CPT code 25431: Carpal bone repair, nonunion, excluding scaphoid2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $728.38 for 25431 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25431 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 25431 covers

This code describes operative repair of a carpal bone that has failed to unite, excluding the scaphoid. The surgeon addresses the persistent nonunion and may use internal fixation; the code covers repair whether or not fixation is used. It is distinct from treatment directed at a scaphoid nonunion and from procedures on the radius or ulna. These operations are generally performed by orthopedic or hand surgeons in a surgical setting.

Report the code when the operative target is a nonunion of a non-scaphoid carpal bone. The operative report should identify the bone and document the nonunion and the repair performed, including fixation when used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral repair, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 25431

Across 109 of 109 payment localities, the facility rate for 25431 runs from $658.70 in Arkansas to $902.35 in Alaska. New Mexico pays $728.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25431 rates by state

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

See 25431 in every payment locality

How the 25431 rate is calculated

Each of 25431’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 25431

25431 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 25431

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

How 25431 has changed in New Mexico

Price 25431 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