CPT code 25355: Radius osteotomy, middle or proximal third2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $671.79 for 25355 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25355 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 25355 covers

This service involves cutting and realigning the radius in its middle or proximal third to correct a bony deformity. An orthopedic or hand surgeon may perform it for a symptomatic radial malunion, such as angulation or rotation after a forearm fracture. The procedure is generally performed in an operating room, with the surgeon stabilizing the corrected bone as needed.

Choose this code for an osteotomy of the radius in the middle or proximal third; the distal-third radius osteotomy is a different code. The operative report should identify the treated bone and segment, the deformity and correction performed, and any stabilization. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued 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 North Carolina compares for 25355

Across 109 of 109 payment localities, the facility rate for 25355 runs from $640.36 in Arkansas to $876.77 in Alaska. North Carolina pays $671.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25355 rates by state

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

See 25355 in every payment locality

How the 25355 rate is calculated

Each of 25355’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 25355

25355 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 25355

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

How 25355 has changed in North Carolina

Price 25355 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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