Billing code 25075: Forearm tumor excisionMedicare rate & RVUs

Medicare pays $552.45 for 25075 nationally in the office and $306.62 in a hospital or facility. Local office rates run $483.43–$729.32.

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

What 25075 covers

This code describes surgical removal of a soft-tissue tumor located beneath the skin in the forearm or wrist area, with a tumor size under 3 cm. An orthopedic or hand surgeon, or another surgeon treating soft-tissue masses, may perform the procedure in an office-based operating room or a hospital or ambulatory surgery facility. The key distinctions are the anatomic area, the tumor’s subcutaneous depth, and its size; removal of a skin lesion or a deeper mass belongs to a different code category or level.

Select the code using operative documentation that identifies the forearm or wrist area, describes the mass as subcutaneous, and records its size and excision. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not 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 25075 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

25075 rates by state

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

How the 25075 rate is calculated

Each of 25075’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 25075

25075 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

25075 compared with similar codes

How to choose

25071Forearm mass excision

Both cover subcutaneous forearm or wrist soft-tissue tumor excision; the size threshold separates them. Use 25075 below 3 cm and 25071 at 3 cm or larger.

25076Forearm tumor excision

This code is for a subcutaneous tumor under 3 cm. Use 25076 when the forearm or wrist tumor is deep and under 3 cm.

25065Soft-tissue biopsy

Code 25065 describes biopsy of subcutaneous forearm soft tissue. Use 25075 when the documented service is excision of the tumor rather than biopsy.

25066Soft-tissue biopsy

Code 25066 describes biopsy of deep forearm soft tissue. It is not the code for excision of a subcutaneous tumor.

Codes related to 25075

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