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

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, 2026One payment locality

In Colorado, Medicare pays $940.67 for 25392 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$940.67Hospital or facility

Check a contract rate as a % of Medicare · 25392 nationwide

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

We’ll open 25392 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 25392 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Colorado compares for 25392

Across 109 of 109 payment localities, the facility rate for 25392 runs from $834.65 in Arkansas to $1,149.54 in Alaska. Colorado pays $940.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

25392 in Colorado vs other payment areas
  1. Colorado · this page$940.67
  2. Los Angeles, CA · California$985.22+$44.55
  3. Washington, DC area · District of Columbia$1,035.04+$94.37
  4. Miami, FL · Florida$1,103.65+$162.98
  5. Chicago, IL · Illinois$1,070.40+$129.73
  6. Manhattan, NY · New York$1,081.93+$141.26
  7. Alaska · Alaska$1,149.54+$208.87

Other areas in Colorado first, then benchmark localities. Bars start at $0.

Every other payment area

25392 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$845.54
ArkansasArkansas—$834.65
ArizonaArizona—$908.55
Bakersfield, CACalifornia—$938.05
Chico, CACalifornia—$929.71
El Centro, CACalifornia—$930.22
Fresno, CACalifornia—$929.71
Hanford, CACalifornia—$929.71

25392 rates by state

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

Explore a state

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

See 25392 in every payment locality

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.

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,446

Code
25392
Physician work
14.22
Practice expense
10.72
Malpractice
3.03

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 25392 in Colorado
ComponentRVULocality factorAdjusted
Physician work14.22× 1.01214.3906
Practice expense10.72× 1.06411.4061
Malpractice3.03× 0.7812.3664
Total RVUs28.1632
Conversion factor× 33.4009

Facility rate, Colorado$940.67

Facility: (14.22 × 1.012 + 10.72 × 1.064 + 3.03 × 0.781) × $33.4009 = $940.67

Open 25392 in the RVU calculator

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

How 25392 has changed in Colorado

25392 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$940.67RVU26D
2026-07-01Not available in this setting$940.67RVU26C
2026-04-01Not available in this setting$940.67RVU26B
2026-01-01Not available in this setting$940.67RVU26A
2025-10-01Not available in this setting$1,010.42RVU25D
2025-07-01Not available in this setting$1,010.42RVU25C
2025-04-01Not available in this setting$1,010.42RVU25B
2025-01-01Not available in this setting$1,010.42RVU25A
2024-10-01Not available in this setting$1,030.35RVU24D
2024-07-01Not available in this setting$1,030.35RVU24C
2024-04-01Not available in this setting$1,030.35RVU24B
2024-03-09Not available in this setting$1,030.35RVU24AR
2024-01-01Not available in this setting$1,013.54RVU24A
2023-10-01Not available in this setting$1,036.10RVU23D
2023-07-01Not available in this setting$1,036.10RVU23C
2023-04-01Not available in this setting$1,036.10RVU23B
2023-01-01Not available in this setting$1,036.10RVU23A
2022-10-01Not available in this setting$1,039.77RVU22D
2022-07-01Not available in this setting$1,039.77RVU22C
2022-04-01Not available in this setting$1,039.77RVU22B
2022-01-01Not available in this setting$1,039.77RVU22A
2021-10-01Not available in this setting$1,042.33RVU21D
2021-07-01Not available in this setting$1,042.33RVU21C
2021-04-01Not available in this setting$1,042.33RVU21B
2021-01-01Not available in this setting$1,042.33RVU21A
2020-10-01Not available in this setting$1,061.89RVU20D
2020-07-01Not available in this setting$1,061.89RVU20C
2020-04-01Not available in this setting$1,061.89RVU20B
2020-01-01Not available in this setting$1,061.89RVU20A
2019-10-01Not available in this setting$1,066.98RVU19D
2019-07-01Not available in this setting$1,066.98RVU19C
2019-04-01Not available in this setting$1,037.69RVU19B
2019-01-01Not available in this setting$1,037.69RVU19A
2018-10-01Not available in this setting$1,063.59RVU18D
2018-07-01Not available in this setting$1,063.59RVU18C
2018-04-01Not available in this setting$1,063.59RVU18B
2018-01-01Not available in this setting$1,063.59RVU18AR1
2017-10-01Not available in this setting$1,065.64RVU17D
2017-07-01Not available in this setting$1,065.64RVU17C
2017-04-01Not available in this setting$1,065.64RVU17B
2017-01-01Not available in this setting$1,065.64RVU17A
2016-10-01Not available in this setting$904.12RVU16D
2016-07-01Not available in this setting$904.12RVU16C
2016-04-01Not available in this setting$904.12RVU16B
2016-01-01Not available in this setting$904.12RVU16A
2015-10-01Not available in this setting$1,052.40RVU15D
2015-07-01Not available in this setting$1,052.40RVU15C
2015-04-01Not available in this setting$1,047.16RVU15B
2015-01-01Not available in this setting$1,047.16RVU15A
2014-10-01Not available in this setting$1,036.70RVU14D
2014-07-01Not available in this setting$1,036.70RVU14C
2014-04-01Not available in this setting$1,036.70RVU14B
2014-01-01Not available in this setting$1,036.70RVU14A
2013-10-01Not available in this setting$1,009.76RVU13D
2013-07-01Not available in this setting$1,009.76RVU13C
2013-04-01Not available in this setting$1,009.76RVU13B
2013-01-01Not available in this setting$1,009.76RVU13AR

Price 25392 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

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)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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