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Billing code 25929: Amputation revisionMedicare rate & RVUs

Reports surgical revision of a prior hand amputation through the metacarpals, such as reshaping a residual limb that is painful or poorly healed.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $571.82 for 25929 nationally in a facility.

Medicare rate · 25929

Amputation revision

Swap in your local Medicare rate.

Work RVUs
7.62
Total RVUs
17.12
Global days
090

National rate · 2026

$571.82

Facility setting, before claim adjustments.

See every locality for 25929 → · 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 25929 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 25929 covers

This code describes surgery to revise a residual hand after an amputation through the metacarpals. A hand or orthopedic surgeon may reshape the remaining bone and soft tissue or address a problematic scar or wound when the residual limb is painful, poorly healed, or unsuitable for use. The operative report should establish that this is revision of a prior amputation and document the level and work performed.

Report the code for the revision procedure, not for the original amputation. It has a 90-day global period, which includes 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% multiple procedure reduction. Modifier 50 applies to bilateral procedures, with payment 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 25929 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

25929 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$515.34
Alaska*Unavailable$691.72
ArizonaUnavailable$555.83
ArkansasUnavailable$508.35
AtlantaUnavailable$587.74
AustinUnavailable$581.37
BakersfieldUnavailable$580.61
Baltimore/Surr. CntysUnavailable$607.99
BeaumontUnavailable$544.30
BrazoriaUnavailable$559.52

25929 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.

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25929 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 25929 rate is calculated

Each of 25929’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 · 25929

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.62Practice expense 7.87Malpractice 1.63

17.1200 adjusted RVUs×$33.4009 conversion factor=$571.82

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

Payment rules and modifiers for 25929

25929 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25929

Amputation revision

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 · 25929

Amputation revision

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

25929 without 50 · national facility

$571.82

Amputation revision

25929-50 · Bilateral: 150%

$857.73

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

25929 compared with similar codes

Compare codes

25929 vs 25927 vs 25924 vs 25900: national Medicare rates

Swap in your local Medicare rate.

  • 25929
    Amputation revision · 7.62 wRVU
    —
  • 25927
    Hand amputation · 8.86 wRVU
    —
  • 25924
    Amputation revision · 8.59 wRVU
    —
  • 25900
    Forearm amputation · 9.37 wRVU
    —

How to choose

25927Hand amputation
25927 describes an amputation through the metacarpals. Choose 25929 when the operation revises a prior amputation at that level.
25924Amputation revision
25924 is follow-up surgery at the wrist level; 25929 is for revision in the hand through the metacarpals.
25900Forearm amputation
25900 describes forearm amputation, not revision of a hand amputation through the metacarpals.

Codes related to 25929

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

Codes related to 25929
CodeHow it relatesNational office range
Used instead
25927Hand amputationDescribes hand amputation through the metacarpals, rather than revision of a prior amputation.No office rate
Same family
25924Amputation revisionFollow-up surgery in the hand-amputation family at the wrist level.No office rate
25907Amputation revisionFollow-up surgery in the forearm-amputation family.No office rate
25909Amputation revisionAnother follow-up surgery code in the forearm-amputation family.No office rate
25931Hand re-amputationNearby follow-up surgery code in the hand-amputation family.No office rate

25929 billing questions

When is this code used instead of 25927?

Use 25929 for revision of a prior hand amputation through the metacarpals. Code 25927 describes an amputation through the metacarpals, rather than revision of an existing amputation.

What documentation supports reporting a revision?

Document the prior amputation, the residual-limb problem being treated, the level, and the revision work performed. The operative report should make clear that the procedure revises the existing amputation.

Are related postoperative visits separately reported?

The 90-day global period includes related postoperative care. It also includes the preoperative visit on the day before surgery.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple procedure reduction.

Can an assistant surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

How is bilateral revision handled?

For a bilateral procedure, report modifier 50; CMS payment is at 150%.

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 25929PPRRVU2026_Oct_nonQPP.csv, line 2,524 (RVU26D)

Open CMS sourceHow we calculate rates

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