No office rate
Choose 25295 to free a tendon from adhesions; choose 25290 when the surgeon divides the tendon.
On this page
CMS RVU26D · Effective 2026-10-01
25295 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$491.01
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.
Hand surgery
About 25295: Forearm or wrist tendon tenolysis
Surgical tenolysis frees a single flexor or extensor tendon in the forearm or wrist when adhesions restrict its movement after injury or surgery.
A hand or orthopedic surgeon performs tenolysis to separate a tendon from adhesions that limit its glide. The service is used for a flexor or extensor tendon in the forearm or wrist, often when scarring after tendon repair, trauma, or another operation restricts motion despite recovery or therapy. It is typically performed in an operating room or ambulatory surgery setting.
Report this code for release of one tendon in the forearm or wrist, not for cutting a tendon or repairing a tendon injury. The operative report should identify the tendon, describe the adhesions and restricted excursion, and document the release performed. The service has a 90-day global period, including 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 others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 25295
- 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 RVU6.55 · 44%
- Practice expense (office) RVU7.07 · 48%
- Malpractice RVU1.26 · 8%
2.8K
Medicare services in 2024 · #2213 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.
25295 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
25295 releases adhesions restricting tendon glide. 25280 is for tendon revision or lengthening, not adhesiolysis.
No office rate
Both describe tendon tenolysis, but 26440 applies to a flexor tendon in the palm or finger; 25295 is for the forearm or wrist.
No office rate
25260 is used to repair a forearm tendon injury. 25295 releases adhesions around a tendon rather than repairing it.
The same code, a different location
How does Delaware compare?
25295 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 25295
Office
Unavailable
Facility
$449.22
No comparable office rate is available.
Arkansas
Arkansas · 25295
Office
Unavailable
Facility
$443.30
No comparable office rate is available.
Arizona
Arizona · 25295
Office
Unavailable
Facility
$483.62
No comparable office rate is available.
Bakersfield
California · 25295
Office
Unavailable
Facility
$507.38
No comparable office rate is available.
Chico
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
El Centro
California · 25295
Office
Unavailable
Facility
$504.08
No comparable office rate is available.
Fresno
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Hanford-Corcoran
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Madera
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Merced
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Modesto
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Napa
California · 25295
Office
Unavailable
Facility
$565.18
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25295
Office
Unavailable
Facility
$530.24
No comparable office rate is available.
Redding
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Rest Of California
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25295
Office
Unavailable
Facility
$517.43
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25295
Office
Unavailable
Facility
$523.85
No comparable office rate is available.
Salinas
California · 25295
Office
Unavailable
Facility
$521.81
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25295
Office
Unavailable
Facility
$530.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25295
Office
Unavailable
Facility
$591.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25295
Office
Unavailable
Facility
$590.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25295
Office
Unavailable
Facility
$605.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25295
Office
Unavailable
Facility
$600.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25295
Office
Unavailable
Facility
$514.02
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25295
Office
Unavailable
Facility
$532.84
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25295
Office
Unavailable
Facility
$522.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25295
Office
Unavailable
Facility
$537.88
No comparable office rate is available.
Stockton
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Vallejo
California · 25295
Office
Unavailable
Facility
$563.11
No comparable office rate is available.
Visalia
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Yuba City
California · 25295
Office
Unavailable
Facility
$503.87
No comparable office rate is available.
Colorado
Colorado · 25295
Office
Unavailable
Facility
$505.53
No comparable office rate is available.
Connecticut
Connecticut · 25295
Office
Unavailable
Facility
$528.40
No comparable office rate is available.
Fort Lauderdale
Florida · 25295
Office
Unavailable
Facility
$534.08
No comparable office rate is available.
Rest Of Florida
Florida · 25295
Office
Unavailable
Facility
$507.78
No comparable office rate is available.
Atlanta
Georgia · 25295
Office
Unavailable
Facility
$509.90
No comparable office rate is available.
Rest Of Georgia
Georgia · 25295
Office
Unavailable
Facility
$479.58
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25295
Office
Unavailable
Facility
$511.64
No comparable office rate is available.
Iowa
Iowa · 25295
Office
Unavailable
Facility
$451.56
No comparable office rate is available.
Idaho
Idaho · 25295
Office
Unavailable
Facility
$455.93
No comparable office rate is available.
East St. Louis
Illinois · 25295
Office
Unavailable
Facility
$520.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 25295
Office
Unavailable
Facility
$500.15
No comparable office rate is available.
Suburban Chicago
Illinois · 25295
Office
Unavailable
Facility
$537.40
No comparable office rate is available.
Indiana
Indiana · 25295
Office
Unavailable
Facility
$458.14
No comparable office rate is available.
Kansas
Kansas · 25295
Office
Unavailable
Facility
$453.46
No comparable office rate is available.
Kentucky
Kentucky · 25295
Office
Unavailable
Facility
$467.22
No comparable office rate is available.
New Orleans
Louisiana · 25295
Office
Unavailable
Facility
$488.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25295
Office
Unavailable
Facility
$468.08
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25295
Office
Unavailable
Facility
$547.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25295
Office
Unavailable
Facility
$504.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25295
Office
Unavailable
Facility
$527.72
No comparable office rate is available.
Rest Of Maryland
Maryland · 25295
Office
Unavailable
Facility
$498.58
No comparable office rate is available.
Rest Of Maine
Maine · 25295
Office
Unavailable
Facility
$462.21
No comparable office rate is available.
Southern Maine
Maine · 25295
Office
Unavailable
Facility
$479.35
No comparable office rate is available.
Detroit
Michigan · 25295
Office
Unavailable
Facility
$517.61
No comparable office rate is available.
Rest Of Michigan
Michigan · 25295
Office
Unavailable
Facility
$481.89
No comparable office rate is available.
Minnesota
Minnesota · 25295
Office
Unavailable
Facility
$474.23
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25295
Office
Unavailable
Facility
$481.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25295
Office
Unavailable
Facility
$485.75
No comparable office rate is available.
Rest Of Missouri
Missouri · 25295
Office
Unavailable
Facility
$463.32
No comparable office rate is available.
Mississippi
Mississippi · 25295
Office
Unavailable
Facility
$453.20
No comparable office rate is available.
Montana**
Montana · 25295
Office
Unavailable
Facility
$496.92
No comparable office rate is available.
North Carolina
North Carolina · 25295
Office
Unavailable
Facility
$465.99
No comparable office rate is available.
North Dakota**
North Dakota · 25295
Office
Unavailable
Facility
$472.01
No comparable office rate is available.
Nebraska
Nebraska · 25295
Office
Unavailable
Facility
$452.65
No comparable office rate is available.
New Hampshire
New Hampshire · 25295
Office
Unavailable
Facility
$501.43
No comparable office rate is available.
Northern Nj
New Jersey · 25295
Office
Unavailable
Facility
$551.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25295
Office
Unavailable
Facility
$531.56
No comparable office rate is available.
New Mexico
New Mexico · 25295
Office
Unavailable
Facility
$485.86
No comparable office rate is available.
Nevada**
Nevada · 25295
Office
Unavailable
Facility
$490.21
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25295
Office
Unavailable
Facility
$591.71
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25295
Office
Unavailable
Facility
$538.12
No comparable office rate is available.
Queens
New York · 25295
Office
Unavailable
Facility
$572.59
No comparable office rate is available.
Rest Of New York
New York · 25295
Office
Unavailable
Facility
$472.70
No comparable office rate is available.
Ohio
Ohio · 25295
Office
Unavailable
Facility
$476.80
No comparable office rate is available.
Oklahoma
Oklahoma · 25295
Office
Unavailable
Facility
$462.35
No comparable office rate is available.
Portland
Oregon · 25295
Office
Unavailable
Facility
$515.94
No comparable office rate is available.
Rest Of Oregon
Oregon · 25295
Office
Unavailable
Facility
$483.56
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25295
Office
Unavailable
Facility
$518.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25295
Office
Unavailable
Facility
$475.33
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25295
Office
Unavailable
Facility
$498.97
No comparable office rate is available.
Rhode Island
Rhode Island · 25295
Office
Unavailable
Facility
$504.41
No comparable office rate is available.
South Carolina
South Carolina · 25295
Office
Unavailable
Facility
$472.75
No comparable office rate is available.
South Dakota**
South Dakota · 25295
Office
Unavailable
Facility
$469.06
No comparable office rate is available.
Tennessee
Tennessee · 25295
Office
Unavailable
Facility
$456.03
No comparable office rate is available.
Austin
Texas · 25295
Office
Unavailable
Facility
$506.34
No comparable office rate is available.
Beaumont
Texas · 25295
Office
Unavailable
Facility
$472.76
No comparable office rate is available.
Brazoria
Texas · 25295
Office
Unavailable
Facility
$487.37
No comparable office rate is available.
Dallas
Texas · 25295
Office
Unavailable
Facility
$492.05
No comparable office rate is available.
Fort Worth
Texas · 25295
Office
Unavailable
Facility
$490.24
No comparable office rate is available.
Galveston
Texas · 25295
Office
Unavailable
Facility
$489.86
No comparable office rate is available.
Houston
Texas · 25295
Office
Unavailable
Facility
$512.93
No comparable office rate is available.
Rest Of Texas
Texas · 25295
Office
Unavailable
Facility
$480.88
No comparable office rate is available.
Utah
Utah · 25295
Office
Unavailable
Facility
$478.54
No comparable office rate is available.
Virginia
Virginia · 25295
Office
Unavailable
Facility
$480.62
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25295
Office
Unavailable
Facility
$498.97
No comparable office rate is available.
Vermont
Vermont · 25295
Office
Unavailable
Facility
$473.85
No comparable office rate is available.
Rest Of Washington
Washington · 25295
Office
Unavailable
Facility
$502.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25295
Office
Unavailable
Facility
$553.85
No comparable office rate is available.
Wisconsin
Wisconsin · 25295
Office
Unavailable
Facility
$457.96
No comparable office rate is available.
West Virginia
West Virginia · 25295
Office
Unavailable
Facility
$484.21
No comparable office rate is available.
Wyoming**
Wyoming · 25295
Office
Unavailable
Facility
$486.06
No comparable office rate is available.
See how rates vary across the country
25295 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25295 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$540.11
$491.01 × 110% = $540.11
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 25295 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,427
- Code
- 25295
- Physician work
- 6.55
- Practice expense
- 7.07
- Malpractice
- 1.26
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.55 | × 1.005 | 6.5827 |
| Practice expense | 7.07 | × 0.988 | 6.9852 |
| Malpractice | 1.26 | × 0.899 | 1.1327 |
| Total RVUs | 14.7006 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$491.01
Open 25295 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.55 | 1.005 |
| Practice expense | 7.07 | 0.988 |
| Malpractice | 1.26 | 0.899 |
(6.55 × 1.005 + 7.07 × 0.988 + 1.26 × 0.899) × $33.4009 = $491.01
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
25295 · 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 | $491.01 | RVU26D |
| 2026-07-01 | Not available in this setting | $491.01 | RVU26C |
| 2026-04-01 | Not available in this setting | $491.01 | RVU26B |
| 2026-01-01 | Not available in this setting | $491.01 | RVU26A |
| 2025-10-01 | Not available in this setting | $525.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $525.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $525.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $525.28 | RVU25A |
25295 billing questions
How does this differ from tendon incision code 25290?
25295 frees a tendon from adhesions that restrict its glide. Use 25290 when the procedure intentionally divides a tendon rather than releasing scar attachments.
What documentation supports reporting 25295?
Document the involved forearm or wrist tendon, the adhesions restricting its movement, and the operative release. The record should distinguish tenolysis from tendon division or repair.
Can modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.
Is related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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.
2,42425275,,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
2,43025310,,Transplant forearm tendon,A,,8.78,9.56,NA,9.56,,1.67,20.01,20.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503