FeeBase
Log inGet started
Menu

Billing code 24925: Arm amputationMedicare rate & RVUs

Reports repeat amputation surgery through the humerus when a prior upper-arm amputation requires further operative removal at that level.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $545.44 for 24925 nationally in a facility.

Medicare rate · 24925

Arm amputation

Swap in your local Medicare rate.

Work RVUs
7.12
Total RVUs
16.33
Global days
090

National rate · 2026

$545.44

Facility setting, before claim adjustments.

See every locality for 24925 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 24925 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24925 covers

This code describes repeat amputation surgery through the humerus, the upper-arm bone. An orthopedic or other qualified surgeon may perform it when the existing amputation level requires further removal of the limb. The operative report should establish the humeral level and explain the work performed; this is distinct from an initial amputation and from a stump revision that does not involve re-amputation.

Report the code for the documented re-amputation, not simply because the patient has a history of upper-arm amputation. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures occur 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 identifies a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 24925 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

24925 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$491.50
Alaska*Unavailable$658.59
ArizonaUnavailable$530.24
ArkansasUnavailable$484.83
AtlantaUnavailable$560.34
AustinUnavailable$555.14
BakersfieldUnavailable$555.09
Baltimore/Surr. CntysUnavailable$579.91
BeaumontUnavailable$518.70
BrazoriaUnavailable$534.00

24925 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
24925 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

How the 24925 rate is calculated

Each of 24925’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 · 24925

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.12Practice expense 7.71Malpractice 1.50

16.3300 adjusted RVUs×$33.4009 conversion factor=$545.44

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 24925

24925 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24925

Arm amputation

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)0Not permitted.
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 · 24925

Arm amputation

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

24925 without 50 · national facility

$545.44

Arm amputation

24925-50 · Bilateral: 150%

$818.16

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

24925 compared with similar codes

Compare codes

24925 vs 24900 vs 24920 vs 24935 vs 24940: national Medicare rates

Swap in your local Medicare rate.

  • 24925
    Arm amputation · 7.12 wRVU
    —
  • 24900
    Upper arm amputation · 9.93 wRVU
    —
  • 24920
    Upper-arm amputation · 9.88 wRVU
    —
  • 24935
    Amputation revision · 16.04 wRVU
    —
  • 24940
    · 0 wRVU
    —

How to choose

24900Upper arm amputation
24900 is used for an initial amputation through the humerus. 24925 describes repeat amputation at that level.
24920Upper-arm amputation
Both are upper-arm amputation-family codes. Choose 24925 when the documented procedure is repeat amputation through the humerus.
24935Amputation revision
24935 is a revision-of-amputation code. Use 24925 when the surgeon performs re-amputation through the humerus.
24940Revision of upper arm
24940 describes upper-arm revision surgery; 24925 describes repeat amputation through the humerus.

Codes related to 24925

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

Codes related to 24925
CodeHow it relatesNational office range
Same family
24900Upper arm amputationUpper-arm amputation code for an initial procedure rather than repeat amputation.No office rate
24920Upper-arm amputationNeighboring upper-arm amputation code; distinguish by the specific operation documented.No office rate
24930Amputation surgeryAnother upper-arm amputation follow-up surgery code in the same family.No office rate
24935Amputation revisionUpper-arm amputation revision code; select according to the operative work.No office rate
24940Revision of upper armUpper-arm revision code, distinct from repeat amputation through the humerus.No office rate

24925 billing questions

How is this different from an initial upper-arm amputation?

Use 24925 for repeat amputation through the humerus, rather than the code for an initial amputation. The operative report should support that additional amputation work was performed.

How does this differ from an amputation revision code?

This code describes re-amputation through the humerus. A revision code is considered when the surgeon revises the existing amputation rather than performing re-amputation.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 identifies a bilateral procedure, which is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

What documentation supports reporting 24925?

Document the prior amputation, the humeral level, and the repeat amputation work performed. The operative note should distinguish re-amputation from an initial amputation or a stump revision.

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 24925PPRRVU2026_Oct_nonQPP.csv, line 2,362 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 24925 pays?

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

Fee sheets

Put 24925 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →