CPT code 25392: Forearm osteotomy, both bones shortened2026 Medicare rate & RVUs in Montana
Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna.
In Montana, Medicare pays $934.02 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.
On this page 11 sections
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 Montana 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. Montana pays $934.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$934.02
- Los Angeles, CA · California$985.22+$51.20
- Washington, DC area · District of Columbia$1,035.04+$101.02
- Miami, FL · Florida$1,103.65+$169.63
- Chicago, IL · Illinois$1,070.40+$136.38
- Manhattan, NY · New York$1,081.93+$147.91
- Alaska · Alaska$1,149.54+$215.52
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $929.71 |
| Merced, CACalifornia | — | $929.71 |
| Modesto, CACalifornia | — | $929.71 |
| Napa, CACalifornia | — | $1,028.22 |
| Oxnard, CACalifornia | — | $974.53 |
| Redding, CACalifornia | — | $929.71 |
| Rest of CaliforniaCalifornia | — | $929.71 |
| Riverside, CACalifornia | — | $962.27 |
| Sacramento, CACalifornia | — | $962.73 |
| Salinas, CACalifornia | — | $958.92 |
| San Diego, CACalifornia | — | $972.30 |
| Marin County, CACalifornia | — | $1,071.40 |
| San Francisco, CACalifornia | — | $1,067.96 |
| San Benito County, CACalifornia | — | $1,097.77 |
| Santa Clara County, CACalifornia | — | $1,083.70 |
| San Luis Obispo, CACalifornia | — | $945.11 |
| Santa Cruz, CACalifornia | — | $974.22 |
| Santa Maria, CACalifornia | — | $960.00 |
| Santa Rosa, CACalifornia | — | $983.15 |
| Stockton, CACalifornia | — | $929.71 |
| Vallejo, CACalifornia | — | $1,023.26 |
| Visalia, CACalifornia | — | $929.71 |
| Yuba City, CACalifornia | — | $929.71 |
| ColoradoColorado | — | $940.67 |
| ConnecticutConnecticut | — | $992.55 |
| DelawareDelaware | — | $922.08 |
| Fort Lauderdale, FLFlorida | — | $1,020.65 |
| Rest of FloridaFlorida | — | $969.37 |
| Atlanta, GAGeorgia | — | $961.72 |
| Rest of GeorgiaGeorgia | — | $914.98 |
| Hawaii, Guam, HIHawaii | — | $940.67 |
| IowaIowa | — | $842.76 |
| IdahoIdaho | — | $852.24 |
| East St. Louis, ILIllinois | — | $1,008.20 |
| Rest of IllinoisIllinois | — | $960.05 |
| Suburban Chicago, ILIllinois | — | $1,025.35 |
| IndianaIndiana | — | $856.07 |
| KansasKansas | — | $849.65 |
| KentuckyKentucky | — | $885.88 |
| New Orleans, LALouisiana | — | $926.86 |
| Rest of LouisianaLouisiana | — | $888.80 |
| Metropolitan Boston, MAMassachusetts | — | $1,012.03 |
| Rest of MassachusettsMassachusetts | — | $940.26 |
| Baltimore area, MDMaryland | — | $991.95 |
| Rest of MarylandMaryland | — | $934.97 |
| Rest of MaineMaine | — | $867.32 |
| Southern Maine, MEMaine | — | $893.66 |
| Detroit, MIMichigan | — | $991.12 |
| Rest of MichiganMichigan | — | $916.13 |
| MinnesotaMinnesota | — | $873.36 |
| Metropolitan Kansas City, MOMissouri | — | $910.05 |
| Metropolitan St. Louis, MOMissouri | — | $917.24 |
| Rest of MissouriMissouri | — | $882.18 |
| MississippiMississippi | — | $858.04 |
| North CarolinaNorth Carolina | — | $873.70 |
| North DakotaNorth Dakota | — | $874.11 |
| NebraskaNebraska | — | $843.70 |
| New HampshireNew Hampshire | — | $936.25 |
| Northern New JerseyNew Jersey | — | $1,028.32 |
| Rest of New JerseyNew Jersey | — | $995.98 |
| New MexicoNew Mexico | — | $924.85 |
| NevadaNevada | — | $917.68 |
| NYC suburbs and Long Island, NYNew York | — | $1,119.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,010.86 |
| Queens, NYNew York | — | $1,074.52 |
| Rest of New YorkNew York | — | $886.26 |
| OhioOhio | — | $903.88 |
| OklahomaOklahoma | — | $873.34 |
| Portland, OROregon | — | $955.66 |
| Rest of OregonOregon | — | $902.73 |
| Metropolitan Philadelphia, PAPennsylvania | — | $976.99 |
| Rest of PennsylvaniaPennsylvania | — | $899.30 |
| Puerto RicoPuerto Rico | — | $936.64 |
| Rhode IslandRhode Island | — | $944.13 |
| South CarolinaSouth Carolina | — | $891.83 |
| South DakotaSouth Dakota | — | $867.02 |
| TennesseeTennessee | — | $854.78 |
| Austin, TXTexas | — | $944.40 |
| Beaumont, TXTexas | — | $894.81 |
| Brazoria, TXTexas | — | $912.54 |
| Dallas, TXTexas | — | $922.69 |
| Fort Worth, TXTexas | — | $920.43 |
| Galveston, TXTexas | — | $918.11 |
| Houston, TXTexas | — | $973.57 |
| Rest of TexasTexas | — | $906.15 |
| UtahUtah | — | $902.42 |
| VirginiaVirginia | — | $898.38 |
| Virgin Islands, VIUnited States Virgin Islands | — | $936.64 |
| VermontVermont | — | $880.65 |
| Rest of WashingtonWashington | — | $935.19 |
| King County, WAWashington | — | $1,020.73 |
| WisconsinWisconsin | — | $849.15 |
| West VirginiaWest Virginia | — | $930.94 |
| WyomingWyoming | — | $907.91 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Montana 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
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.22 | × 1.000 | 14.2200 |
| Practice expense | 10.72 | × 1.000 | 10.7200 |
| Malpractice | 3.03 | × 0.998 | 3.0239 |
| Total RVUs | 27.9639 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$934.02
Facility: (14.22 × 1 + 10.72 × 1 + 3.03 × 0.998) × $33.4009 = $934.02
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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).
How 25392 has changed in Montana
25392 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $934.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $934.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $934.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $934.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $998.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $998.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $998.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $998.35 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,018.41 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,018.41 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,018.41 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,018.41 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,001.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,029.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,029.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,029.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,029.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,040.64 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,040.64 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,040.64 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,040.64 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,042.71 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,042.71 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,042.71 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,042.71 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,089.71 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,089.71 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,089.71 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,089.71 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,122.86 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,122.86 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,077.01 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,077.01 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,118.79 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,118.79 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,118.79 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,118.79 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,092.70 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,092.70 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,092.70 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,092.70 | RVU17A |
| 2016-10-01 | Not available in this setting | $910.49 | RVU16D |
| 2016-07-01 | Not available in this setting | $910.49 | RVU16C |
| 2016-04-01 | Not available in this setting | $910.49 | RVU16B |
| 2016-01-01 | Not available in this setting | $910.49 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,058.71 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,058.71 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,053.44 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,053.44 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,051.65 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,051.65 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,051.65 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,051.65 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,030.85 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,030.85 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,030.85 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,030.85 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
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