CPT code 25443: Wrist arthroplasty, distal scaphoid and carpus2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $710.50 for 25443 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25443 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 25443 covers

An orthopedic hand or wrist surgeon uses this code when performing arthroplasty with prosthetic replacement involving the distal scaphoid and carpus. The procedure is generally performed in an operating room for a patient whose affected wrist anatomy is being treated with an implant. The operative report should identify the structures replaced and document the prosthetic work performed.

Report the code for the documented distal scaphoid and carpal target, not for replacement of a different wrist bone or a broader joint reconstruction. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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. For bilateral procedures, 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 Virginia compares for 25443

Across 109 of 109 payment localities, the facility rate for 25443 runs from $657.16 in Arkansas to $898.62 in Alaska. Virginia pays $710.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25443 rates by state

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

See 25443 in every payment locality

How the 25443 rate is calculated

Each of 25443’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 25443

25443 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 25443

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

How 25443 has changed in Virginia

Price 25443 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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