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CPT 25927: Hand amputationMedicare rate & RVUs

Reports surgical removal of the hand through the metacarpal level, typically when injury, infection, or disease makes preservation of the hand impossible.

CMS RVU26DEffective Oct 1, 2026109 payment localities23 Medicare services in 2024

Medicare pays $840.03 for 25927 nationally in a facility.

Medicare rate · 25927

Hand amputation

Swap in your local Medicare rate.

Work RVUs
8.86
Total RVUs
25.15
Global days
090

National rate · 2026

$840.03

Facility setting, before claim adjustments.

See every locality for 25927 →

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 25927 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 25927 covers

This operation removes the hand through the metacarpal level while preserving the wrist. It may be performed for a severely mangled hand, nonviable tissue after trauma, or disease that cannot be controlled while retaining the hand. An orthopedic or hand surgeon, plastic surgeon, or other qualified surgeon typically performs the procedure in a hospital or ambulatory surgical setting. The operative report should identify the amputation level and describe the procedure performed.

Report 25927 when the documented operative level is through the metacarpals, not at the wrist or through the forearm. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery claims 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 25927 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

25927 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$752.41
Alaska*Unavailable$990.75
ArizonaUnavailable$815.99
ArkansasUnavailable$741.48
AtlantaUnavailable$861.37
AustinUnavailable$861.27
BakersfieldUnavailable$866.98
Baltimore/Surr. CntysUnavailable$894.89
BeaumontUnavailable$792.27
BrazoriaUnavailable$824.11

25927 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
25927 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 25927 rate is calculated

Each of 25927’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 · 25927

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.86Practice expense 14.39Malpractice 1.90

25.1500 adjusted RVUs×$33.4009 conversion factor=$840.03

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

Payment rules and modifiers for 25927

25927 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25927

Hand amputation

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)0Not paid without supporting documentation.
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 · 25927

Hand amputation

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

25927 without 50 · national facility

$840.03

Hand amputation

25927-50 · Bilateral: 150%

$1,260.05

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

25927 compared with similar codes

Compare codes

25927 vs 25920 vs 25922 vs 25900: national Medicare rates

Swap in your local Medicare rate.

  • 25927
    Hand amputation · 8.86 wRVU
    —
  • 25920
    Hand amputation · 8.8 wRVU
    —
  • 25922
    Hand amputation · 7.46 wRVU
    —
  • 25900
    Forearm amputation · 9.37 wRVU
    —

How to choose

25920Hand amputation
25920 describes a wrist-level hand amputation. Use 25927 when the operative level is through the metacarpals.
25922Hand amputation
25922 is also for a wrist-level hand amputation. The operative report's stated level determines whether 25927 is appropriate.
25900Forearm amputation
25900 is a forearm amputation, a more proximal level than the metacarpal-level hand amputation reported with 25927.

Codes related to 25927

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

Codes related to 25927
CodeHow it relatesNational office range
Same family
25920Hand amputationWrist-level hand amputation; the operative level distinguishes it from 25927.No office rate
25922Hand amputationAnother wrist-level hand amputation code; select by the documented operative level and service.No office rate
Used instead
25900Forearm amputationA more proximal forearm amputation when the operative level extends beyond the hand.No office rate

25927 billing questions

How do I distinguish 25927 from a wrist-level hand amputation?

Use 25927 when the operative level is through the metacarpals. Codes 25920 and 25922 describe wrist-level hand amputations.

What documentation supports 25927?

The operative report should establish the precise amputation level through the metacarpals and describe the procedure performed. The clinical record should support the need for removal of the hand.

Are related postoperative visits included?

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

How is bilateral 25927 reported?

Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeon and team-surgery claims are not permitted for this procedure.

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 25927PPRRVU2026_Oct_nonQPP.csv, line 2,523 (RVU26D)

Open CMS sourceHow we calculate rates

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