to 0.15
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $211.72changed to$202.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.44 changed to 4.35
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $208.13changed to$211.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.28 changed to 4.44
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $192.03changed to$208.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.68 changed to 4.28
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $177.41changed to$192.03

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.29 changed to 3.68
    • Malpractice RVU 0.14 changed to 0.12
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $166.66changed to$177.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.00 changed to 3.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $166.54changed to$166.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $167.22changed to$166.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.02 changed to 3.00
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $168.17changed to$167.22

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $167.33changed to$168.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $164.83changed to$167.33

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.99 changed to 3.02
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $162.57changed to$164.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.19 changed to 2.99
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $162.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$186.33$60.96RVU26D
2026-07-01$186.33$60.96RVU26C
2026-04-01$186.33$60.96RVU26B
2026-01-01$186.33$60.96RVU26A
2025-10-01$184.00$69.82RVU25D
2025-07-01$184.00$69.82RVU25C
2025-04-01$184.00$69.82RVU25B
2025-01-01$184.00$69.82RVU25A
2024-10-01$194.35$71.85RVU24D
2024-07-01$194.35$71.85RVU24C
2024-04-01$194.35$71.85RVU24B
2024-03-09$194.35$71.85RVU24AR
2024-01-01$191.18$70.68RVU24A
2023-10-01$202.93$72.83RVU23D
2023-07-01$202.93$72.83RVU23C
2023-04-01$202.93$72.83RVU23B
2023-01-01$202.93$72.83RVU23A
2022-10-01$211.72$73.95RVU22D
2022-07-01$211.72$73.95RVU22C
2022-04-01$211.72$73.95RVU22B
2022-01-01$211.72$73.95RVU22A
2021-10-01$208.13$75.31RVU21D
2021-07-01$208.13$75.31RVU21C
2021-04-01$208.13$75.31RVU21B
2021-01-01$208.13$75.31RVU21A
2020-10-01$192.03$77.66RVU20D
2020-07-01$192.03$77.66RVU20C
2020-04-01$192.03$77.66RVU20B
2020-01-01$192.03$77.66RVU20A
2019-10-01$177.41$78.30RVU19D
2019-07-01$177.41$78.30RVU19C
2019-04-01$177.41$78.30RVU19B
2019-01-01$177.41$78.30RVU19A
2018-10-01$166.66$78.22RVU18D
2018-07-01$166.66$78.22RVU18C
2018-04-01$166.66$78.22RVU18B
2018-01-01$166.66$78.22RVU18AR1
2017-10-01$166.54$78.65RVU17D
2017-07-01$166.54$78.65RVU17C
2017-04-01$166.54$78.65RVU17B
2017-01-01$166.54$78.65RVU17A
2016-10-01$167.22$78.73RVU16D
2016-07-01$167.22$78.73RVU16C
2016-04-01$167.22$78.73RVU16B
2016-01-01$167.22$78.73RVU16A
2015-10-01$168.17$79.35RVU15D
2015-07-01$168.17$79.35RVU15C
2015-04-01$167.33$78.96RVU15B
2015-01-01$167.33$78.96RVU15A
2014-10-01$164.83$77.71RVU14D
2014-07-01$164.83$77.71RVU14C
2014-04-01$164.83$77.71RVU14B
2014-01-01$164.83$77.71RVU14A
2013-10-01$162.57$74.12RVU13D
2013-07-01$162.57$74.12RVU13C
2013-04-01$162.57$74.12RVU13B
2013-01-01$162.57$74.12RVU13AR

Price 25246 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 25246 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

25246 billing questions

How is this different from the wrist arthrography imaging code?

25246 represents the contrast injection into the wrist joint. The imaging examination and its interpretation are reported with the applicable imaging code when performed and documented.

Can 25246 be reported for an MR arthrogram?

Yes, when contrast is injected directly into the wrist joint to prepare for the MR examination. An MRI using only intravenous contrast is not a wrist arthrography injection.

What documentation supports reporting the injection?

Record the wrist and joint injected, the contrast administration, and the clinical reason for arthrographic evaluation. The imaging report should identify the examination performed.

How should bilateral wrist injections be reported?

CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. The record should support injection of both wrists during the service.

Is same-day care included in this service?

Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 25246PPRRVU2026_Oct_nonQPP.csv, line 2,413 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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