CPT code 25365: Forearm osteotomy, both radius and ulna2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $853.46 for 25365 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25365 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 25365 covers

This procedure corrects alignment or deformity by cutting and repositioning both the radius and ulna. An orthopedic or hand surgeon may perform it for a forearm malunion or another acquired or developmental deformity affecting both bones. It is an operative bone procedure, typically performed in a hospital or ambulatory surgery setting; fixation may be used to maintain the corrected position.

Report this code when the operative documentation supports osteotomy of both bones, not just one. The record should identify the treated side, the deformity or malalignment, and the correction performed. The 90-day global period includes 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 other procedures are subject to the standard reduction. For bilateral surgery, 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 Puerto Rico compares for 25365

Across 109 of 109 payment localities, the facility rate for 25365 runs from $759.56 in Arkansas to $1,043.29 in Alaska. Puerto Rico pays $853.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25365 rates by state

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

See 25365 in every payment locality

How the 25365 rate is calculated

Each of 25365’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 25365

25365 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 25365

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

How 25365 has changed in Puerto Rico

Price 25365 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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