CPT code 25350: Radius osteotomy, distal third2026 Medicare rate & RVUs in Texas
Reports corrective osteotomy of the distal third of the radius to realign a deformity, such as a symptomatic distal-radius malunion.
CMS doesn’t publish an office rate for 25350 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $636.84 |
| Beaumont, TX | Unavailable | $598.24 |
| Brazoria, TX | Unavailable | $614.20 |
| Dallas, TX | Unavailable | $620.35 |
| Fort Worth, TX | Unavailable | $618.36 |
| Galveston, TX | Unavailable | $617.51 |
| Houston, TX | Unavailable | $648.99 |
| Rest of Texas | Unavailable | $607.41 |
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.
How the rate is built · 25350
RVUs × geographic indexes × conversion factor
Work8.86
8.86 RVUs× 1.000 GPCI
Practice expense8.19
8.19 RVUs× 1.000 GPCI
Malpractice1.72
1.72 RVUs× 1.000 GPCI
Adjusted RVUs
18.7700
Conversion factor
$33.4009
Medicare rate
$626.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25350
25350 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25350
Radius osteotomy, distal third
| 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 · 25350
Radius osteotomy, distal third
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
25350 without 50 · national facility
$626.93
Radius osteotomy, distal third
25350-50 · Bilateral: 150%
$940.39
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).
25350 compared with similar codes
Compare codes · National
5 codes, side by side
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.
25350 billing questions
How does this differ from 25355?
This code is for osteotomy of the distal third of the radius. Code 25355 is used when the treated radius segment is middle or proximal.
When is 25365 a better fit?
Use 25365 when the corrective osteotomy involves both the radius and ulna. This code describes work on the distal radius alone.
Does the 90-day global include postoperative visits?
Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported for bilateral surgery?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when the procedure is performed bilaterally.
May an assistant-at-surgery be paid?
CMS indicates that assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted.
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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