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Billing code 25119: Ulna excisionMedicare rate & RVUs

Reports surgical removal of part of the ulna, such as for a wrist or forearm problem requiring bone excision rather than lesion curettage.

CMS RVU26DEffective Oct 1, 2026109 payment localities102 Medicare services in 2024

Medicare pays $486.65 for 25119 nationally in a facility.

Medicare rate · 25119

Ulna excision

Swap in your local Medicare rate.

Work RVUs
6.05
Total RVUs
14.57
Global days
090

National rate · 2026

$486.65

Facility setting, before claim adjustments.

See every locality for 25119 → · 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 25119 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 25119 covers

This code describes an operation that removes a portion of the ulna. An orthopedic or hand surgeon may perform it in a hospital or outpatient surgical facility when the treatment plan calls for partial bone removal at the forearm or wrist. The operative report should identify the ulna, the side, the portion removed, and the clinical reason for the resection.

Report the code for the documented partial ulna excision, distinguishing it from procedures directed at curettage of a bone cyst or benign tumor and from a more extensive tumor resection. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery 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 25119 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

25119 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$437.66
Alaska*Unavailable$583.87
ArizonaUnavailable$472.92
ArkansasUnavailable$431.59
AtlantaUnavailable$499.84
AustinUnavailable$496.09
BakersfieldUnavailable$496.66
Baltimore/Surr. CntysUnavailable$517.78
BeaumontUnavailable$461.86
BrazoriaUnavailable$476.54

25119 rates by state

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

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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
25119 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 25119 rate is calculated

Each of 25119’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 · 25119

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.05Practice expense 7.22Malpractice 1.30

14.5700 adjusted RVUs×$33.4009 conversion factor=$486.65

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

Payment rules and modifiers for 25119

25119 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25119

Ulna excision

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 · 25119

Ulna excision

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

25119 without 50 · national facility

$486.65

Ulna excision

25119-50 · Bilateral: 150%

$729.98

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

25119 compared with similar codes

Compare codes

25119 vs 25151 vs 25120 vs 25170: national Medicare rates

Swap in your local Medicare rate.

  • 25119
    Ulna excision · 6.05 wRVU
    —
  • 25151
    Radius excision · 7.49 wRVU
    —
  • 25120
    Bone lesion removal · 6.11 wRVU
    —
  • 25170
    Bone tumor resection · 21.65 wRVU
    —

How to choose

25151Radius excision
25119 is for partial removal of the ulna; 25151 is for partial removal of the radius. The operative report identifies which bone was treated.
25120Bone lesion removal
25120 is directed to curettage or excision of a bone cyst or benign tumor in the radius or ulna without grafting. Choose based on the documented lesion treatment rather than treating the codes as interchangeable.
25170Bone tumor resection
25170 describes radical resection of a radius or ulna tumor. Use it when the documented tumor operation is a radical resection, not a partial ulna excision.

Codes related to 25119

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

Codes related to 25119
CodeHow it relatesNational office range
Same family
25151Radius excisionCorresponding partial removal procedure for the radius rather than the ulna.No office rate
Used instead
25120Bone lesion removalConsider the lesion-focused code when a bone cyst or benign tumor is treated by curettage.No office rate
25125Bone lesion excisionLesion-directed curettage code when autograft is part of treatment.No office rate
25126Bone lesion surgeryLesion-directed curettage code when allograft is part of treatment.No office rate
25170Bone tumor resectionFor radical resection of a radius or ulna tumor rather than partial ulna excision.No office rate

25119 billing questions

What operative documentation supports this code?

The operative report should identify the ulna and side, describe the portion removed, and explain the indication for the resection. The documented work should support partial bone removal rather than curettage alone or a more extensive tumor resection.

How does this code differ from 25151?

25119 describes partial removal of the ulna; 25151 describes the corresponding partial removal of the radius. Select the code for the bone actually treated.

Does the procedure have a global period?

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

How are bilateral procedures and other same-session procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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 25119PPRRVU2026_Oct_nonQPP.csv, line 2,398 (RVU26D)

Open CMS sourceHow we calculate rates

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