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CMS RVU26D · Effective 2026-10-01

25246 in El Centro

Office / nonfacility

$199.42

Base rate per service

Facility setting

$61.04

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.

Diagnostic radiology

About 25246: Wrist arthrography injection

Reports injection of contrast into a wrist joint to prepare for arthrographic imaging, such as evaluation of suspected ligament or triangular fibrocartilage injury.

A clinician injects contrast into the wrist joint to prepare for arthrographic imaging. This is commonly performed by a radiologist or an orthopedic specialist when evaluation of internal wrist structures, such as the triangular fibrocartilage complex or intrinsic ligaments, is needed. The study may be followed by radiographic, CT, or MR imaging, depending on the diagnostic question and the ordered examination.

Select this code for the wrist-joint injection, not for imaging alone or an injection into another joint. Documentation should identify the wrist treated, the injection and contrast used, and the clinical reason for the arthrogram; report the imaging service separately when performed and supported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 25246

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.41 · 25%
  • Practice expense (office) RVU4.07 · 72%
  • Malpractice RVU0.14 · 2%

1.2K

Medicare services in 2024 · #2815 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.

25246 compared with similar codes

Office rates for El Centro, from the same CMS release.

73115

Contrast wrist study

Radiographic arthrography

$143.74

25246 is the wrist-joint contrast injection; 73115 reports the wrist arthrography imaging examination and its radiological supervision and interpretation.

24220

Arthrographic injection

Elbow joint

$198.48

Both codes describe arthrography injections, but 24220 is for the elbow and 25246 is for the wrist.

23350

Shoulder injection

For diagnostic imaging

$167.80

23350 is the shoulder arthrography injection code. Use 25246 when the joint injected is the wrist.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 25246 is $199.83—$0.41 higher than the $199.42 rate in El Centro. Both use the same code, release and participation basis.

25246 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $199.42

  2. Bakersfield

    $199.83

    $0.41 higher than El Centro

  3. Chico

    $199.39

    $0.03 lower than El Centro

  4. Fresno

    $199.39

    $0.03 lower than El Centro

  5. Hanford-Corcoran

    $199.39

    $0.03 lower than El Centro

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

    $212.95

    $13.53 higher than El Centro

  7. Madera

    $199.39

    $0.03 lower than El Centro

Other payment areas listed in California 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, 25246 ranges from $166.28 in Arkansas to $250.81 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

  • Merced

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 25246

    Office

    $231.61

    Facility

    $65.20

    $32.19 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25246

    Office

    $212.01

    Facility

    $62.78

    $12.59 higher than El Centro for the office setting.

  • Redding

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25246

    Office

    $200.92

    Facility

    $62.55

    $1.50 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25246

    Office

    $209.40

    Facility

    $62.56

    $9.98 higher than El Centro for the office setting.

  • Salinas

    California · 25246

    Office

    $208.62

    Facility

    $62.29

    $9.20 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25246

    Office

    $213.63

    Facility

    $62.63

    $14.21 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25246

    Office

    $245.39

    Facility

    $67.37

    $45.97 higher than El Centro for the office setting.

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

    California · 25246

    Office

    $245.23

    Facility

    $67.21

    $45.81 higher than El Centro for the office setting.

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

    California · 25246

    Office

    $250.81

    Facility

    $68.75

    $51.39 higher than El Centro for the office setting.

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

    California · 25246

    Office

    $250.16

    Facility

    $68.10

    $50.74 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25246

    Office

    $205.24

    Facility

    $61.43

    $5.82 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 25246

    Office

    $215.76

    Facility

    $62.36

    $16.34 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 25246

    Office

    $209.43

    Facility

    $62.21

    $10.01 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 25246

    Office

    $217.95

    Facility

    $62.91

    $18.53 higher than El Centro for the office setting.

  • Stockton

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 25246

    Office

    $231.38

    Facility

    $64.98

    $31.96 higher than El Centro for the office setting.

  • Visalia

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 25246

    Office

    $199.39

    Facility

    $61.02

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25246

    Office

    $214.98

    Facility

    $66.25

    $15.56 higher than El Centro for the office setting.

  • Miami

    Florida · 25246

    Office

    $200.44

    Facility

    $69.00

    $1.02 higher than El Centro for the office setting.

  • Chicago

    Illinois · 25246

    Office

    $194.78

    Facility

    $67.89

    $4.64 lower than El Centro for the office setting.

  • Manhattan

    New York · 25246

    Office

    $215.49

    Facility

    $68.78

    $16.07 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 25246

    Office

    $218.00

    Facility

    $83.54

    $18.58 higher than El Centro for the office setting.

  • Alabama

    Alabama · 25246

    Office

    $168.69

    Facility

    $58.22

    $30.73 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 25246

    Office

    $166.28

    Facility

    $57.82

    $33.14 lower than El Centro for the office setting.

  • Arizona

    Arizona · 25246

    Office

    $182.83

    Facility

    $60.48

    $16.59 lower than El Centro for the office setting.

  • Colorado

    Colorado · 25246

    Office

    $195.95

    Facility

    $61.62

    $3.47 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 25246

    Office

    $200.10

    Facility

    $64.13

    $0.68 higher than El Centro for the office setting.

  • Delaware

    Delaware · 25246

    Office

    $185.84

    Facility

    $61.10

    $13.58 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 25246

    Office

    $193.26

    Facility

    $65.36

    $6.16 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 25246

    Office

    $184.08

    Facility

    $63.38

    $15.34 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 25246

    Office

    $190.97

    Facility

    $62.69

    $8.45 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 25246

    Office

    $173.93

    Facility

    $61.31

    $25.49 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 25246

    Office

    $204.37

    Facility

    $60.82

    $4.95 higher than El Centro for the office setting.

  • Iowa

    Iowa · 25246

    Office

    $173.34

    Facility

    $57.81

    $26.08 lower than El Centro for the office setting.

  • Idaho

    Idaho · 25246

    Office

    $174.37

    Facility

    $58.22

    $25.05 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 25246

    Office

    $181.58

    Facility

    $65.42

    $17.84 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 25246

    Office

    $178.52

    Facility

    $63.25

    $20.90 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 25246

    Office

    $195.32

    Facility

    $65.66

    $4.10 lower than El Centro for the office setting.

  • Indiana

    Indiana · 25246

    Office

    $175.39

    Facility

    $58.35

    $24.03 lower than El Centro for the office setting.

  • Kansas

    Kansas · 25246

    Office

    $172.34

    Facility

    $58.21

    $27.08 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 25246

    Office

    $172.23

    Facility

    $59.99

    $27.19 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 25246

    Office

    $180.33

    Facility

    $61.52

    $19.09 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 25246

    Office

    $171.88

    Facility

    $60.15

    $27.54 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 25246

    Office

    $215.50

    Facility

    $64.75

    $16.08 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25246

    Office

    $194.72

    Facility

    $61.78

    $4.70 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25246

    Office

    $199.50

    Facility

    $64.03

    $0.08 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 25246

    Office

    $189.43

    Facility

    $61.66

    $9.99 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 25246

    Office

    $175.07

    Facility

    $58.92

    $24.35 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 25246

    Office

    $184.76

    Facility

    $59.64

    $14.66 lower than El Centro for the office setting.

  • Detroit

    Michigan · 25246

    Office

    $186.16

    Facility

    $64.33

    $13.26 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 25246

    Office

    $176.49

    Facility

    $61.22

    $22.93 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 25246

    Office

    $188.36

    Facility

    $58.45

    $11.06 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 25246

    Office

    $179.31

    Facility

    $60.76

    $20.11 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 25246

    Office

    $181.20

    Facility

    $61.00

    $18.22 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 25246

    Office

    $168.83

    Facility

    $60.00

    $30.59 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 25246

    Office

    $167.60

    Facility

    $58.89

    $31.82 lower than El Centro for the office setting.

  • Montana**

    Montana · 25246

    Office

    $187.70

    Facility

    $61.45

    $11.72 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 25246

    Office

    $176.92

    Facility

    $59.12

    $22.50 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 25246

    Office

    $184.94

    Facility

    $58.68

    $14.48 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 25246

    Office

    $174.34

    Facility

    $57.80

    $25.08 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 25246

    Office

    $192.70

    Facility

    $61.27

    $6.72 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 25246

    Office

    $212.75

    Facility

    $66.29

    $13.33 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 25246

    Office

    $202.56

    Facility

    $64.69

    $3.14 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 25246

    Office

    $177.37

    Facility

    $61.59

    $22.05 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 25246

    Office

    $187.07

    Facility

    $60.69

    $12.35 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25246

    Office

    $220.43

    Facility

    $70.31

    $21.01 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25246

    Office

    $203.73

    Facility

    $65.48

    $4.31 higher than El Centro for the office setting.

  • Queens

    New York · 25246

    Office

    $217.54

    Facility

    $68.30

    $18.12 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 25246

    Office

    $179.53

    Facility

    $59.58

    $19.89 lower than El Centro for the office setting.

  • Ohio

    Ohio · 25246

    Office

    $175.92

    Facility

    $60.65

    $23.50 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 25246

    Office

    $172.12

    Facility

    $59.38

    $27.30 lower than El Centro for the office setting.

  • Portland

    Oregon · 25246

    Office

    $202.36

    Facility

    $62.09

    $2.94 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 25246

    Office

    $185.78

    Facility

    $60.03

    $13.64 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25246

    Office

    $195.04

    Facility

    $63.60

    $4.38 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25246

    Office

    $176.31

    Facility

    $60.41

    $23.11 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 25246

    Office

    $189.14

    Facility

    $61.49

    $10.28 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 25246

    Office

    $192.59

    Facility

    $62.17

    $6.83 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 25246

    Office

    $176.68

    Facility

    $60.02

    $22.74 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 25246

    Office

    $184.61

    Facility

    $58.35

    $14.81 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 25246

    Office

    $173.18

    Facility

    $58.41

    $26.24 lower than El Centro for the office setting.

  • Austin

    Texas · 25246

    Office

    $195.16

    Facility

    $61.58

    $4.26 lower than El Centro for the office setting.

  • Beaumont

    Texas · 25246

    Office

    $175.15

    Facility

    $60.25

    $24.27 lower than El Centro for the office setting.

  • Brazoria

    Texas · 25246

    Office

    $185.84

    Facility

    $60.72

    $13.58 lower than El Centro for the office setting.

  • Dallas

    Texas · 25246

    Office

    $186.93

    Facility

    $61.18

    $12.49 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 25246

    Office

    $185.63

    Facility

    $61.14

    $13.79 lower than El Centro for the office setting.

  • Galveston

    Texas · 25246

    Office

    $186.33

    Facility

    $60.96

    $13.09 lower than El Centro for the office setting.

  • Houston

    Texas · 25246

    Office

    $188.90

    Facility

    $63.52

    $10.52 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 25246

    Office

    $180.33

    Facility

    $60.51

    $19.09 lower than El Centro for the office setting.

  • Utah

    Utah · 25246

    Office

    $179.08

    Facility

    $60.40

    $20.34 lower than El Centro for the office setting.

  • Virginia

    Virginia · 25246

    Office

    $184.03

    Facility

    $59.92

    $15.39 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25246

    Office

    $189.14

    Facility

    $61.49

    $10.28 lower than El Centro for the office setting.

  • Vermont

    Vermont · 25246

    Office

    $184.04

    Facility

    $59.05

    $15.38 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 25246

    Office

    $194.41

    Facility

    $61.47

    $5.01 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 25246

    Office

    $220.07

    Facility

    $65.16

    $20.65 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 25246

    Office

    $178.77

    Facility

    $57.81

    $20.65 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 25246

    Office

    $171.92

    Facility

    $62.20

    $27.50 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 25246

    Office

    $186.50

    Facility

    $60.24

    $12.92 lower than El Centro for the office setting.

See how rates vary across the country

25246 · 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.

$166.28

$225.10

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$218.001
AL$168.691
AR$166.281
AZ$182.831
CA$199.39–$250.8129
CO$195.951
CT$200.101
DC$214.981
DE$185.841
FL$184.08–$200.443
GA$173.93–$190.972
GU$204.371
HI$204.371
IA$173.341
ID$174.371
IL$178.52–$195.324
IN$175.391
KS$172.341
KY$172.231
LA$171.88–$180.332
MA$194.72–$215.502
MD$189.43–$214.983
ME$175.07–$184.762
MI$176.49–$186.162
MN$188.361
MO$168.83–$181.203
MS$167.601
MT$187.701
NC$176.921
ND$184.941
NE$174.341
NH$192.701
NJ$202.56–$212.752
NM$177.371
NV$187.071
NY$179.53–$220.435
OH$175.921
OK$172.121
OR$185.78–$202.362
PA$176.31–$195.042
PR$189.141
RI$192.591
SC$176.681
SD$184.611
TN$173.181
TX$175.15–$195.168
UT$179.081
VA$184.03–$214.982
VI$189.141
VT$184.041
WA$194.41–$220.072
WI$178.771
WV$171.921
WY$186.501

Explore 25246 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 25246 in El Centro, the physician’s office rate is $199.42 and the facility-setting rate is $61.04: a difference of $138.38.

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 25246 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$219.36

$199.42 × 110% = $219.36

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 25246 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

2,413

Code
25246
Physician work
1.41
Practice expense
4.07
Malpractice
0.14

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 25246 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0171.4340
Practice expense4.07× 1.0964.4607
Malpractice0.14× 0.5410.0757
Total RVUs5.9704
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$199.42

Open 25246 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.411.017
Practice expense4.071.096
Malpractice0.140.541

(1.41 × 1.017 + 4.07 × 1.096 + 0.14 × 0.541) × $33.4009 = $199.42

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.411.017
Practice expense0.291.096
Malpractice0.140.541

(1.41 × 1.017 + 0.29 × 1.096 + 0.14 × 0.541) × $33.4009 = $61.04

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

25246 · Office / nonfacility

$199.42

Effective 2026-10-01

The base rate is $4.49 higher than on 2025-10-01, moving from $194.93 to $199.42 (2.3%).

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

    $194.93changed to$199.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Practice expense RVU 4.09 changed to 4.07
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $194.93

    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$199.42$61.04RVU26D
2026-07-01$199.42$61.04RVU26C
2026-04-01$199.42$61.04RVU26B
2026-01-01$199.42$61.04RVU26A
2025-10-01$194.93$70.12RVU25D
2025-07-01$194.93$70.12RVU25C
2025-04-01$194.93$70.12RVU25B
2025-01-01$194.93$70.12RVU25A

25246 billing questions

How is this different from the wrist arthrography imaging code?

25246 represents the contrast injection into the wrist joint. The imaging examination and its interpretation are reported with the applicable imaging code when performed and documented.

Can 25246 be reported for an MR arthrogram?

Yes, when contrast is injected directly into the wrist joint to prepare for the MR examination. An MRI using only intravenous contrast is not a wrist arthrography injection.

What documentation supports reporting the injection?

Record the wrist and joint injected, the contrast administration, and the clinical reason for arthrographic evaluation. The imaging report should identify the examination performed.

How should bilateral wrist injections be reported?

CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. The record should support injection of both wrists during the service.

Is same-day care included in this service?

Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery 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.

RVUs for 25246PPRRVU2026_Oct_nonQPP.csv, line 2,413 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet