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CPT code 25332: Wrist arthroplasty, with or without interposition2026 Medicare rate & RVUs

Reports operative reconstruction of a damaged wrist joint, with or without interposed material or fixation, commonly for advanced wrist arthritis.

CMS RVU26DEffective Oct 1, 2026109 payment localities505 Medicare services in 2024

Medicare pays $774.90 for 25332 nationally in a facility.

Medicare rate · 25332

Wrist arthroplasty, with or without interposition

Office or facility?

Work RVUs
11.45
Total RVUs
23.20
Global days
090

National rate · 2026

$774.90

Facility setting, before claim adjustments.

See every locality for 25332 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 25332 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25332 covers

A hand or orthopedic surgeon reshapes or reconstructs the wrist joint to address substantial joint damage, often from advanced degenerative or post-traumatic arthritis. The procedure may include interposing tissue or other material and may use internal or external fixation. It is performed in an operating room, usually in a hospital or ambulatory surgery setting. The operative report should identify the wrist joint treated and describe the arthroplasty and any interposition or fixation performed.

Choose this code for arthroplasty of the wrist joint, rather than a procedure directed at wrist tendons, bones, or ligament stability. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.

Where 25332 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

25332 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$702.93
AlaskaUnavailable$953.52
ArizonaUnavailable$754.36
ArkansasUnavailable$694.06
Atlanta, GAUnavailable$796.05
Austin, TXUnavailable$785.67
Bakersfield, CAUnavailable$783.73
Baltimore area, MDUnavailable$821.83
Beaumont, TXUnavailable$740.99
Brazoria, TXUnavailable$758.78

25332 rates by state

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

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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
25332 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

How the 25332 rate is calculated

Each of 25332’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 · 25332

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.45

11.45 RVUs× 1.000 GPCI

Practice expense9.53

9.53 RVUs× 1.000 GPCI

Malpractice2.22

2.22 RVUs× 1.000 GPCI

Adjusted RVUs

23.2000

Conversion factor

$33.4009

Medicare rate

$774.90

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

Payment rules and modifiers for 25332

25332 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25332

Wrist arthroplasty, with or without interposition

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)2Paid.
Co-surgeons (62)0Not permitted.
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 · 25332

Wrist arthroplasty, with or without interposition

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

25332 without 50 · national facility

$774.90

Wrist arthroplasty, with or without interposition

25332-50 · Bilateral: 150%

$1,162.35

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

25332 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 25332

    Wrist arthroplasty, with or without interposition11.45 wRVU

    Not priced

  • 25320

    Wrist stabilization, carpal instability12.43 wRVU

    Not priced

  • 25337

    Joint reconstruction, distal radioulnar joint11.44 wRVU

    Not priced

  • 25335

    Wrist centralization, carpus positioned over ulna13.06 wRVU

    Not priced

How to choose

25320Wrist stabilizationCarpal instability
Use 25332 for arthroplasty of the wrist joint. Code 25320 describes open capsular repair or reconstruction, not joint arthroplasty.
25337Joint reconstructionDistal radioulnar joint
Code 25337 reconstructs the distal radioulnar joint. Code 25332 addresses wrist joint arthroplasty; identify the joint and operative objective in the report.
25335Wrist centralizationCarpus positioned over ulna
Code 25335 centralizes the wrist on the ulna. It is a different reconstructive procedure, not arthroplasty for a damaged wrist joint.

Codes related to 25332

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

Codes related to 25332
CodeHow it relatesNational office range
Used instead
25320Wrist stabilization, carpal instabilityOpen wrist capsular repair or reconstruction is used when the operative objective is not joint arthroplasty.No office rate
25337Joint reconstruction, distal radioulnar jointAddresses distal radioulnar reconstruction rather than arthroplasty of the wrist joint.No office rate
25335Wrist centralization, carpus positioned over ulnaCentralizes the wrist on the ulna for a different alignment problem, not wrist joint arthroplasty.No office rate

25332 billing questions

How is this different from 25320?

25332 is wrist joint arthroplasty. Code 25320 is directed at open wrist capsular repair or reconstruction, rather than arthroplasty of the joint.

Does the code include interposition or fixation?

The code accommodates wrist arthroplasty performed with or without interposed material and with or without external or internal fixation. Document what was done in the operative report.

Can the procedure be reported for both wrists?

For bilateral surgery, report modifier 50; the CMS bilateral payment rule is 150%.

How does the multiple procedure rule affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

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 25332PPRRVU2026_Oct_nonQPP.csv, line 2,435 (RVU26D)

Open CMS sourceHow we calculate rates

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