No office rate
Both describe wrist-level hand amputation, but 25922 represents re-amputation. Use the operative history and full procedure documentation to distinguish the initial amputation from a repeat amputation.
On this page
CMS RVU26D · Effective 2026-10-01
25920 Hand amputation Medicare reimbursement rates
Reports surgical removal of the hand at the wrist, such as for a severely injured or nonviable hand when amputation is required. Compare 25920 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 25920?
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
Facility setting
$619.03–$851.49
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $232.46 per service.
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 25920 pays more and less
Hand surgery
About 25920: Hand amputation at the wrist
Reports surgical removal of the hand at the wrist, such as for a severely injured or nonviable hand when amputation is required.
This service removes the hand at the wrist level, separating it from the forearm through the wrist. It may be required after devastating crush or other traumatic injury, or when severe infection or loss of blood supply leaves the hand nonviable. An orthopedic, plastic, or hand surgeon typically performs the operation in an operating room, often in a hospital or other facility setting.
Select this code when the operative report supports amputation at the wrist, rather than through the metacarpals or at a forearm level. Document the indication, the anatomical level, and the operative findings; prior amputation history can help distinguish an initial procedure from re-amputation. Medicare assigns a 90-day 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 procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 25920
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.80 · 42%
- Practice expense (office) RVU10.21 · 49%
- Malpractice RVU1.87 · 9%
18
Medicare services in 2024 · #5967 by national volume
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.
25920 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
25920 is used for amputation at the wrist; 25927 applies when the hand is amputated through the metacarpal bones.
No office rate
25900 is a forearm-level amputation code. Choose based on the documented operative level, not simply the extent of hand injury.
See how rates vary across the country
25920 · 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 25920 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 $627.68 |
| Alaska* | Office Unavailable | Facility $838.50 |
| Arizona | Office Unavailable | Facility $677.84 |
| Arkansas | Office Unavailable | Facility $619.03 |
| Atlanta | Office Unavailable | Facility $716.30 |
| Austin | Office Unavailable | Facility $710.66 |
| Bakersfield | Office Unavailable | Facility $711.31 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $741.81 |
| Beaumont | Office Unavailable | Facility $662.28 |
| Brazoria | Office Unavailable | Facility $682.95 |
| Chicago | Office Unavailable | Facility $782.06 |
| Chico | Office Unavailable | Facility $706.16 |
| Colorado | Office Unavailable | Facility $709.08 |
| Connecticut | Office Unavailable | Facility $742.66 |
| Dallas | Office Unavailable | Facility $689.82 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $781.04 |
| Delaware | Office Unavailable | Facility $688.48 |
| Detroit | Office Unavailable | Facility $728.32 |
| East St. Louis | Office Unavailable | Facility $733.46 |
| El Centro | Office Unavailable | Facility $706.48 |
| Fort Lauderdale | Office Unavailable | Facility $752.31 |
| Fort Worth | Office Unavailable | Facility $687.22 |
| Fresno | Office Unavailable | Facility $706.16 |
| Galveston | Office Unavailable | Facility $686.63 |
| Hanford-Corcoran | Office Unavailable | Facility $706.16 |
| Hawaii, Guam | Office Unavailable | Facility $717.84 |
| Houston | Office Unavailable | Facility $720.86 |
| Idaho | Office Unavailable | Facility $637.21 |
| Indiana | Office Unavailable | Facility $640.41 |
| Iowa | Office Unavailable | Facility $630.76 |
| Kansas | Office Unavailable | Facility $633.69 |
| Kentucky | Office Unavailable | Facility $654.25 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $750.88 |
| Madera | Office Unavailable | Facility $706.16 |
| Manhattan | Office Unavailable | Facility $808.07 |
| Merced | Office Unavailable | Facility $706.16 |
| Metropolitan Boston | Office Unavailable | Facility $768.75 |
| Metropolitan Kansas City | Office Unavailable | Facility $675.17 |
| Metropolitan Philadelphia | Office Unavailable | Facility $728.74 |
| Metropolitan St. Louis | Office Unavailable | Facility $681.17 |
| Miami | Office Unavailable | Facility $806.89 |
| Minnesota | Office Unavailable | Facility $663.33 |
| Mississippi | Office Unavailable | Facility $633.71 |
| Modesto | Office Unavailable | Facility $706.16 |
| Montana** | Office Unavailable | Facility $697.29 |
| Napa | Office Unavailable | Facility $793.64 |
| Nebraska | Office Unavailable | Facility $632.30 |
| Nevada** | Office Unavailable | Facility $687.32 |
| New Hampshire | Office Unavailable | Facility $703.59 |
| New Mexico | Office Unavailable | Facility $681.66 |
| New Orleans | Office Unavailable | Facility $685.78 |
| North Carolina | Office Unavailable | Facility $652.01 |
| North Dakota** | Office Unavailable | Facility $660.31 |
| Northern Nj | Office Unavailable | Facility $774.74 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $834.20 |
| Ohio | Office Unavailable | Facility $668.24 |
| Oklahoma | Office Unavailable | Facility $646.99 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $744.16 |
| Portland | Office Unavailable | Facility $723.98 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $756.15 |
| Puerto Rico | Office Unavailable | Facility $700.23 |
| Queens | Office Unavailable | Facility $805.90 |
| Redding | Office Unavailable | Facility $706.16 |
| Rest Of California | Office Unavailable | Facility $706.16 |
| Rest Of Florida | Office Unavailable | Facility $713.82 |
| Rest Of Georgia | Office Unavailable | Facility $672.57 |
| Rest Of Illinois | Office Unavailable | Facility $702.91 |
| Rest Of Louisiana | Office Unavailable | Facility $655.57 |
| Rest Of Maine | Office Unavailable | Facility $646.52 |
| Rest Of Maryland | Office Unavailable | Facility $699.32 |
| Rest Of Massachusetts | Office Unavailable | Facility $707.51 |
| Rest Of Michigan | Office Unavailable | Facility $675.80 |
| Rest Of Missouri | Office Unavailable | Facility $648.73 |
| Rest Of New Jersey | Office Unavailable | Facility $746.60 |
| Rest Of New York | Office Unavailable | Facility $661.81 |
| Rest Of Oregon | Office Unavailable | Facility $677.50 |
| Rest Of Pennsylvania | Office Unavailable | Facility $666.01 |
| Rest Of Texas | Office Unavailable | Facility $673.96 |
| Rest Of Washington | Office Unavailable | Facility $704.38 |
| Rhode Island | Office Unavailable | Facility $707.50 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $726.26 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $734.60 |
| Salinas | Office Unavailable | Facility $731.76 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $744.46 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $831.36 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $829.24 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $851.49 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $842.81 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $720.83 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $747.92 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $733.27 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $755.00 |
| Seattle (King Cnty) | Office Unavailable | Facility $778.09 |
| South Carolina | Office Unavailable | Facility $662.12 |
| South Dakota** | Office Unavailable | Facility $655.94 |
| Southern Maine | Office Unavailable | Facility $671.29 |
| Stockton | Office Unavailable | Facility $706.16 |
| Suburban Chicago | Office Unavailable | Facility $756.89 |
| Tennessee | Office Unavailable | Facility $637.46 |
| Utah | Office Unavailable | Facility $670.58 |
| Vallejo | Office Unavailable | Facility $790.58 |
| Vermont | Office Unavailable | Facility $663.15 |
| Virgin Islands | Office Unavailable | Facility $700.23 |
| Virginia | Office Unavailable | Facility $673.25 |
| Visalia | Office Unavailable | Facility $706.16 |
| West Virginia | Office Unavailable | Facility $679.66 |
| Wisconsin | Office Unavailable | Facility $639.87 |
| Wyoming** | Office Unavailable | Facility $681.17 |
| Yuba City | Office Unavailable | Facility $706.16 |
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25920 billing questions
How is 25920 distinguished from 25927?
25920 represents amputation at the wrist. Use 25927 when the operative level is through the metacarpal bones.
How does 25920 differ from 25922?
Both are wrist-level hand amputation codes. 25922 is for re-amputation at the wrist; 25920 is for the initial amputation.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral wrist-level hand amputation reported?
Report modifier 50 for a bilateral procedure; Medicare pays the bilateral service at 150%.
When can an assistant at surgery be paid?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon and team-surgery payment 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.
2,51725907,,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
2,52125922,,Amputate hand at wrist,A,,7.46,9.63,NA,9.63,,1.59,18.68,18.68,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52225924,,Amputation follow-up surgery,A,,8.59,9.99,NA,9.99,,1.83,20.41,20.41,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52325927,,Amputation of hand,A,,8.86,14.39,NA,14.39,,1.90,25.15,25.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00