No office rate
Choose 25112 for a recurrent wrist ganglion after prior excision; 25111 is for primary excision.
On this page
CMS RVU26D · Effective 2026-10-01
25111 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$330.49
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 25111: Primary wrist ganglion excision
Excision of a primary dorsal or volar wrist ganglion, reported when the surgeon removes the cyst and its attachment rather than treating a recurrence.
This procedure removes a ganglion arising at the wrist, commonly from the joint capsule or a tendon sheath. The surgeon exposes the cyst, removes it and addresses its attachment as part of the operation. Orthopedic and hand surgeons typically perform the procedure in an operating room or ambulatory surgery setting. A dorsal or volar wrist ganglion is the characteristic clinical target; this code identifies a primary excision rather than removal of a recurrent ganglion.
Report 25111 when the operative record supports a wrist ganglion and documents that it is not recurrent. Include the wrist side, location, diagnosis, and operative findings. 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 25111
- 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 RVU3.44 · 36%
- Practice expense (office) RVU5.51 · 57%
- Malpractice RVU0.66 · 7%
7.6K
Medicare services in 2024 · #1617 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.
25111 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
25110 addresses an eligible tendon-sheath or joint-capsule lesion of the forearm or wrist. 25111 identifies primary excision of a wrist ganglion.
No office rate
25118 concerns excision of wrist tendon sheath, whereas 25111 is for removal of a primary wrist ganglion.
The same code, a different location
How does El Centro compare?
25111 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Modesto
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Napa
California · 25111
Office
Unavailable
Facility
$375.90
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25111
Office
Unavailable
Facility
$349.38
No comparable office rate is available.
Redding
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Rest Of California
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25111
Office
Unavailable
Facility
$337.48
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25111
Office
Unavailable
Facility
$344.89
No comparable office rate is available.
Salinas
California · 25111
Office
Unavailable
Facility
$343.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25111
Office
Unavailable
Facility
$350.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25111
Office
Unavailable
Facility
$395.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25111
Office
Unavailable
Facility
$394.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25111
Office
Unavailable
Facility
$404.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25111
Office
Unavailable
Facility
$401.67
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25111
Office
Unavailable
Facility
$338.29
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25111
Office
Unavailable
Facility
$352.74
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25111
Office
Unavailable
Facility
$344.52
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25111
Office
Unavailable
Facility
$356.16
No comparable office rate is available.
Stockton
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Vallejo
California · 25111
Office
Unavailable
Facility
$374.82
No comparable office rate is available.
Visalia
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Yuba City
California · 25111
Office
Unavailable
Facility
$330.37
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25111
Office
Unavailable
Facility
$362.44
No comparable office rate is available.
Miami
Florida · 25111
Office
Unavailable
Facility
$362.23
No comparable office rate is available.
Chicago
Illinois · 25111
Office
Unavailable
Facility
$351.25
No comparable office rate is available.
Manhattan
New York · 25111
Office
Unavailable
Facility
$371.07
No comparable office rate is available.
Alaska*
Alaska · 25111
Office
Unavailable
Facility
$380.50
No comparable office rate is available.
Alabama
Alabama · 25111
Office
Unavailable
Facility
$288.41
No comparable office rate is available.
Arkansas
Arkansas · 25111
Office
Unavailable
Facility
$284.34
No comparable office rate is available.
Arizona
Arizona · 25111
Office
Unavailable
Facility
$312.10
No comparable office rate is available.
Colorado
Colorado · 25111
Office
Unavailable
Facility
$329.31
No comparable office rate is available.
Connecticut
Connecticut · 25111
Office
Unavailable
Facility
$342.08
No comparable office rate is available.
Delaware
Delaware · 25111
Office
Unavailable
Facility
$317.12
No comparable office rate is available.
Fort Lauderdale
Florida · 25111
Office
Unavailable
Facility
$341.19
No comparable office rate is available.
Rest Of Florida
Florida · 25111
Office
Unavailable
Facility
$323.97
No comparable office rate is available.
Atlanta
Georgia · 25111
Office
Unavailable
Facility
$328.70
No comparable office rate is available.
Rest Of Georgia
Georgia · 25111
Office
Unavailable
Facility
$305.34
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25111
Office
Unavailable
Facility
$336.92
No comparable office rate is available.
Iowa
Iowa · 25111
Office
Unavailable
Facility
$292.05
No comparable office rate is available.
Idaho
Idaho · 25111
Office
Unavailable
Facility
$294.64
No comparable office rate is available.
East St. Louis
Illinois · 25111
Office
Unavailable
Facility
$328.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 25111
Office
Unavailable
Facility
$317.38
No comparable office rate is available.
Suburban Chicago
Illinois · 25111
Office
Unavailable
Facility
$343.77
No comparable office rate is available.
Indiana
Indiana · 25111
Office
Unavailable
Facility
$296.22
No comparable office rate is available.
Kansas
Kansas · 25111
Office
Unavailable
Facility
$292.38
No comparable office rate is available.
Kentucky
Kentucky · 25111
Office
Unavailable
Facility
$298.68
No comparable office rate is available.
New Orleans
Louisiana · 25111
Office
Unavailable
Facility
$313.12
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25111
Office
Unavailable
Facility
$298.89
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25111
Office
Unavailable
Facility
$358.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25111
Office
Unavailable
Facility
$328.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25111
Office
Unavailable
Facility
$341.48
No comparable office rate is available.
Rest Of Maryland
Maryland · 25111
Office
Unavailable
Facility
$322.53
No comparable office rate is available.
Rest Of Maine
Maine · 25111
Office
Unavailable
Facility
$297.93
No comparable office rate is available.
Southern Maine
Maine · 25111
Office
Unavailable
Facility
$311.19
No comparable office rate is available.
Detroit
Michigan · 25111
Office
Unavailable
Facility
$329.66
No comparable office rate is available.
Rest Of Michigan
Michigan · 25111
Office
Unavailable
Facility
$307.82
No comparable office rate is available.
Minnesota
Minnesota · 25111
Office
Unavailable
Facility
$310.80
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25111
Office
Unavailable
Facility
$309.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25111
Office
Unavailable
Facility
$312.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 25111
Office
Unavailable
Facility
$295.01
No comparable office rate is available.
Mississippi
Mississippi · 25111
Office
Unavailable
Facility
$289.65
No comparable office rate is available.
Montana**
Montana · 25111
Office
Unavailable
Facility
$320.94
No comparable office rate is available.
North Carolina
North Carolina · 25111
Office
Unavailable
Facility
$300.69
No comparable office rate is available.
North Dakota**
North Dakota · 25111
Office
Unavailable
Facility
$307.89
No comparable office rate is available.
Nebraska
Nebraska · 25111
Office
Unavailable
Facility
$293.10
No comparable office rate is available.
New Hampshire
New Hampshire · 25111
Office
Unavailable
Facility
$325.77
No comparable office rate is available.
Northern Nj
New Jersey · 25111
Office
Unavailable
Facility
$359.17
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25111
Office
Unavailable
Facility
$344.65
No comparable office rate is available.
New Mexico
New Mexico · 25111
Office
Unavailable
Facility
$310.14
No comparable office rate is available.
Nevada**
Nevada · 25111
Office
Unavailable
Facility
$317.49
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25111
Office
Unavailable
Facility
$382.01
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25111
Office
Unavailable
Facility
$348.27
No comparable office rate is available.
Queens
New York · 25111
Office
Unavailable
Facility
$371.57
No comparable office rate is available.
Rest Of New York
New York · 25111
Office
Unavailable
Facility
$305.23
No comparable office rate is available.
Ohio
Ohio · 25111
Office
Unavailable
Facility
$305.15
No comparable office rate is available.
Oklahoma
Oklahoma · 25111
Office
Unavailable
Facility
$296.37
No comparable office rate is available.
Portland
Oregon · 25111
Office
Unavailable
Facility
$337.61
No comparable office rate is available.
Rest Of Oregon
Oregon · 25111
Office
Unavailable
Facility
$313.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25111
Office
Unavailable
Facility
$334.85
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25111
Office
Unavailable
Facility
$304.68
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25111
Office
Unavailable
Facility
$322.68
No comparable office rate is available.
Rhode Island
Rhode Island · 25111
Office
Unavailable
Facility
$326.86
No comparable office rate is available.
South Carolina
South Carolina · 25111
Office
Unavailable
Facility
$303.69
No comparable office rate is available.
South Dakota**
South Dakota · 25111
Office
Unavailable
Facility
$306.35
No comparable office rate is available.
Tennessee
Tennessee · 25111
Office
Unavailable
Facility
$294.03
No comparable office rate is available.
Austin
Texas · 25111
Office
Unavailable
Facility
$329.37
No comparable office rate is available.
Beaumont
Texas · 25111
Office
Unavailable
Facility
$302.85
No comparable office rate is available.
Brazoria
Texas · 25111
Office
Unavailable
Facility
$315.40
No comparable office rate is available.
Dallas
Texas · 25111
Office
Unavailable
Facility
$318.15
No comparable office rate is available.
Fort Worth
Texas · 25111
Office
Unavailable
Facility
$316.60
No comparable office rate is available.
Galveston
Texas · 25111
Office
Unavailable
Facility
$316.82
No comparable office rate is available.
Houston
Texas · 25111
Office
Unavailable
Facility
$328.90
No comparable office rate is available.
Rest Of Texas
Texas · 25111
Office
Unavailable
Facility
$309.46
No comparable office rate is available.
Utah
Utah · 25111
Office
Unavailable
Facility
$307.69
No comparable office rate is available.
Virginia
Virginia · 25111
Office
Unavailable
Facility
$311.37
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25111
Office
Unavailable
Facility
$322.68
No comparable office rate is available.
Vermont
Vermont · 25111
Office
Unavailable
Facility
$308.25
No comparable office rate is available.
Rest Of Washington
Washington · 25111
Office
Unavailable
Facility
$326.96
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25111
Office
Unavailable
Facility
$364.47
No comparable office rate is available.
Wisconsin
Wisconsin · 25111
Office
Unavailable
Facility
$298.00
No comparable office rate is available.
West Virginia
West Virginia · 25111
Office
Unavailable
Facility
$306.37
No comparable office rate is available.
Wyoming**
Wyoming · 25111
Office
Unavailable
Facility
$315.25
No comparable office rate is available.
See how rates vary across the country
25111 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 25111 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$363.54
$330.49 × 110% = $363.54
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 25111 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,393
- Code
- 25111
- Physician work
- 3.44
- Practice expense
- 5.51
- Malpractice
- 0.66
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.44 | × 1.017 | 3.4985 |
| Practice expense | 5.51 | × 1.096 | 6.0390 |
| Malpractice | 0.66 | × 0.541 | 0.3571 |
| Total RVUs | 9.8945 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$330.49
Open 25111 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.44 | 1.017 |
| Practice expense | 5.51 | 1.096 |
| Malpractice | 0.66 | 0.541 |
(3.44 × 1.017 + 5.51 × 1.096 + 0.66 × 0.541) × $33.4009 = $330.49
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
25111 · 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 | $330.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $330.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $330.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $330.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $339.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $339.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $339.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $339.02 | RVU25A |
25111 billing questions
When should 25111 be chosen over 25112?
Use 25111 for primary excision of a wrist ganglion. Use 25112 when the ganglion is recurrent after prior excision.
How does 25111 differ from 25110?
25111 is specific to primary ganglion excision at the wrist. Consider 25110 for an eligible tendon-sheath or joint-capsule lesion of the forearm or wrist that is not being reported as a primary wrist ganglion.
What documentation supports reporting 25111?
Document the wrist side and ganglion location, the diagnosis, whether it is primary or recurrent, and the operative findings and removal.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. CMS also includes the day-before preoperative visit in the global period.
How are bilateral procedures and other procedures in the same session handled?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported for this operation?
CMS does not pay assistant-at-surgery services for this code. 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.
2,39025107,,Remove wrist joint cartilage,A,,7.51,8.64,NA,8.64,,1.45,17.60,17.60,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39125109,,Excise tendon forearm/wrist,A,,6.77,7.09,NA,7.09,,1.29,15.15,15.15,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39225110,,Remove wrist tendon lesion,A,,3.94,5.39,NA,5.39,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39325111,,Remove wrist tendon lesion,A,,3.44,5.51,NA,5.51,,0.66,9.61,9.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39425112,,Reremove wrist tendon lesion,A,,4.55,5.86,NA,5.86,,0.88,11.29,11.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39525115,,Remove wrist/forearm lesion,A,,9.84,9.34,NA,9.34,,1.88,21.06,21.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39625116,,Remove wrist/forearm lesion,A,,7.37,8.32,NA,8.32,,1.41,17.10,17.10,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664