CPT code 25392: Forearm osteotomy, both bones shortened2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,035.04 for 25392 in a facility. There’s no office rate.

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.

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 Washington, DC area 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. Washington, DC area pays $1,035.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25392 rates by state

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

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.

Payment rules and modifiers for 25392

25392 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 25392

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

How 25392 has changed in Washington, DC area

Price 25392 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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