CPT code 25430: Carpal bone graft, vascularized graft2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $683.10 for 25430 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25430 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 25430 covers

A hand or wrist surgeon transfers bone with its blood supply to a carpal bone. A common clinical setting is a scaphoid nonunion with impaired blood supply; the operative report should identify the carpal bone treated and explain the reason for using a vascularized graft. These procedures are generally performed in a hospital operating room.

Select this code when the documented operation places a vascularized graft into a carpal bone, rather than using a nonvascularized repair approach or treating the radius or ulna. Document the graft transfer, treated site, indication, and any fixation performed. Medicare assigns a 90-day global period, including 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 50% reduction. Modifier 50 indicates bilateral performance and is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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 New Mexico compares for 25430

Across 109 of 109 payment localities, the facility rate for 25430 runs from $618.74 in Arkansas to $843.52 in Alaska. New Mexico pays $683.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25430 rates by state

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

See 25430 in every payment locality

How the 25430 rate is calculated

Each of 25430’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 25430

25430 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 25430

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

How 25430 has changed in New Mexico

Price 25430 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

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