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Billing code 25355: Radius osteotomyMedicare rate & RVUs

Corrective osteotomy of the radius in its middle or proximal third is reported when the surgeon realigns a deformity in that segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $718.45 for 25355 nationally in a facility.

Medicare rate · 25355

Radius osteotomy

Swap in your local Medicare rate.

Work RVUs
10.27
Total RVUs
21.51
Global days
090

National rate · 2026

$718.45

Facility setting, before claim adjustments.

See every locality for 25355 → · 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 25355 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 25355 covers

This service involves cutting and realigning the radius in its middle or proximal third to correct a bony deformity. An orthopedic or hand surgeon may perform it for a symptomatic radial malunion, such as angulation or rotation after a forearm fracture. The procedure is generally performed in an operating room, with the surgeon stabilizing the corrected bone as needed.

Choose this code for an osteotomy of the radius in the middle or proximal third; the distal-third radius osteotomy is a different code. The operative report should identify the treated bone and segment, the deformity and correction performed, and any stabilization. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is 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 25355 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

25355 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$648.92
Alaska*Unavailable$876.77
ArizonaUnavailable$698.55
ArkansasUnavailable$640.36
AtlantaUnavailable$739.02
AustinUnavailable$728.33
BakersfieldUnavailable$725.39
Baltimore/Surr. CntysUnavailable$763.34
BeaumontUnavailable$686.05
BrazoriaUnavailable$702.38

25355 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
25355 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 25355 rate is calculated

Each of 25355’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 · 25355

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.27Practice expense 9.05Malpractice 2.19

21.5100 adjusted RVUs×$33.4009 conversion factor=$718.45

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

Payment rules and modifiers for 25355

25355 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25355

Radius osteotomy

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 · 25355

Radius osteotomy

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

25355 without 50 · national facility

$718.45

Radius osteotomy

25355-50 · Bilateral: 150%

$1,077.68

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

25355 compared with similar codes

Compare codes

25355 vs 25350 vs 25360 vs 25365 vs 25390: national Medicare rates

Swap in your local Medicare rate.

  • 25355
    Radius osteotomy · 10.27 wRVU
    —
  • 25350
    Radius osteotomy · 8.86 wRVU
    —
  • 25360
    Ulnar osteotomy · 8.52 wRVU
    —
  • 25365
    Forearm osteotomy · 12.59 wRVU
    —
  • 25390
    Bone shortening · 10.43 wRVU
    —

How to choose

25350Radius osteotomy
Both describe radius osteotomy, but 25350 is for the distal third; 25355 is for the middle or proximal third.
25360Ulnar osteotomy
25360 is an osteotomy of the ulna. Use 25355 when the corrected bone is the radius in its middle or proximal third.
25365Forearm osteotomy
25365 covers osteotomy of both the radius and ulna. 25355 is for the radius alone in the specified segment.
25390Bone shortening
25390 describes shortening of the radius or ulna. Choose 25355 for a middle- or proximal-third radial osteotomy when the service is not specifically a shortening procedure.

Codes related to 25355

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

Codes related to 25355
CodeHow it relatesNational office range
Same family
25350Radius osteotomyRadius osteotomy in the distal third rather than the middle or proximal third.No office rate
Used instead
25360Ulnar osteotomyOsteotomy of the ulna when the corrective procedure treats that bone instead.No office rate
25365Forearm osteotomyOsteotomy of both radius and ulna when both bones are corrected.No office rate
25390Bone shorteningShortening of the radius or ulna when bone shortening is the procedure performed.No office rate

25355 billing questions

How is this different from 25350?

25355 is for an osteotomy in the middle or proximal third of the radius. Use 25350 for the distal third.

Can the radius and ulna osteotomies be reported together?

If the operative service corrects both bones, compare the documentation with 25365, which covers osteotomy of the radius and ulna. Do not use 25355 alone to represent an osteotomy of both bones.

What documentation supports selection of this code?

Document the radius as the treated bone, the middle or proximal segment, the deformity being corrected, and the osteotomy and realignment performed.

How should bilateral procedures be reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

Does the procedure have a global period?

Yes. It has a 90-day major-surgery global period that includes the day-before preoperative visit and 90 days of related postoperative care.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. An assistant at surgery may be paid.

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 25355PPRRVU2026_Oct_nonQPP.csv, line 2,439 (RVU26D)

Open CMS sourceHow we calculate rates

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