CPT code 25337: Joint reconstruction, distal radioulnar joint2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $816.50 for 25337 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25337 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 25337 covers

This operation stabilizes the joint between the radius and ulna near the wrist when it remains unstable, often after trauma such as a Galeazzi injury or distal radius fracture. An orthopedic or hand surgeon performs the reconstruction in an operating room; a tendon graft may be used to restore support. The operative target is the distal radioulnar joint, not a general wrist ligament or a bony shortening procedure.

Report the code when the documented procedure reconstructs this joint, whether or not a tendon graft is used. The record should identify the instability, the joint treated, the reconstructive work, and laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. 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 Nevada compares for 25337

Across 109 of 109 payment localities, the facility rate for 25337 runs from $740.26 in Arkansas to $1,010.80 in Alaska. Nevada pays $816.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25337 rates by state

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

See 25337 in every payment locality

How the 25337 rate is calculated

Each of 25337’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 25337

25337 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 25337

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

How 25337 has changed in Nevada

Price 25337 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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