No office rate
25900 describes a new forearm amputation. Use 25907 when the surgeon revises a previous forearm amputation site instead.
On this page
CMS RVU26D · Effective 2026-10-01
25907 Amputation revision Medicare reimbursement rates
Reports revision surgery at a forearm amputation site, such as operative correction of a residual limb rather than a new forearm amputation. Compare 25907 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 25907?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 25907 pays more and less
Hand surgery
About 25907: Forearm amputation revision surgery
Reports revision surgery at a forearm amputation site, such as operative correction of a residual limb rather than a new forearm amputation.
This code represents revision surgery at a previous forearm amputation site. An orthopedic or hand surgeon may operate to address a residual limb problem, such as a painful or poorly functioning stump. The operative report should establish that the surgeon revised the existing amputation site and identify the anatomical level and work performed; routine prosthetic assessment or postoperative care alone is not this service.
Select the code based on the documented operation and forearm level, distinguishing revision from a new amputation and from revision at the wrist or hand. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% reduction. Modifier 50 identifies bilateral performance, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25907
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.89 · 45%
- Practice expense (office) RVU7.96 · 45%
- Malpractice RVU1.68 · 10%
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.
25907 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
25924 is a nearby amputation follow-up surgery code. Confirm the operative level and select the code matching the documented procedure rather than relying on the shared follow-up label.
See how rates vary across the country
25907 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 25907 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $527.93 |
| Alaska* | Office Unavailable | Facility $709.37 |
| Arizona | Office Unavailable | Facility $569.20 |
| Arkansas | Office Unavailable | Facility $520.81 |
| Atlanta | Office Unavailable | Facility $601.84 |
| Austin | Office Unavailable | Facility $595.07 |
| Bakersfield | Office Unavailable | Facility $594.11 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $622.44 |
| Beaumont | Office Unavailable | Facility $557.61 |
| Brazoria | Office Unavailable | Facility $572.89 |
| Chicago | Office Unavailable | Facility $661.36 |
| Chico | Office Unavailable | Facility $589.48 |
| Colorado | Office Unavailable | Facility $593.41 |
| Connecticut | Office Unavailable | Facility $623.04 |
| Dallas | Office Unavailable | Facility $578.86 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $653.41 |
| Delaware | Office Unavailable | Facility $577.98 |
| Detroit | Office Unavailable | Facility $614.71 |
| East St. Louis | Office Unavailable | Facility $621.15 |
| El Centro | Office Unavailable | Facility $589.77 |
| Fort Lauderdale | Office Unavailable | Facility $634.31 |
| Fort Worth | Office Unavailable | Facility $576.93 |
| Fresno | Office Unavailable | Facility $589.48 |
| Galveston | Office Unavailable | Facility $576.11 |
| Hanford-Corcoran | Office Unavailable | Facility $589.48 |
| Hawaii, Guam | Office Unavailable | Facility $598.32 |
| Houston | Office Unavailable | Facility $606.86 |
| Idaho | Office Unavailable | Facility $534.68 |
| Indiana | Office Unavailable | Facility $537.27 |
| Iowa | Office Unavailable | Facility $529.08 |
| Kansas | Office Unavailable | Facility $532.16 |
| Kentucky | Office Unavailable | Facility $551.24 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $626.12 |
| Madera | Office Unavailable | Facility $589.48 |
| Manhattan | Office Unavailable | Facility $678.34 |
| Merced | Office Unavailable | Facility $589.48 |
| Metropolitan Boston | Office Unavailable | Facility $641.73 |
| Metropolitan Kansas City | Office Unavailable | Facility $568.01 |
| Metropolitan Philadelphia | Office Unavailable | Facility $611.99 |
| Metropolitan St. Louis | Office Unavailable | Facility $572.87 |
| Miami | Office Unavailable | Facility $682.22 |
| Minnesota | Office Unavailable | Facility $553.72 |
| Mississippi | Office Unavailable | Facility $533.92 |
| Modesto | Office Unavailable | Facility $589.48 |
| Montana** | Office Unavailable | Facility $585.41 |
| Napa | Office Unavailable | Facility $659.06 |
| Nebraska | Office Unavailable | Facility $530.14 |
| Nevada** | Office Unavailable | Facility $576.41 |
| New Hampshire | Office Unavailable | Facility $589.40 |
| New Mexico | Office Unavailable | Facility $574.73 |
| New Orleans | Office Unavailable | Facility $577.46 |
| North Carolina | Office Unavailable | Facility $547.45 |
| North Dakota** | Office Unavailable | Facility $552.19 |
| Northern Nj | Office Unavailable | Facility $648.48 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $700.72 |
| Ohio | Office Unavailable | Facility $562.84 |
| Oklahoma | Office Unavailable | Facility $544.56 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $620.13 |
| Portland | Office Unavailable | Facility $604.88 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $634.42 |
| Puerto Rico | Office Unavailable | Facility $587.60 |
| Queens | Office Unavailable | Facility $675.57 |
| Redding | Office Unavailable | Facility $589.48 |
| Rest Of California | Office Unavailable | Facility $589.48 |
| Rest Of Florida | Office Unavailable | Facility $602.04 |
| Rest Of Georgia | Office Unavailable | Facility $567.58 |
| Rest Of Illinois | Office Unavailable | Facility $593.98 |
| Rest Of Louisiana | Office Unavailable | Facility $552.59 |
| Rest Of Maine | Office Unavailable | Facility $543.04 |
| Rest Of Maryland | Office Unavailable | Facility $586.74 |
| Rest Of Massachusetts | Office Unavailable | Facility $592.43 |
| Rest Of Michigan | Office Unavailable | Facility $569.63 |
| Rest Of Missouri | Office Unavailable | Facility $547.37 |
| Rest Of New Jersey | Office Unavailable | Facility $625.96 |
| Rest Of New York | Office Unavailable | Facility $555.56 |
| Rest Of Oregon | Office Unavailable | Facility $567.79 |
| Rest Of Pennsylvania | Office Unavailable | Facility $560.63 |
| Rest Of Texas | Office Unavailable | Facility $566.52 |
| Rest Of Washington | Office Unavailable | Facility $589.62 |
| Rhode Island | Office Unavailable | Facility $593.24 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $607.54 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $612.31 |
| Salinas | Office Unavailable | Facility $609.92 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $619.83 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $689.20 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $687.30 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $705.98 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $698.19 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $600.92 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $622.18 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $610.99 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $628.01 |
| Seattle (King Cnty) | Office Unavailable | Facility $648.78 |
| South Carolina | Office Unavailable | Facility $556.89 |
| South Dakota** | Office Unavailable | Facility $548.26 |
| Southern Maine | Office Unavailable | Facility $562.42 |
| Stockton | Office Unavailable | Facility $589.48 |
| Suburban Chicago | Office Unavailable | Facility $637.86 |
| Tennessee | Office Unavailable | Facility $535.34 |
| Utah | Office Unavailable | Facility $563.84 |
| Vallejo | Office Unavailable | Facility $656.31 |
| Vermont | Office Unavailable | Facility $555.14 |
| Virgin Islands | Office Unavailable | Facility $587.60 |
| Virginia | Office Unavailable | Facility $564.50 |
| Visalia | Office Unavailable | Facility $589.48 |
| West Virginia | Office Unavailable | Facility $574.87 |
| Wisconsin | Office Unavailable | Facility $535.52 |
| Wyoming** | Office Unavailable | Facility $570.93 |
| Yuba City | Office Unavailable | Facility $589.48 |
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25907 billing questions
How is this different from a new forearm amputation?
This code is for revision of an existing forearm amputation site. Report a new-amputation code when the operation creates the amputation rather than revising a prior site.
What documentation supports reporting this code?
The operative report should identify the prior amputation, the forearm-level site, and the revision work performed. A clinic visit for residual-limb assessment without operative revision does not support this service.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are bilateral procedures and multiple procedures handled?
When performed bilaterally, modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,51425830,,Arthrd dst rad/ul jt sgm rsc,A,,10.61,16.37,NA,16.37,,2.08,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51525900,,Amputation of forearm,A,,9.37,8.81,NA,8.81,,1.88,20.06,20.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51625905,,Amputation of forearm,A,,9.35,8.42,NA,8.42,,1.99,19.76,19.76,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51725907,,Amputation follow-up surgery,A,,7.89,7.96,NA,7.96,,1.68,17.53,17.53,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51825909,,Amputation follow-up surgery,A,,9.08,8.33,NA,8.33,,1.93,19.34,19.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51925915,,Amputation of forearm,A,,17.08,11.01,NA,11.01,,3.63,31.72,31.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52025920,,Amputate hand at wrist,A,,8.80,10.21,NA,10.21,,1.87,20.88,20.88,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00