CPT code 25805: Wrist fusion, sliding bone graft2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $880.61 for 25805 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25805 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 25805 covers

An orthopedic or hand surgeon fuses the wrist bones to relieve pain and stabilize a severely damaged wrist, such as one affected by advanced arthritis, posttraumatic joint destruction, or chronic instability. In this approach, the surgeon uses a sliding bone graft as part of the fusion; the operative report should establish the fusion performed and the graft technique. The service is generally performed in a surgical facility rather than an office setting.

Report this code when the operative work is a complete wrist fusion using a sliding graft, rather than a limited fusion or a different graft approach. Documentation should identify the wrist, extent of fusion, indication, and use of the sliding graft. Medicare 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% multiple-procedure reduction. Modifier 50 for bilateral performance 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 Washington, DC area compares for 25805

Across 109 of 109 payment localities, the facility rate for 25805 runs from $706.40 in Arkansas to $968.09 in Alaska. Washington, DC area pays $880.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25805 rates by state

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

See 25805 in every payment locality

How the 25805 rate is calculated

Each of 25805’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 25805

25805 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 25805

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

How 25805 has changed in Washington, DC area

Price 25805 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

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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