CPT code 25350: Radius osteotomy, distal third2026 Medicare rate & RVUs

Medicare pays $626.93 for 25350 nationally in a facility.

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

What 25350 covers

This service involves cutting and repositioning the distal third of the radius to correct a bony deformity. An orthopedic or hand surgeon may perform it when altered alignment, including after a fracture has healed in a malunited position, causes symptoms or functional problems. It is commonly performed in a hospital or ambulatory surgery setting.

Select this code when the operative work addresses the distal third of the radius; the segment treated distinguishes it from the radius osteotomy for a more proximal segment. The operative report should identify the bone and level, describe the deformity and corrective work, and support the medical need for surgery. CMS 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 procedure is paid in full and others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 25350 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

25350 rates by state

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

How the 25350 rate is calculated

Each of 25350’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 25350

25350 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

25350 compared with similar codes

How to choose

25355Radius osteotomyMiddle or proximal third

The treated radius segment determines the choice: this code is for the distal third, while 25355 addresses the middle or proximal segment.

25360Ulnar osteotomyUlna only

Use 25360 when the osteotomy treats the ulna. This code is for the distal third of the radius.

25365Forearm osteotomyBoth radius and ulna

This code addresses the distal radius; 25365 is for an osteotomy involving both the radius and ulna.

25390Bone shorteningRadius or ulna

Use 25390 when the procedure is specifically to shorten the radius or ulna. This code identifies osteotomy of the distal radius, not a shortening procedure by itself.

Codes related to 25350

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

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