CPT code 25810: Wrist fusion, complete, with autograft2026 Medicare rate & RVUs

Medicare pays $793.94 for 25810 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25810 covers

An orthopedic hand or upper-extremity surgeon uses this code for complete wrist fusion supported by the patient’s own bone graft, commonly obtained from the iliac crest or another donor site. The operation joins the wrist across the intended fusion surfaces, often for severe painful arthritis, post-traumatic joint damage, or an unstable wrist when preserving wrist motion is not the goal. It is generally performed in an operating room with fixation selected by the surgeon.

Report this code when the operative report supports complete wrist arthrodesis with autograft; obtaining the graft is included. The 90-day global period includes 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services 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.

Where 25810 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25810 rates by state

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

How the 25810 rate is calculated

Each of 25810’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 25810

25810 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

25810 compared with similar codes

How to choose

25800Wrist fusionComplete, without graft

Both represent complete wrist fusion; choose 25810 when autograft is used and 25800 when the fusion is performed without bone graft.

25805Wrist fusionSliding bone graft

This code represents complete fusion with a sliding graft technique. 25810 is for complete fusion with iliac or other autograft.

25820Wrist fusionLimited, no bone graft

25820 describes a limited wrist fusion without bone graft, not the complete fusion with autograft represented by 25810.

25825Wrist fusionLimited, with autograft

25825 is for limited wrist fusion with autograft; 25810 represents complete wrist fusion with autograft.

Codes related to 25810

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

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