CPT code 25447: Interposition arthroplasty, intercarpal or carpometacarpal joints2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $734.90 for 25447 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25447 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 25447 covers

This code describes reconstruction of an intercarpal or carpometacarpal joint using an interposed tissue or other reconstructive material. A common application is surgery for painful thumb carpometacarpal osteoarthritis, often involving trapeziectomy and tendon interposition, including ligament reconstruction and tendon interposition techniques. Orthopedic or hand surgeons typically perform the procedure in an operating room, often in a hospital outpatient department or ambulatory surgery center.

Select the code when the operative service is an interposition arthroplasty, rather than prosthetic replacement or a suspensionplasty technique. The operative report should identify the joint treated and describe the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with 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 Delaware compares for 25447

Across 109 of 109 payment localities, the facility rate for 25447 runs from $664.66 in Arkansas to $907.32 in Alaska. Delaware pays $734.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25447 rates by state

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

See 25447 in every payment locality

How the 25447 rate is calculated

Each of 25447’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 25447

25447 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 25447

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

How 25447 has changed in Delaware

Price 25447 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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