CPT code 25830: DRUJ arthrodesis, with segmental ulnar resection2026 Medicare rate & RVUs in Mississippi

Reports fusion of the distal radioulnar joint with removal of an ulnar segment, commonly used to treat painful distal radioulnar joint disease.

CMS RVU26DEffective Oct 1, 2026One payment locality147 Medicare services in 2024

In Mississippi, Medicare pays $876.50 for 25830 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$876.50Hospital or facility

Check a contract rate as a % of Medicare · 25830 nationwide

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

We’ll open 25830 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 25830 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 25830 covers

This procedure fuses the distal radioulnar joint and removes a segment of the ulna, creating a proximal space that permits forearm rotation while stabilizing the joint. It is commonly used for painful distal radioulnar joint arthritis or dysfunction, including problems following trauma. An orthopedic or hand surgeon typically performs the operation in a hospital or ambulatory surgery center. The procedure is also known as the Sauvé-Kapandji operation.

Report the code when the operative record supports both distal radioulnar joint fusion and segmental ulnar resection; it is distinct from fusion of the wrist joint itself. Documentation should identify the treated joint, the reason for surgery, and the fusion and resection performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 payment may be available; 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 Mississippi compares for 25830

Across 109 of 109 payment localities, the facility rate for 25830 runs from $859.84 in Arkansas to $1,219.05 in San Benito County, CA. Mississippi pays $876.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

25830 in Mississippi vs other payment areas
  1. Mississippi · this page$876.50
  2. Los Angeles, CA · California$1,061.88+$185.38
  3. Washington, DC area · District of Columbia$1,094.94+$218.44
  4. Miami, FL · Florida$1,099.27+$222.77
  5. Chicago, IL · Illinois$1,065.81+$189.31
  6. Manhattan, NY · New York$1,122.60+$246.10
  7. Alaska · Alaska$1,152.17+$275.67

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

25830 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$872.13
ArkansasArkansas—$859.84
ArizonaArizona—$943.68
Bakersfield, CACalifornia—$1,002.69
Chico, CACalifornia—$996.91
El Centro, CACalifornia—$997.26
Fresno, CACalifornia—$996.91
Hanford, CACalifornia—$996.91

25830 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25830 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 25830 in every payment locality

How the 25830 rate is calculated

Each of 25830’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.

How the rate is built · 25830

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.61

10.61 RVUs× 1.000 GPCI

Practice expense16.37

16.37 RVUs× 1.000 GPCI

Malpractice2.08

2.08 RVUs× 1.000 GPCI

Adjusted RVUs

29.0600

Conversion factor

$33.4009

Medicare rate

$970.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,514

Code
25830
Physician work
10.61
Practice expense
16.37
Malpractice
2.08

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 25830 in Mississippi
ComponentRVULocality factorAdjusted
Physician work10.61× 1.00010.6100
Practice expense16.37× 0.86114.0946
Malpractice2.08× 0.7391.5371
Total RVUs26.2417
Conversion factor× 33.4009

Facility rate, Mississippi$876.50

Facility: (10.61 × 1 + 16.37 × 0.861 + 2.08 × 0.739) × $33.4009 = $876.50

Open 25830 in the RVU calculator

Payment rules and modifiers for 25830

25830 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25830

DRUJ arthrodesis, with segmental ulnar resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25830

DRUJ arthrodesis, with segmental ulnar resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25830 without 50 · national facility

$970.63

DRUJ arthrodesis, with segmental ulnar resection

25830-50 · Bilateral: 150%

$1,455.95

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 25830 has changed in Mississippi

25830 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$876.50RVU26D
2026-07-01Not available in this setting$876.50RVU26C
2026-04-01Not available in this setting$876.50RVU26B
2026-01-01Not available in this setting$876.50RVU26A
2025-10-01Not available in this setting$905.05RVU25D
2025-07-01Not available in this setting$905.05RVU25C
2025-04-01Not available in this setting$905.05RVU25B
2025-01-01Not available in this setting$905.05RVU25A
2024-10-01Not available in this setting$932.77RVU24D
2024-07-01Not available in this setting$932.77RVU24C
2024-04-01Not available in this setting$932.77RVU24B
2024-03-09Not available in this setting$932.77RVU24AR
2024-01-01Not available in this setting$917.54RVU24A
2023-10-01Not available in this setting$927.86RVU23D
2023-07-01Not available in this setting$927.86RVU23C
2023-04-01Not available in this setting$927.86RVU23B
2023-01-01Not available in this setting$927.86RVU23A
2022-10-01Not available in this setting$952.21RVU22D
2022-07-01Not available in this setting$952.21RVU22C
2022-04-01Not available in this setting$952.21RVU22B
2022-01-01Not available in this setting$952.21RVU22A
2021-10-01Not available in this setting$930.16RVU21D
2021-07-01Not available in this setting$930.16RVU21C
2021-04-01Not available in this setting$930.16RVU21B
2021-01-01Not available in this setting$930.16RVU21A
2020-10-01Not available in this setting$901.92RVU20D
2020-07-01Not available in this setting$901.92RVU20C
2020-04-01Not available in this setting$901.92RVU20B
2020-01-01Not available in this setting$901.92RVU20A
2019-10-01Not available in this setting$864.86RVU19D
2019-07-01Not available in this setting$864.86RVU19C
2019-04-01Not available in this setting$864.86RVU19B
2019-01-01Not available in this setting$864.86RVU19A
2018-10-01Not available in this setting$868.49RVU18D
2018-07-01Not available in this setting$868.49RVU18C
2018-04-01Not available in this setting$868.49RVU18B
2018-01-01Not available in this setting$868.49RVU18AR1
2017-10-01Not available in this setting$865.85RVU17D
2017-07-01Not available in this setting$865.85RVU17C
2017-04-01Not available in this setting$865.85RVU17B
2017-01-01Not available in this setting$865.85RVU17A
2016-10-01Not available in this setting$871.58RVU16D
2016-07-01Not available in this setting$871.58RVU16C
2016-04-01Not available in this setting$871.58RVU16B
2016-01-01Not available in this setting$871.58RVU16A
2015-10-01Not available in this setting$881.64RVU15D
2015-07-01Not available in this setting$881.64RVU15C
2015-04-01Not available in this setting$877.25RVU15B
2015-01-01Not available in this setting$877.25RVU15A
2014-10-01Not available in this setting$874.57RVU14D
2014-07-01Not available in this setting$874.57RVU14C
2014-04-01Not available in this setting$874.57RVU14B
2014-01-01Not available in this setting$874.57RVU14A
2013-10-01Not available in this setting$882.53RVU13D
2013-07-01Not available in this setting$882.53RVU13C
2013-04-01Not available in this setting$882.53RVU13B
2013-01-01Not available in this setting$882.53RVU13AR

Price 25830 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

25830 billing questions

How is this different from a wrist arthrodesis code?

This code is for fusion of the distal radioulnar joint with segmental ulnar resection. Wrist arthrodesis codes describe fusion of the wrist joint, with the code choice depending on the extent and graft technique.

Is the ulnar segment removal included?

Yes. The segmental resection is part of the procedure represented by this code; it is not a separate service within this operative technique.

What documentation supports reporting this code?

The operative report should identify the distal radioulnar joint as the fused joint and describe the segmental ulnar resection, along with the indication for surgery.

How is bilateral surgery reported?

CMS lists this as a bilateral procedure. Modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 25830PPRRVU2026_Oct_nonQPP.csv, line 2,514 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 25830 pays in Mississippi?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 25830 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist