CPT code 25335: Wrist centralization, carpus positioned over ulna2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $874.58 for 25335 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25335 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 25335 covers

This operation repositions the carpus over the distal ulna to address radial-sided wrist displacement, most often in a patient with congenital radial longitudinal deficiency, sometimes called radial club hand. A pediatric orthopedic or hand surgeon performs the reconstruction in an operating room. The procedure may involve releasing contracted soft tissues and stabilizing the repositioned wrist, as needed to achieve the planned alignment.

Report 25335 when the operative objective is centralizing the wrist on the ulna; document the underlying deformity, side, structures addressed, and the repositioning and stabilization performed. The code 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 others at 50%. Bilateral reporting with 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 Montana compares for 25335

Across 109 of 109 payment localities, the facility rate for 25335 runs from $781.11 in Arkansas to $1,073.83 in Alaska. Montana pays $874.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25335 rates by state

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

See 25335 in every payment locality

How the 25335 rate is calculated

Each of 25335’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 25335

25335 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 25335

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

How 25335 has changed in Montana

Price 25335 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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