CPT code 25394: Carpal osteotomy, shortening procedure2026 Medicare rate & RVUs in New Mexico

Reports an operation that shortens a carpal bone, such as the lunate, to address selected wrist disorders involving carpal bone mechanics.

CMS RVU26DEffective Oct 1, 2026One payment locality45 Medicare services in 2024

In New Mexico, Medicare pays $725.12 for 25394 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$725.12Hospital or facility

Check a contract rate as a % of Medicare · 25394 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 25394 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 25394 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 25394 covers

This service involves surgically removing or reshaping bone to shorten a carpal bone, such as the lunate. A hand or orthopedic surgeon may perform it for selected wrist conditions in which changing carpal bone length is part of the treatment plan; lunate disorders such as Kienböck disease are one clinical context. The operative report should identify the bone and describe the shortening procedure performed.

Report this code for shortening a carpal bone, not for an osteotomy that shortens the radius or ulna. Documentation should support the affected bone, side, indication, and procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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 New Mexico compares for 25394

Across 109 of 109 payment localities, the facility rate for 25394 runs from $655.76 in Arkansas to $898.39 in Alaska. New Mexico pays $725.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

25394 in New Mexico vs other payment areas
  1. New Mexico · this page$725.12
  2. Los Angeles, CA · California$780.90+$55.78
  3. Washington, DC area · District of Columbia$817.70+$92.58
  4. Miami, FL · Florida$862.98+$137.86
  5. Chicago, IL · Illinois$836.82+$111.70
  6. Manhattan, NY · New York$851.87+$126.75
  7. Alaska · Alaska$898.39+$173.27

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

Every other payment area

25394 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$664.50
ArkansasArkansas—$655.76
ArizonaArizona—$715.15
Bakersfield, CACalifornia—$742.29
Chico, CACalifornia—$736.09
El Centro, CACalifornia—$736.47
Fresno, CACalifornia—$736.09
Hanford, CACalifornia—$736.09

25394 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
25394 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 25394 in every payment locality

How the 25394 rate is calculated

Each of 25394’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 · 25394

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.58

10.58 RVUs× 1.000 GPCI

Practice expense9.19

9.19 RVUs× 1.000 GPCI

Malpractice2.25

2.25 RVUs× 1.000 GPCI

Adjusted RVUs

22.0200

Conversion factor

$33.4009

Medicare rate

$735.49

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,448

Code
25394
Physician work
10.58
Practice expense
9.19
Malpractice
2.25

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 25394 in New Mexico
ComponentRVULocality factorAdjusted
Physician work10.58× 1.00010.5800
Practice expense9.19× 0.9178.4272
Malpractice2.25× 1.2012.7023
Total RVUs21.7095
Conversion factor× 33.4009

Facility rate, New Mexico$725.12

Facility: (10.58 × 1 + 9.19 × 0.917 + 2.25 × 1.201) × $33.4009 = $725.12

Open 25394 in the RVU calculator

Payment rules and modifiers for 25394

25394 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25394

Carpal osteotomy, shortening procedure

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)1Permitted with supporting documentation.
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 · 25394

Carpal osteotomy, shortening procedure

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

25394 without 50 · national facility

$735.49

Carpal osteotomy, shortening procedure

25394-50 · Bilateral: 150%

$1,103.24

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 25394 has changed in New Mexico

25394 · 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$725.12RVU26D
2026-07-01Not available in this setting$725.12RVU26C
2026-04-01Not available in this setting$725.12RVU26B
2026-01-01Not available in this setting$725.12RVU26A
2025-10-01Not available in this setting$758.87RVU25D
2025-07-01Not available in this setting$758.87RVU25C
2025-04-01Not available in this setting$758.87RVU25B
2025-01-01Not available in this setting$758.87RVU25A
2024-10-01Not available in this setting$773.99RVU24D
2024-07-01Not available in this setting$773.99RVU24C
2024-04-01Not available in this setting$773.99RVU24B
2024-03-09Not available in this setting$773.99RVU24AR
2024-01-01Not available in this setting$761.36RVU24A
2023-10-01Not available in this setting$777.86RVU23D
2023-07-01Not available in this setting$777.86RVU23C
2023-04-01Not available in this setting$777.86RVU23B
2023-01-01Not available in this setting$777.86RVU23A
2022-10-01Not available in this setting$784.21RVU22D
2022-07-01Not available in this setting$784.21RVU22C
2022-04-01Not available in this setting$784.21RVU22B
2022-01-01Not available in this setting$784.21RVU22A
2021-10-01Not available in this setting$784.74RVU21D
2021-07-01Not available in this setting$784.74RVU21C
2021-04-01Not available in this setting$784.74RVU21B
2021-01-01Not available in this setting$784.74RVU21A
2020-10-01Not available in this setting$801.56RVU20D
2020-07-01Not available in this setting$801.56RVU20C
2020-04-01Not available in this setting$801.56RVU20B
2020-01-01Not available in this setting$801.56RVU20A
2019-10-01Not available in this setting$807.89RVU19D
2019-07-01Not available in this setting$807.89RVU19C
2019-04-01Not available in this setting$802.05RVU19B
2019-01-01Not available in this setting$802.05RVU19A
2018-10-01Not available in this setting$805.45RVU18D
2018-07-01Not available in this setting$805.45RVU18C
2018-04-01Not available in this setting$805.45RVU18B
2018-01-01Not available in this setting$805.45RVU18AR1
2017-10-01Not available in this setting$791.99RVU17D
2017-07-01Not available in this setting$791.99RVU17C
2017-04-01Not available in this setting$791.99RVU17B
2017-01-01Not available in this setting$791.99RVU17A
2016-10-01Not available in this setting$786.66RVU16D
2016-07-01Not available in this setting$786.66RVU16C
2016-04-01Not available in this setting$786.66RVU16B
2016-01-01Not available in this setting$786.66RVU16A
2015-10-01Not available in this setting$807.63RVU15D
2015-07-01Not available in this setting$807.63RVU15C
2015-04-01Not available in this setting$803.61RVU15B
2015-01-01Not available in this setting$803.61RVU15A
2014-10-01Not available in this setting$777.37RVU14D
2014-07-01Not available in this setting$777.37RVU14C
2014-04-01Not available in this setting$777.37RVU14B
2014-01-01Not available in this setting$777.37RVU14A
2013-10-01Not available in this setting$760.56RVU13D
2013-07-01Not available in this setting$760.56RVU13C
2013-04-01Not available in this setting$760.56RVU13B
2013-01-01Not available in this setting$760.56RVU13AR

Price 25394 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

25394 billing questions

How does this differ from a forearm-bone shortening code?

This code is for shortening a carpal bone in the wrist. Use the radius or ulna codes when the osteotomy shortens one or both forearm bones.

What should the operative report identify?

Document the carpal bone treated, the side, the clinical indication, and the shortening procedure performed.

Can modifier 50 be used for bilateral work?

Yes. CMS lists this as a bilateral procedure; modifier 50 is paid at 150%.

How are other procedures in the same session paid?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 25394PPRRVU2026_Oct_nonQPP.csv, line 2,448 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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