CPT code 25449: Wrist revision, arthroplasty revision2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,031.71 for 25449 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25449 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 25449 covers

An orthopedic or hand surgeon revises a previously performed wrist joint arthroplasty when the prosthetic reconstruction has failed or requires correction. The operation may address problems such as implant loosening, wear, or instability. These procedures are generally performed in an operating room, with the operative report describing the prior reconstruction and the revision work performed on the wrist joint and implant construct.

Report this code for revision of an existing wrist arthroplasty, not for a first-time prosthetic replacement. Documentation should establish the prior arthroplasty, the reason for revision, and the work 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 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require 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 Washington, DC area compares for 25449

Across 109 of 109 payment localities, the facility rate for 25449 runs from $837.11 in Arkansas to $1,156.26 in Alaska. Washington, DC area pays $1,031.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25449 rates by state

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

See 25449 in every payment locality

How the 25449 rate is calculated

Each of 25449’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 25449

25449 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 25449

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

How 25449 has changed in Washington, DC area

Price 25449 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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