No office rate
Choose 25290 for division of the tendon. Choose 25280 when the surgeon performs tendon lengthening or shortening.
On this page
CMS RVU26D · Effective 2026-10-01
25290 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$422.85
Base rate per service
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.
Orthopedic surgery
About 25290: Wrist or forearm tendon division
Surgical division of one wrist or forearm flexor or extensor tendon to address contracture or tethering, reported for each tendon treated.
This service involves surgically dividing a flexor or extensor tendon in the wrist or forearm, typically to reduce tendon tightness contributing to a contracture or deformity. It is generally performed by an orthopedic or hand surgeon in an operating room. The operative report should identify the tendon and site and describe the reason for division; distinguish this procedure from tendon repair, lengthening, or freeing adhesions around an intact tendon.
Report the service for each tendon divided, supported by the operative documentation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 25290
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.29 · 43%
- Practice expense (office) RVU6.11 · 49%
- Malpractice RVU1.01 · 8%
3.2K
Medicare services in 2024 · #2119 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.
25290 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
25295 describes freeing a tendon from adhesions to improve glide; 25290 describes dividing the tendon.
No office rate
25260 is for primary repair of a flexor tendon. Use 25290 when the documented procedure is tendon division, not restoration of a lacerated tendon.
No office rate
25270 is for primary repair of an extensor tendon. Use 25290 when the documented procedure is tendon division rather than repair.
The same code, a different location
How does Austin compare?
25290 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 25290
Office
Unavailable
Facility
$400.82
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 25290
Office
Unavailable
Facility
$447.76
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25290
Office
Unavailable
Facility
$464.18
No comparable office rate is available.
Miami
Florida · 25290
Office
Unavailable
Facility
$474.45
No comparable office rate is available.
Chicago
Illinois · 25290
Office
Unavailable
Facility
$460.45
No comparable office rate is available.
Manhattan
New York · 25290
Office
Unavailable
Facility
$478.64
No comparable office rate is available.
Alaska*
Alaska · 25290
Office
Unavailable
Facility
$500.97
No comparable office rate is available.
Alabama
Alabama · 25290
Office
Unavailable
Facility
$374.35
No comparable office rate is available.
Arkansas
Arkansas · 25290
Office
Unavailable
Facility
$369.37
No comparable office rate is available.
Arizona
Arizona · 25290
Office
Unavailable
Facility
$403.32
No comparable office rate is available.
Bakersfield
California · 25290
Office
Unavailable
Facility
$424.26
No comparable office rate is available.
Chico
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
El Centro
California · 25290
Office
Unavailable
Facility
$421.62
No comparable office rate is available.
Fresno
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Hanford-Corcoran
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Madera
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Merced
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Modesto
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Napa
California · 25290
Office
Unavailable
Facility
$473.94
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25290
Office
Unavailable
Facility
$443.88
No comparable office rate is available.
Redding
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Rest Of California
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25290
Office
Unavailable
Facility
$432.32
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25290
Office
Unavailable
Facility
$438.48
No comparable office rate is available.
Salinas
California · 25290
Office
Unavailable
Facility
$436.78
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25290
Office
Unavailable
Facility
$444.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25290
Office
Unavailable
Facility
$496.71
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25290
Office
Unavailable
Facility
$495.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25290
Office
Unavailable
Facility
$508.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25290
Office
Unavailable
Facility
$503.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25290
Office
Unavailable
Facility
$430.22
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25290
Office
Unavailable
Facility
$446.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25290
Office
Unavailable
Facility
$437.68
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25290
Office
Unavailable
Facility
$450.68
No comparable office rate is available.
Stockton
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Vallejo
California · 25290
Office
Unavailable
Facility
$472.28
No comparable office rate is available.
Visalia
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Yuba City
California · 25290
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Colorado
Colorado · 25290
Office
Unavailable
Facility
$422.30
No comparable office rate is available.
Connecticut
Connecticut · 25290
Office
Unavailable
Facility
$440.84
No comparable office rate is available.
Delaware
Delaware · 25290
Office
Unavailable
Facility
$409.53
No comparable office rate is available.
Fort Lauderdale
Florida · 25290
Office
Unavailable
Facility
$444.42
No comparable office rate is available.
Rest Of Florida
Florida · 25290
Office
Unavailable
Facility
$422.49
No comparable office rate is available.
Atlanta
Georgia · 25290
Office
Unavailable
Facility
$425.08
No comparable office rate is available.
Rest Of Georgia
Georgia · 25290
Office
Unavailable
Facility
$398.94
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25290
Office
Unavailable
Facility
$428.26
No comparable office rate is available.
Iowa
Iowa · 25290
Office
Unavailable
Facility
$376.82
No comparable office rate is available.
Idaho
Idaho · 25290
Office
Unavailable
Facility
$380.40
No comparable office rate is available.
East St. Louis
Illinois · 25290
Office
Unavailable
Facility
$432.39
No comparable office rate is available.
Rest Of Illinois
Illinois · 25290
Office
Unavailable
Facility
$415.74
No comparable office rate is available.
Suburban Chicago
Illinois · 25290
Office
Unavailable
Facility
$447.30
No comparable office rate is available.
Indiana
Indiana · 25290
Office
Unavailable
Facility
$382.27
No comparable office rate is available.
Kansas
Kansas · 25290
Office
Unavailable
Facility
$378.18
No comparable office rate is available.
Kentucky
Kentucky · 25290
Office
Unavailable
Facility
$388.98
No comparable office rate is available.
New Orleans
Louisiana · 25290
Office
Unavailable
Facility
$407.05
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25290
Office
Unavailable
Facility
$389.62
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25290
Office
Unavailable
Facility
$457.63
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25290
Office
Unavailable
Facility
$421.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25290
Office
Unavailable
Facility
$440.23
No comparable office rate is available.
Rest Of Maryland
Maryland · 25290
Office
Unavailable
Facility
$415.95
No comparable office rate is available.
Rest Of Maine
Maine · 25290
Office
Unavailable
Facility
$385.43
No comparable office rate is available.
Southern Maine
Maine · 25290
Office
Unavailable
Facility
$400.22
No comparable office rate is available.
Detroit
Michigan · 25290
Office
Unavailable
Facility
$430.50
No comparable office rate is available.
Rest Of Michigan
Michigan · 25290
Office
Unavailable
Facility
$401.10
No comparable office rate is available.
Minnesota
Minnesota · 25290
Office
Unavailable
Facility
$396.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25290
Office
Unavailable
Facility
$401.28
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25290
Office
Unavailable
Facility
$404.78
No comparable office rate is available.
Rest Of Missouri
Missouri · 25290
Office
Unavailable
Facility
$385.47
No comparable office rate is available.
Mississippi
Mississippi · 25290
Office
Unavailable
Facility
$377.33
No comparable office rate is available.
Montana**
Montana · 25290
Office
Unavailable
Facility
$414.44
No comparable office rate is available.
North Carolina
North Carolina · 25290
Office
Unavailable
Facility
$388.65
No comparable office rate is available.
North Dakota**
North Dakota · 25290
Office
Unavailable
Facility
$394.47
No comparable office rate is available.
Nebraska
Nebraska · 25290
Office
Unavailable
Facility
$377.81
No comparable office rate is available.
New Hampshire
New Hampshire · 25290
Office
Unavailable
Facility
$418.66
No comparable office rate is available.
Northern Nj
New Jersey · 25290
Office
Unavailable
Facility
$460.58
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25290
Office
Unavailable
Facility
$443.62
No comparable office rate is available.
New Mexico
New Mexico · 25290
Office
Unavailable
Facility
$404.35
No comparable office rate is available.
Nevada**
Nevada · 25290
Office
Unavailable
Facility
$409.08
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25290
Office
Unavailable
Facility
$493.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25290
Office
Unavailable
Facility
$448.93
No comparable office rate is available.
Queens
New York · 25290
Office
Unavailable
Facility
$477.87
No comparable office rate is available.
Rest Of New York
New York · 25290
Office
Unavailable
Facility
$394.28
No comparable office rate is available.
Ohio
Ohio · 25290
Office
Unavailable
Facility
$397.02
No comparable office rate is available.
Oklahoma
Oklahoma · 25290
Office
Unavailable
Facility
$385.15
No comparable office rate is available.
Portland
Oregon · 25290
Office
Unavailable
Facility
$431.35
No comparable office rate is available.
Rest Of Oregon
Oregon · 25290
Office
Unavailable
Facility
$403.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25290
Office
Unavailable
Facility
$432.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25290
Office
Unavailable
Facility
$395.92
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25290
Office
Unavailable
Facility
$416.24
No comparable office rate is available.
Rhode Island
Rhode Island · 25290
Office
Unavailable
Facility
$420.95
No comparable office rate is available.
South Carolina
South Carolina · 25290
Office
Unavailable
Facility
$393.93
No comparable office rate is available.
South Dakota**
South Dakota · 25290
Office
Unavailable
Facility
$392.11
No comparable office rate is available.
Tennessee
Tennessee · 25290
Office
Unavailable
Facility
$380.31
No comparable office rate is available.
Utah
Utah · 25290
Office
Unavailable
Facility
$398.82
No comparable office rate is available.
Virginia
Virginia · 25290
Office
Unavailable
Facility
$401.12
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25290
Office
Unavailable
Facility
$416.24
No comparable office rate is available.
Vermont
Vermont · 25290
Office
Unavailable
Facility
$395.80
No comparable office rate is available.
Rest Of Washington
Washington · 25290
Office
Unavailable
Facility
$419.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25290
Office
Unavailable
Facility
$463.49
No comparable office rate is available.
Wisconsin
Wisconsin · 25290
Office
Unavailable
Facility
$382.59
No comparable office rate is available.
West Virginia
West Virginia · 25290
Office
Unavailable
Facility
$402.31
No comparable office rate is available.
Wyoming**
Wyoming · 25290
Office
Unavailable
Facility
$405.73
No comparable office rate is available.
See how rates vary across the country
25290 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 25290 in Austin
Multiple payment areas
- 25290 in Barton Creek
- 25290 in Bee Cave
- 25290 in Briarcliff
- 25290 in Cedar Park
Multiple payment areas
- 25290 in Creedmoor
Multiple payment areas
- 25290 in Elgin
Multiple payment areas
- 25290 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25290 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$465.14
$422.85 × 110% = $465.14
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 25290 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,426
- Code
- 25290
- Physician work
- 5.29
- Practice expense
- 6.11
- Malpractice
- 1.01
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.29 | × 1.002 | 5.3006 |
| Practice expense | 6.11 | × 1.058 | 6.4644 |
| Malpractice | 1.01 | × 0.886 | 0.8949 |
| Total RVUs | 12.6598 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$422.85
Open 25290 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.29 | 1.002 |
| Practice expense | 6.11 | 1.058 |
| Malpractice | 1.01 | 0.886 |
(5.29 × 1.002 + 6.11 × 1.058 + 1.01 × 0.886) × $33.4009 = $422.85
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
25290 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $422.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $422.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $422.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $422.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $446.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $446.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $446.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $446.06 | RVU25A |
25290 billing questions
How is this different from tendon lengthening or shortening?
This service reports tendon division. Use 25280 when the surgeon lengthens or shortens the tendon rather than dividing it.
How is this different from tenolysis?
Tenolysis, reported with 25295, frees a tendon from adhesions that restrict its glide. This code is for dividing the tendon itself.
How many units should be reported?
Report each tendon treated as supported by the operative note. Document the tendon, wrist or forearm site, and the procedure performed.
Is modifier 50 appropriate?
No. Modifier 50 is inappropriate for this service; document the treated tendon or tendons and report according to the code’s each-tendon basis.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are not permitted under the CMS rules 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.
2,42325274,,Repair forearm tendon/muscle,A,,8.72,8.08,NA,8.08,,1.64,18.44,18.44,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42425275,,Repair forearm tendon sheath,A,,8.74,8.28,NA,8.28,,1.66,18.68,18.68,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42525280,,Revise wrist/forearm tendon,A,,7.21,7.32,NA,7.32,,1.41,15.94,15.94,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42625290,,Incise wrist/forearm tendon,A,,5.29,6.11,NA,6.11,,1.01,12.41,12.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42725295,,Release wrist/forearm tendon,A,,6.55,7.07,NA,7.07,,1.26,14.88,14.88,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42825300,,Fusion of tendons at wrist,A,,8.79,8.99,NA,8.99,,1.87,19.65,19.65,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42925301,,Fusion of tendons at wrist,A,,8.38,7.93,NA,7.93,,1.63,17.94,17.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858