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CMS RVU26D · Effective 2026-10-01

25075 in Delaware

Office / nonfacility

$545.61

Base rate per service

Facility setting

$302.72

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.

Soft tissue surgery

About 25075: Subcutaneous forearm tumor excision under 3 cm

Report this code for excision of a subcutaneous soft-tissue tumor in the forearm or wrist area when the tumor is under 3 cm.

This code describes surgical removal of a soft-tissue tumor located beneath the skin in the forearm or wrist area, with a tumor size under 3 cm. An orthopedic or hand surgeon, or another surgeon treating soft-tissue masses, may perform the procedure in an office-based operating room or a hospital or ambulatory surgery facility. The key distinctions are the anatomic area, the tumor’s subcutaneous depth, and its size; removal of a skin lesion or a deeper mass belongs to a different code category or level.

Select the code using operative documentation that identifies the forearm or wrist area, describes the mass as subcutaneous, and records its size and excision. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25075

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
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 RVU3.86 · 23%
  • Practice expense (office) RVU11.87 · 72%
  • Malpractice RVU0.81 · 5%

3.5K

Medicare services in 2024 · #2070 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.

25075 compared with similar codes

Office rates for Delaware, from the same CMS release.

25071

Forearm mass excision

Subcutaneous, 3 cm or larger

No office rate

Both cover subcutaneous forearm or wrist soft-tissue tumor excision; the size threshold separates them. Use 25075 below 3 cm and 25071 at 3 cm or larger.

25076

Forearm tumor excision

Deep, under 3 cm

No office rate

This code is for a subcutaneous tumor under 3 cm. Use 25076 when the forearm or wrist tumor is deep and under 3 cm.

25065

Soft-tissue biopsy

Superficial forearm or wrist

$259.02

Code 25065 describes biopsy of subcutaneous forearm soft tissue. Use 25075 when the documented service is excision of the tumor rather than biopsy.

25066

Soft-tissue biopsy

Deep tissue

No office rate

Code 25066 describes biopsy of deep forearm soft tissue. It is not the code for excision of a subcutaneous tumor.

The same code, a different location

How does Delaware compare?

25075 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $545.61

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $621.20

    $75.59 higher than Delaware

  3. Dc + Md/Va Suburbs

    $633.04

    $87.43 higher than Delaware

  4. Miami

    $610.07

    $64.46 higher than Delaware

  5. Chicago

    $590.37

    $44.76 higher than Delaware

  6. Manhattan

    $640.78

    $95.17 higher than Delaware

  7. Alaska*

    $630.54

    $84.93 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 25075 ranges from $483.43 in Arkansas to $729.32 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 25075

    Office

    $491.15

    Facility

    $276.05

    $54.46 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 25075

    Office

    $483.43

    Facility

    $272.26

    $62.18 lower than Delaware for the office setting.

  • Arizona

    Arizona · 25075

    Office

    $536.26

    Facility

    $298.05

    $9.35 lower than Delaware for the office setting.

  • Bakersfield

    California · 25075

    Office

    $582.38

    Facility

    $312.95

    $36.77 higher than Delaware for the office setting.

  • Chico

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • El Centro

    California · 25075

    Office

    $580.29

    Facility

    $310.86

    $34.68 higher than Delaware for the office setting.

  • Fresno

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Madera

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Merced

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Modesto

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Napa

    California · 25075

    Office

    $673.34

    Facility

    $349.33

    $127.73 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25075

    Office

    $618.02

    Facility

    $327.45

    $72.41 higher than Delaware for the office setting.

  • Redding

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Rest Of California

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25075

    Office

    $588.86

    Facility

    $319.43

    $43.25 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25075

    Office

    $609.16

    Facility

    $323.26

    $63.55 higher than Delaware for the office setting.

  • Salinas

    California · 25075

    Office

    $606.93

    Facility

    $322.02

    $61.32 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25075

    Office

    $621.64

    Facility

    $327.62

    $76.03 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25075

    Office

    $712.61

    Facility

    $365.99

    $167.00 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 25075

    Office

    $711.69

    Facility

    $365.07

    $166.08 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 25075

    Office

    $729.32

    Facility

    $374.83

    $183.71 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 25075

    Office

    $725.56

    Facility

    $371.07

    $179.95 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25075

    Office

    $597.20

    Facility

    $317.20

    $51.59 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 25075

    Office

    $627.85

    Facility

    $329.16

    $82.24 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 25075

    Office

    $609.32

    Facility

    $322.68

    $63.71 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 25075

    Office

    $634.16

    Facility

    $332.28

    $88.55 higher than Delaware for the office setting.

  • Stockton

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Vallejo

    California · 25075

    Office

    $672.01

    Facility

    $348.01

    $126.40 higher than Delaware for the office setting.

  • Visalia

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Yuba City

    California · 25075

    Office

    $580.15

    Facility

    $310.72

    $34.54 higher than Delaware for the office setting.

  • Colorado

    Colorado · 25075

    Office

    $573.45

    Facility

    $311.88

    $27.84 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 25075

    Office

    $591.24

    Facility

    $326.48

    $45.63 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 25075

    Office

    $579.47

    Facility

    $330.44

    $33.86 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 25075

    Office

    $548.61

    Facility

    $313.60

    $3.00 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 25075

    Office

    $564.62

    Facility

    $314.86

    $19.01 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 25075

    Office

    $514.83

    Facility

    $295.55

    $30.78 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 25075

    Office

    $595.38

    Facility

    $315.87

    $49.77 higher than Delaware for the office setting.

  • Iowa

    Iowa · 25075

    Office

    $502.44

    Facility

    $277.50

    $43.17 lower than Delaware for the office setting.

  • Idaho

    Idaho · 25075

    Office

    $506.48

    Facility

    $280.31

    $39.13 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 25075

    Office

    $548.17

    Facility

    $322.00

    $2.56 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 25075

    Office

    $533.19

    Facility

    $308.75

    $12.42 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 25075

    Office

    $584.94

    Facility

    $332.48

    $39.33 higher than Delaware for the office setting.

  • Indiana

    Indiana · 25075

    Office

    $509.60

    Facility

    $281.72

    $36.01 lower than Delaware for the office setting.

  • Kansas

    Kansas · 25075

    Office

    $500.97

    Facility

    $278.74

    $44.64 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 25075

    Office

    $506.14

    Facility

    $287.60

    $39.47 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 25075

    Office

    $532.74

    Facility

    $301.41

    $12.87 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 25075

    Office

    $505.72

    Facility

    $288.16

    $39.89 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 25075

    Office

    $631.68

    Facility

    $338.15

    $86.07 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25075

    Office

    $570.03

    Facility

    $311.17

    $24.42 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25075

    Office

    $589.87

    Facility

    $326.09

    $44.26 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 25075

    Office

    $556.28

    Facility

    $307.50

    $10.67 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 25075

    Office

    $510.51

    Facility

    $284.34

    $35.10 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 25075

    Office

    $538.90

    Facility

    $295.28

    $6.71 lower than Delaware for the office setting.

  • Detroit

    Michigan · 25075

    Office

    $557.13

    Facility

    $319.91

    $11.52 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 25075

    Office

    $521.45

    Facility

    $297.00

    $24.16 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 25075

    Office

    $544.90

    Facility

    $291.94

    $0.71 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 25075

    Office

    $527.64

    Facility

    $296.81

    $17.97 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 25075

    Office

    $533.47

    Facility

    $299.44

    $12.14 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 25075

    Office

    $497.03

    Facility

    $285.13

    $48.58 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 25075

    Office

    $490.28

    Facility

    $278.62

    $55.33 lower than Delaware for the office setting.

  • Montana**

    Montana · 25075

    Office

    $552.40

    Facility

    $306.57

    $6.79 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 25075

    Office

    $516.12

    Facility

    $286.76

    $29.49 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 25075

    Office

    $536.38

    Facility

    $290.55

    $9.23 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 25075

    Office

    $505.09

    Facility

    $278.19

    $40.52 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 25075

    Office

    $565.32

    Facility

    $309.41

    $19.71 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 25075

    Office

    $625.85

    Facility

    $340.68

    $80.24 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 25075

    Office

    $596.71

    Facility

    $328.26

    $51.10 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 25075

    Office

    $524.98

    Facility

    $299.56

    $20.63 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 25075

    Office

    $548.33

    Facility

    $302.25

    $2.72 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25075

    Office

    $658.82

    Facility

    $366.53

    $113.21 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25075

    Office

    $601.60

    Facility

    $332.41

    $55.99 higher than Delaware for the office setting.

  • Queens

    New York · 25075

    Office

    $644.82

    Facility

    $354.25

    $99.21 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 25075

    Office

    $524.59

    Facility

    $291.05

    $21.02 lower than Delaware for the office setting.

  • Ohio

    Ohio · 25075

    Office

    $518.17

    Facility

    $293.73

    $27.44 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 25075

    Office

    $504.00

    Facility

    $284.47

    $41.61 lower than Delaware for the office setting.

  • Portland

    Oregon · 25075

    Office

    $591.60

    Facility

    $318.48

    $45.99 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 25075

    Office

    $542.83

    Facility

    $297.98

    $2.78 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25075

    Office

    $576.25

    Facility

    $320.34

    $30.64 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25075

    Office

    $518.45

    Facility

    $292.78

    $27.16 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 25075

    Office

    $556.41

    Facility

    $307.87

    $10.80 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 25075

    Office

    $565.06

    Facility

    $311.12

    $19.45 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 25075

    Office

    $518.26

    Facility

    $291.11

    $27.35 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 25075

    Office

    $534.49

    Facility

    $288.66

    $11.12 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 25075

    Office

    $503.85

    Facility

    $280.39

    $41.76 lower than Delaware for the office setting.

  • Austin

    Texas · 25075

    Office

    $572.62

    Facility

    $312.53

    $27.01 higher than Delaware for the office setting.

  • Beaumont

    Texas · 25075

    Office

    $514.85

    Facility

    $291.14

    $30.76 lower than Delaware for the office setting.

  • Brazoria

    Texas · 25075

    Office

    $543.96

    Facility

    $300.34

    $1.65 lower than Delaware for the office setting.

  • Dallas

    Texas · 25075

    Office

    $548.18

    Facility

    $303.34

    $2.57 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 25075

    Office

    $544.57

    Facility

    $302.18

    $1.04 lower than Delaware for the office setting.

  • Galveston

    Texas · 25075

    Office

    $546.05

    Facility

    $301.94

    $0.44 higher than Delaware for the office setting.

  • Houston

    Texas · 25075

    Office

    $560.88

    Facility

    $316.77

    $15.27 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 25075

    Office

    $529.61

    Facility

    $296.31

    $16.00 lower than Delaware for the office setting.

  • Utah

    Utah · 25075

    Office

    $525.90

    Facility

    $294.82

    $19.71 lower than Delaware for the office setting.

  • Virginia

    Virginia · 25075

    Office

    $537.76

    Facility

    $296.11

    $7.85 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25075

    Office

    $556.41

    Facility

    $307.87

    $10.80 higher than Delaware for the office setting.

  • Vermont

    Vermont · 25075

    Office

    $535.12

    Facility

    $291.75

    $10.49 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 25075

    Office

    $568.67

    Facility

    $309.81

    $23.06 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 25075

    Office

    $643.94

    Facility

    $342.31

    $98.33 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 25075

    Office

    $517.08

    Facility

    $281.57

    $28.53 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 25075

    Office

    $512.17

    Facility

    $298.55

    $33.44 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 25075

    Office

    $545.42

    Facility

    $299.59

    $0.19 lower than Delaware for the office setting.

See how rates vary across the country

25075 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$483.43

$654.74

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$630.541
AL$491.151
AR$483.431
AZ$536.261
CA$580.15–$729.3229
CO$573.451
CT$591.241
DC$633.041
DE$545.611
FL$548.61–$610.073
GA$514.83–$564.622
GU$595.381
HI$595.381
IA$502.441
ID$506.481
IL$533.19–$590.374
IN$509.601
KS$500.971
KY$506.141
LA$505.72–$532.742
MA$570.03–$631.682
MD$556.28–$633.043
ME$510.51–$538.902
MI$521.45–$557.132
MN$544.901
MO$497.03–$533.473
MS$490.281
MT$552.401
NC$516.121
ND$536.381
NE$505.091
NH$565.321
NJ$596.71–$625.852
NM$524.981
NV$548.331
NY$524.59–$658.825
OH$518.171
OK$504.001
OR$542.83–$591.602
PA$518.45–$576.252
PR$556.411
RI$565.061
SC$518.261
SD$534.491
TN$503.851
TX$514.85–$572.628
UT$525.901
VA$537.76–$633.042
VI$556.411
VT$535.121
WA$568.67–$643.942
WI$517.081
WV$512.171
WY$545.421

Explore 25075 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 25075 in Delaware, the physician’s office rate is $545.61 and the facility-setting rate is $302.72: a difference of $242.89.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 25075 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$600.17

$545.61 × 110% = $600.17

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.

Compare your contract offer →

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 25075 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

2,382

Code
25075
Physician work
3.86
Practice expense
11.87
Malpractice
0.81

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 25075 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.86× 1.0053.8793
Practice expense11.87× 0.98811.7276
Malpractice0.81× 0.8990.7282
Total RVUs16.3350
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$545.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 25075 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.861.005
Practice expense11.870.988
Malpractice0.810.899

(3.86 × 1.005 + 11.87 × 0.988 + 0.81 × 0.899) × $33.4009 = $545.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.861.005
Practice expense4.510.988
Malpractice0.810.899

(3.86 × 1.005 + 4.51 × 0.988 + 0.81 × 0.899) × $33.4009 = $302.72

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

25075 · Office / nonfacility

$545.61

Effective 2026-10-01

The base rate is $46.86 higher than on 2025-10-01, moving from $498.75 to $545.61 (9.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $498.75changed to$545.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.96 changed to 3.86
    • Practice expense RVU 10.75 changed to 11.87
    • Malpractice RVU 0.80 changed to 0.81
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $498.75

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$545.61$302.72RVU26D
2026-07-01$545.61$302.72RVU26C
2026-04-01$545.61$302.72RVU26B
2026-01-01$545.61$302.72RVU26A
2025-10-01$498.75$313.92RVU25D
2025-07-01$498.75$313.92RVU25C
2025-04-01$498.75$313.92RVU25B
2025-01-01$498.75$313.92RVU25A

25075 billing questions

How does this differ from code 25071?

Both describe excision of a subcutaneous forearm or wrist soft-tissue tumor. Use 25075 for a tumor under 3 cm and 25071 for one 3 cm or larger.

Can this code be used for a deep forearm mass under 3 cm?

No. This code is for a subcutaneous tumor; code 25076 is the corresponding code for a deep tumor under 3 cm.

Is this the right code when the surgeon takes only a biopsy?

No. For biopsy rather than excision, consider the forearm soft-tissue biopsy code that matches the documented depth: 25065 for subcutaneous or 25066 for deep.

What operative details support reporting this code?

Document the forearm or wrist location, the tumor’s subcutaneous depth, its size, and that it was excised. The documentation should distinguish the mass from a lesion confined to the skin.

How does the global period affect postoperative visits?

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

How is bilateral excision handled?

When the procedure is performed bilaterally and modifier 50 is reported, CMS pays 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 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.

RVUs for 25075PPRRVU2026_Oct_nonQPP.csv, line 2,382 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet