CPT code 25332: Wrist arthroplasty, with or without interposition2026 Medicare rate & RVUs in South Dakota
Reports operative reconstruction of a damaged wrist joint, with or without interposed material or fixation, commonly for advanced wrist arthritis.
In South Dakota, Medicare pays $725.67 for 25332 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25332 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How South Dakota compares for 25332
Across 109 of 109 payment localities, the facility rate for 25332 runs from $694.06 in Arkansas to $953.52 in Alaska. South Dakota pays $725.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$725.67
- Los Angeles, CA · California$823.92+$98.25
- Washington, DC area · District of Columbia$860.59+$134.92
- Miami, FL · Florida$901.33+$175.66
- Chicago, IL · Illinois$875.19+$149.52
- Manhattan, NY · New York$894.40+$168.73
- Alaska · Alaska$953.52+$227.85
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $702.93 |
| ArkansasArkansas | — | $694.06 |
| ArizonaArizona | — | $754.36 |
| Bakersfield, CACalifornia | — | $783.73 |
| Chico, CACalifornia | — | $777.55 |
| El Centro, CACalifornia | — | $777.93 |
| Fresno, CACalifornia | — | $777.55 |
| Hanford, CACalifornia | — | $777.55 |
| Madera, CACalifornia | — | $777.55 |
| Merced, CACalifornia | — | $777.55 |
| Modesto, CACalifornia | — | $777.55 |
| Napa, CACalifornia | — | $863.74 |
| Oxnard, CACalifornia | — | $815.59 |
| Redding, CACalifornia | — | $777.55 |
| Rest of CaliforniaCalifornia | — | $777.55 |
| Riverside, CACalifornia | — | $801.44 |
| Sacramento, CACalifornia | — | $806.15 |
| Salinas, CACalifornia | — | $802.96 |
| San Diego, CACalifornia | — | $814.80 |
| Marin County, CACalifornia | — | $901.62 |
| San Francisco, CACalifornia | — | $899.10 |
| San Benito County, CACalifornia | — | $923.26 |
| Santa Clara County, CACalifornia | — | $912.95 |
| San Luis Obispo, CACalifornia | — | $791.24 |
| Santa Cruz, CACalifornia | — | $816.96 |
| Santa Maria, CACalifornia | — | $804.04 |
| Santa Rosa, CACalifornia | — | $824.54 |
| Stockton, CACalifornia | — | $777.55 |
| Vallejo, CACalifornia | — | $860.10 |
| Visalia, CACalifornia | — | $777.55 |
| Yuba City, CACalifornia | — | $777.55 |
| ColoradoColorado | — | $783.62 |
| ConnecticutConnecticut | — | $822.63 |
| DelawareDelaware | — | $765.50 |
| Fort Lauderdale, FLFlorida | — | $838.95 |
| Rest of FloridaFlorida | — | $798.19 |
| Atlanta, GAGeorgia | — | $796.05 |
| Rest of GeorgiaGeorgia | — | $754.76 |
| Hawaii, Guam, HIHawaii | — | $787.29 |
| IowaIowa | — | $703.13 |
| IdahoIdaho | — | $710.36 |
| East St. Louis, ILIllinois | — | $824.62 |
| Rest of IllinoisIllinois | — | $788.95 |
| Suburban Chicago, ILIllinois | — | $843.42 |
| IndianaIndiana | — | $713.55 |
| KansasKansas | — | $707.56 |
| KentuckyKentucky | — | $733.27 |
| New Orleans, LALouisiana | — | $766.20 |
| Rest of LouisianaLouisiana | — | $735.18 |
| Metropolitan Boston, MAMassachusetts | — | $844.18 |
| Rest of MassachusettsMassachusetts | — | $782.84 |
| Baltimore area, MDMaryland | — | $821.83 |
| Rest of MarylandMaryland | — | $776.46 |
| Rest of MaineMaine | — | $721.41 |
| Southern Maine, MEMaine | — | $744.67 |
| Detroit, MIMichigan | — | $814.63 |
| Rest of MichiganMichigan | — | $756.77 |
| MinnesotaMinnesota | — | $731.93 |
| Metropolitan Kansas City, MOMissouri | — | $753.78 |
| Metropolitan St. Louis, MOMissouri | — | $759.77 |
| Rest of MissouriMissouri | — | $729.05 |
| MississippiMississippi | — | $711.30 |
| MontanaMontana | — | $774.75 |
| North CarolinaNorth Carolina | — | $726.81 |
| North DakotaNorth Dakota | — | $730.86 |
| NebraskaNebraska | — | $704.27 |
| New HampshireNew Hampshire | — | $778.68 |
| Northern New JerseyNew Jersey | — | $854.97 |
| Rest of New JerseyNew Jersey | — | $826.68 |
| New MexicoNew Mexico | — | $763.39 |
| NevadaNevada | — | $762.84 |
| NYC suburbs and Long Island, NYNew York | — | $923.08 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $837.92 |
| Queens, NYNew York | — | $890.08 |
| Rest of New YorkNew York | — | $736.96 |
| OhioOhio | — | $747.80 |
| OklahomaOklahoma | — | $724.31 |
| Portland, OROregon | — | $797.37 |
| Rest of OregonOregon | — | $751.61 |
| Metropolitan Philadelphia, PAPennsylvania | — | $809.15 |
| Rest of PennsylvaniaPennsylvania | — | $744.72 |
| Puerto RicoPuerto Rico | — | $777.29 |
| Rhode IslandRhode Island | — | $784.66 |
| South CarolinaSouth Carolina | — | $739.59 |
| TennesseeTennessee | — | $711.60 |
| Austin, TXTexas | — | $785.67 |
| Beaumont, TXTexas | — | $740.99 |
| Brazoria, TXTexas | — | $758.78 |
| Dallas, TXTexas | — | $766.54 |
| Fort Worth, TXTexas | — | $764.32 |
| Galveston, TXTexas | — | $762.98 |
| Houston, TXTexas | — | $803.61 |
| Rest of TexasTexas | — | $751.47 |
| UtahUtah | — | $748.24 |
| VirginiaVirginia | — | $747.69 |
| Virgin Islands, VIUnited States Virgin Islands | — | $777.29 |
| VermontVermont | — | $735.09 |
| Rest of WashingtonWashington | — | $779.02 |
| King County, WAWashington | — | $852.71 |
| WisconsinWisconsin | — | $710.22 |
| West VirginiaWest Virginia | — | $765.16 |
| WyomingWyoming | — | $755.62 |
25332 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,435
- Code
- 25332
- Physician work
- 11.45
- Practice expense
- 9.53
- Malpractice
- 2.22
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.45 | × 1.000 | 11.4500 |
| Practice expense | 9.53 | × 1.000 | 9.5300 |
| Malpractice | 2.22 | × 0.336 | 0.7459 |
| Total RVUs | 21.7259 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$725.67
Facility: (11.45 × 1 + 9.53 × 1 + 2.22 × 0.336) × $33.4009 = $725.67
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
| 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) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 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.
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).
How 25332 has changed in South Dakota
25332 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $725.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $725.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $725.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $725.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $793.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $793.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $793.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $793.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $808.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $808.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $808.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $808.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $795.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $815.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $815.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $815.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $815.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $818.22 | RVU22D |
| 2022-07-01 | Not available in this setting | $818.22 | RVU22C |
| 2022-04-01 | Not available in this setting | $818.22 | RVU22B |
| 2022-01-01 | Not available in this setting | $818.22 | RVU22A |
| 2021-10-01 | Not available in this setting | $819.76 | RVU21D |
| 2021-07-01 | Not available in this setting | $819.76 | RVU21C |
| 2021-04-01 | Not available in this setting | $819.76 | RVU21B |
| 2021-01-01 | Not available in this setting | $819.76 | RVU21A |
| 2020-10-01 | Not available in this setting | $828.30 | RVU20D |
| 2020-07-01 | Not available in this setting | $828.30 | RVU20C |
| 2020-04-01 | Not available in this setting | $828.30 | RVU20B |
| 2020-01-01 | Not available in this setting | $828.30 | RVU20A |
| 2019-10-01 | Not available in this setting | $825.96 | RVU19D |
| 2019-07-01 | Not available in this setting | $825.96 | RVU19C |
| 2019-04-01 | Not available in this setting | $825.96 | RVU19B |
| 2019-01-01 | Not available in this setting | $825.96 | RVU19A |
| 2018-10-01 | Not available in this setting | $825.20 | RVU18D |
| 2018-07-01 | Not available in this setting | $825.20 | RVU18C |
| 2018-04-01 | Not available in this setting | $825.20 | RVU18B |
| 2018-01-01 | Not available in this setting | $825.20 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $820.82 | RVU17D |
| 2017-07-01 | Not available in this setting | $820.82 | RVU17C |
| 2017-04-01 | Not available in this setting | $820.82 | RVU17B |
| 2017-01-01 | Not available in this setting | $820.82 | RVU17A |
| 2016-10-01 | Not available in this setting | $817.77 | RVU16D |
| 2016-07-01 | Not available in this setting | $817.77 | RVU16C |
| 2016-04-01 | Not available in this setting | $817.77 | RVU16B |
| 2016-01-01 | Not available in this setting | $817.77 | RVU16A |
| 2015-10-01 | Not available in this setting | $820.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $820.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $815.92 | RVU15B |
| 2015-01-01 | Not available in this setting | $815.92 | RVU15A |
| 2014-10-01 | Not available in this setting | $816.23 | RVU14D |
| 2014-07-01 | Not available in this setting | $816.23 | RVU14C |
| 2014-04-01 | Not available in this setting | $816.23 | RVU14B |
| 2014-01-01 | Not available in this setting | $816.23 | RVU14A |
| 2013-10-01 | Not available in this setting | $808.45 | RVU13D |
| 2013-07-01 | Not available in this setting | $808.45 | RVU13C |
| 2013-04-01 | Not available in this setting | $808.45 | RVU13B |
| 2013-01-01 | Not available in this setting | $808.45 | RVU13AR |
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
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
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