CPT code 25448: Wrist arthroplasty, with suspensionplasty2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $819.18 for 25448 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25448 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 25448 covers

This procedure reconstructs an intercarpal or carpometacarpal joint using interposition and suspension techniques. A common setting is surgery for painful thumb carpometacarpal, or basal-joint, arthritis, where the surgeon removes the trapezium and stabilizes the first metacarpal. An orthopedic or hand surgeon typically performs the operation in a hospital or ambulatory surgery center. The suspension component distinguishes this service from interposition arthroplasty without that component.

Report the code when the operative work includes the specified joint reconstruction with suspension; the operative report should identify the treated joint 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. 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 multiple-procedure reduction. Modifier 50 bilateral procedures are paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with 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 Montana compares for 25448

Across 109 of 109 payment localities, the facility rate for 25448 runs from $732.92 in Arkansas to $1,002.62 in Alaska. Montana pays $819.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25448 rates by state

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

See 25448 in every payment locality

How the 25448 rate is calculated

Each of 25448’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 25448

25448 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 25448

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

How 25448 has changed in Montana

Price 25448 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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