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CPT code 25392: Forearm osteotomy, both bones shortened2026 Medicare rate & RVUs

Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $934.22 for 25392 nationally in a facility.

Medicare rate · 25392

Forearm osteotomy, both bones shortened

Office or facility?

Work RVUs
14.22
Total RVUs
27.97
Global days
090

National rate · 2026

$934.22

Facility setting, before claim adjustments.

See every locality for 25392 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 25392 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25392 covers

This operation shortens both the radius and ulna through bone cuts, with stabilization as needed to maintain the intended alignment during healing. It is typically performed by an orthopedic surgeon specializing in hand or upper-extremity surgery in an operating room. The clinical plan must call for shortening both bones; a procedure addressing only one forearm bone belongs to a different code in the shortening family.

Report the service when the operative work documents shortening of both bones, rather than lengthening or revision of an existing deformity. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon and team-surgery payment 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 25392 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

25392 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$845.54
AlaskaUnavailable$1,149.54
ArizonaUnavailable$908.55
ArkansasUnavailable$834.65
Atlanta, GAUnavailable$961.72
Austin, TXUnavailable$944.40
Bakersfield, CAUnavailable$938.05
Baltimore area, MDUnavailable$991.95
Beaumont, TXUnavailable$894.81
Brazoria, TXUnavailable$912.54

25392 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25392 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 25392 rate is calculated

Each of 25392’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 · 25392

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.22

14.22 RVUs× 1.000 GPCI

Practice expense10.72

10.72 RVUs× 1.000 GPCI

Malpractice3.03

3.03 RVUs× 1.000 GPCI

Adjusted RVUs

27.9700

Conversion factor

$33.4009

Medicare rate

$934.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 25392

25392 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25392

Forearm osteotomy, both bones shortened

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25392

Forearm osteotomy, both bones shortened

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25392 without 50 · national facility

$934.22

Forearm osteotomy, both bones shortened

25392-50 · Bilateral: 150%

$1,401.33

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).

When to use modifier 50

25392 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 25392

    Forearm osteotomy, both bones shortened14.22 wRVU

    Not priced

  • 25390

    Bone shortening, radius or ulna10.43 wRVU

    Not priced

  • 25391

    Bone lengthening, one forearm bone13.92 wRVU

    Not priced

  • 25393

    Forearm lengthening, both forearm bones16.15 wRVU

    Not priced

How to choose

25390Bone shorteningRadius or ulna
Choose 25390 when the operative shortening involves the radius or ulna alone. This code is for shortening both bones.
25391Bone lengtheningOne forearm bone
25391 describes lengthening the radius or ulna. This code describes shortening both forearm bones.
25393Forearm lengtheningBoth forearm bones
Both codes involve the radius and ulna, but 25393 is for lengthening; this code is for shortening.

Codes related to 25392

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

Codes related to 25392
CodeHow it relatesNational office range
Same family
25390Bone shortening, radius or ulnaShortening procedure for the radius or ulna rather than both bones.No office rate
25391Bone lengthening, one forearm boneLengthening procedure for the radius or ulna rather than shortening both.No office rate
25393Forearm lengthening, both forearm bonesLengthening procedure involving both radius and ulna.No office rate

25392 billing questions

When should this code be used instead of 25390?

Use this code when the surgeon shortens both the radius and ulna. Code 25390 describes shortening of the radius or ulna, rather than both bones.

How is this code different from 25393?

This code represents shortening of both forearm bones; 25393 represents lengthening both bones. The operative plan and documented bone work determine the choice.

Does the global period include postoperative care?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery paid?

CMS identifies this as a bilateral procedure; with modifier 50, payment is at 150%.

Can an assistant surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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
RVUs for 25392PPRRVU2026_Oct_nonQPP.csv, line 2,446 (RVU26D)

Open CMS sourceHow we calculate rates

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