CPT code 25320: Wrist stabilization, carpal instability2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $931.09 for 25320 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25320 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 25320 covers

Code 25320 represents operative stabilization of the wrist for carpal instability. An orthopedic hand or upper-extremity surgeon repairs or reconstructs supporting joint structures, such as the capsule or ligaments, to restore stability and control abnormal carpal motion. This procedure may be performed in a hospital operating room or another surgical setting when instability is significant enough to require reconstruction rather than nonsurgical management.

Report the code when the operative objective is wrist-joint stabilization, not replacement of the joint or correction of radius or ulna length. The operative report should identify the instability, the structures addressed, the repair or reconstruction performed, and the treated side. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 may be available; 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 Puerto Rico compares for 25320

Across 109 of 109 payment localities, the facility rate for 25320 runs from $827.61 in Arkansas to $1,127.06 in Alaska. Puerto Rico pays $931.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25320 rates by state

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

See 25320 in every payment locality

How the 25320 rate is calculated

Each of 25320’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 25320

25320 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 25320

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

How 25320 has changed in Puerto Rico

Price 25320 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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