No office rate
This code targets reconstruction of the distal radioulnar joint. Code 25320 is for wrist-joint repair or reconstruction when the operative target is broader.
On this page
CMS RVU26D · Effective 2026-10-01
25337 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$837.08
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 25337: Distal radioulnar joint reconstruction
Reconstructs the distal radioulnar joint to address persistent instability, including cases where the surgeon uses a tendon graft for stabilization.
This operation stabilizes the joint between the radius and ulna near the wrist when it remains unstable, often after trauma such as a Galeazzi injury or distal radius fracture. An orthopedic or hand surgeon performs the reconstruction in an operating room; a tendon graft may be used to restore support. The operative target is the distal radioulnar joint, not a general wrist ligament or a bony shortening procedure.
Report the code when the documented procedure reconstructs this joint, whether or not a tendon graft is used. The record should identify the instability, the joint treated, the reconstructive work, and laterality. Medicare assigns 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 is paid in full and other procedures are subject to the standard 50% reduction. 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 25337
- 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 RVU11.44 · 46%
- Practice expense (office) RVU11.17 · 45%
- Malpractice RVU2.19 · 9%
495
Medicare services in 2024 · #3571 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.
25337 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Code 25676 describes open treatment of a distal radioulnar joint dislocation; 25337 is for reconstructing the joint to address instability.
No office rate
Code 25360 addresses an ulnar bone problem with an osteotomy. Use 25337 when the procedure reconstructs distal radioulnar joint stability.
The same code, a different location
How does El Centro compare?
25337 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 · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Modesto
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Napa
California · 25337
Office
Unavailable
Facility
$935.07
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25337
Office
Unavailable
Facility
$879.37
No comparable office rate is available.
Redding
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Rest Of California
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25337
Office
Unavailable
Facility
$860.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25337
Office
Unavailable
Facility
$868.97
No comparable office rate is available.
Salinas
California · 25337
Office
Unavailable
Facility
$865.57
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25337
Office
Unavailable
Facility
$879.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25337
Office
Unavailable
Facility
$978.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25337
Office
Unavailable
Facility
$975.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25337
Office
Unavailable
Facility
$1001.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25337
Office
Unavailable
Facility
$991.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25337
Office
Unavailable
Facility
$852.76
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25337
Office
Unavailable
Facility
$882.64
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25337
Office
Unavailable
Facility
$867.03
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25337
Office
Unavailable
Facility
$890.93
No comparable office rate is available.
Stockton
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Vallejo
California · 25337
Office
Unavailable
Facility
$931.48
No comparable office rate is available.
Visalia
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Yuba City
California · 25337
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25337
Office
Unavailable
Facility
$923.65
No comparable office rate is available.
Miami
Florida · 25337
Office
Unavailable
Facility
$955.48
No comparable office rate is available.
Chicago
Illinois · 25337
Office
Unavailable
Facility
$927.61
No comparable office rate is available.
Manhattan
New York · 25337
Office
Unavailable
Facility
$956.10
No comparable office rate is available.
Alaska*
Alaska · 25337
Office
Unavailable
Facility
$1010.80
No comparable office rate is available.
Alabama
Alabama · 25337
Office
Unavailable
Facility
$749.96
No comparable office rate is available.
Arkansas
Arkansas · 25337
Office
Unavailable
Facility
$740.26
No comparable office rate is available.
Arizona
Arizona · 25337
Office
Unavailable
Facility
$806.24
No comparable office rate is available.
Colorado
Colorado · 25337
Office
Unavailable
Facility
$840.79
No comparable office rate is available.
Connecticut
Connecticut · 25337
Office
Unavailable
Facility
$880.07
No comparable office rate is available.
Delaware
Delaware · 25337
Office
Unavailable
Facility
$818.39
No comparable office rate is available.
Fort Lauderdale
Florida · 25337
Office
Unavailable
Facility
$892.30
No comparable office rate is available.
Rest Of Florida
Florida · 25337
Office
Unavailable
Facility
$848.72
No comparable office rate is available.
Atlanta
Georgia · 25337
Office
Unavailable
Facility
$850.16
No comparable office rate is available.
Rest Of Georgia
Georgia · 25337
Office
Unavailable
Facility
$802.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25337
Office
Unavailable
Facility
$848.66
No comparable office rate is available.
Iowa
Iowa · 25337
Office
Unavailable
Facility
$752.52
No comparable office rate is available.
Idaho
Idaho · 25337
Office
Unavailable
Facility
$759.95
No comparable office rate is available.
East St. Louis
Illinois · 25337
Office
Unavailable
Facility
$872.67
No comparable office rate is available.
Rest Of Illinois
Illinois · 25337
Office
Unavailable
Facility
$837.07
No comparable office rate is available.
Suburban Chicago
Illinois · 25337
Office
Unavailable
Facility
$897.56
No comparable office rate is available.
Indiana
Indiana · 25337
Office
Unavailable
Facility
$763.51
No comparable office rate is available.
Kansas
Kansas · 25337
Office
Unavailable
Facility
$756.24
No comparable office rate is available.
Kentucky
Kentucky · 25337
Office
Unavailable
Facility
$780.71
No comparable office rate is available.
New Orleans
Louisiana · 25337
Office
Unavailable
Facility
$816.28
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25337
Office
Unavailable
Facility
$782.36
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25337
Office
Unavailable
Facility
$908.34
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25337
Office
Unavailable
Facility
$839.38
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25337
Office
Unavailable
Facility
$879.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 25337
Office
Unavailable
Facility
$830.64
No comparable office rate is available.
Rest Of Maine
Maine · 25337
Office
Unavailable
Facility
$770.85
No comparable office rate is available.
Southern Maine
Maine · 25337
Office
Unavailable
Facility
$797.99
No comparable office rate is available.
Detroit
Michigan · 25337
Office
Unavailable
Facility
$865.46
No comparable office rate is available.
Rest Of Michigan
Michigan · 25337
Office
Unavailable
Facility
$805.32
No comparable office rate is available.
Minnesota
Minnesota · 25337
Office
Unavailable
Facility
$787.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25337
Office
Unavailable
Facility
$803.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25337
Office
Unavailable
Facility
$810.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 25337
Office
Unavailable
Facility
$774.95
No comparable office rate is available.
Mississippi
Mississippi · 25337
Office
Unavailable
Facility
$757.39
No comparable office rate is available.
Montana**
Montana · 25337
Office
Unavailable
Facility
$828.20
No comparable office rate is available.
North Carolina
North Carolina · 25337
Office
Unavailable
Facility
$776.94
No comparable office rate is available.
North Dakota**
North Dakota · 25337
Office
Unavailable
Facility
$784.89
No comparable office rate is available.
Nebraska
Nebraska · 25337
Office
Unavailable
Facility
$754.12
No comparable office rate is available.
New Hampshire
New Hampshire · 25337
Office
Unavailable
Facility
$834.50
No comparable office rate is available.
Northern Nj
New Jersey · 25337
Office
Unavailable
Facility
$917.08
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25337
Office
Unavailable
Facility
$885.05
No comparable office rate is available.
New Mexico
New Mexico · 25337
Office
Unavailable
Facility
$812.08
No comparable office rate is available.
Nevada**
Nevada · 25337
Office
Unavailable
Facility
$816.50
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25337
Office
Unavailable
Facility
$986.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25337
Office
Unavailable
Facility
$896.34
No comparable office rate is available.
Queens
New York · 25337
Office
Unavailable
Facility
$953.03
No comparable office rate is available.
Rest Of New York
New York · 25337
Office
Unavailable
Facility
$787.96
No comparable office rate is available.
Ohio
Ohio · 25337
Office
Unavailable
Facility
$796.47
No comparable office rate is available.
Oklahoma
Oklahoma · 25337
Office
Unavailable
Facility
$772.11
No comparable office rate is available.
Portland
Oregon · 25337
Office
Unavailable
Facility
$857.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 25337
Office
Unavailable
Facility
$805.13
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25337
Office
Unavailable
Facility
$864.63
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25337
Office
Unavailable
Facility
$793.73
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25337
Office
Unavailable
Facility
$831.35
No comparable office rate is available.
Rhode Island
Rhode Island · 25337
Office
Unavailable
Facility
$840.01
No comparable office rate is available.
South Carolina
South Carolina · 25337
Office
Unavailable
Facility
$789.02
No comparable office rate is available.
South Dakota**
South Dakota · 25337
Office
Unavailable
Facility
$779.77
No comparable office rate is available.
Tennessee
Tennessee · 25337
Office
Unavailable
Facility
$760.52
No comparable office rate is available.
Austin
Texas · 25337
Office
Unavailable
Facility
$842.41
No comparable office rate is available.
Beaumont
Texas · 25337
Office
Unavailable
Facility
$789.57
No comparable office rate is available.
Brazoria
Texas · 25337
Office
Unavailable
Facility
$811.95
No comparable office rate is available.
Dallas
Texas · 25337
Office
Unavailable
Facility
$819.90
No comparable office rate is available.
Fort Worth
Texas · 25337
Office
Unavailable
Facility
$817.12
No comparable office rate is available.
Galveston
Texas · 25337
Office
Unavailable
Facility
$816.21
No comparable office rate is available.
Houston
Texas · 25337
Office
Unavailable
Facility
$856.29
No comparable office rate is available.
Rest Of Texas
Texas · 25337
Office
Unavailable
Facility
$802.22
No comparable office rate is available.
Utah
Utah · 25337
Office
Unavailable
Facility
$798.50
No comparable office rate is available.
Virginia
Virginia · 25337
Office
Unavailable
Facility
$800.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25337
Office
Unavailable
Facility
$831.35
No comparable office rate is available.
Vermont
Vermont · 25337
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Rest Of Washington
Washington · 25337
Office
Unavailable
Facility
$835.60
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25337
Office
Unavailable
Facility
$918.75
No comparable office rate is available.
Wisconsin
Wisconsin · 25337
Office
Unavailable
Facility
$762.05
No comparable office rate is available.
West Virginia
West Virginia · 25337
Office
Unavailable
Facility
$810.99
No comparable office rate is available.
Wyoming**
Wyoming · 25337
Office
Unavailable
Facility
$809.32
No comparable office rate is available.
See how rates vary across the country
25337 · 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 25337 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$920.79
$837.08 × 110% = $920.79
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 25337 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,437
- Code
- 25337
- Physician work
- 11.44
- Practice expense
- 11.17
- Malpractice
- 2.19
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.44 | × 1.017 | 11.6345 |
| Practice expense | 11.17 | × 1.096 | 12.2423 |
| Malpractice | 2.19 | × 0.541 | 1.1848 |
| Total RVUs | 25.0616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$837.08
Open 25337 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.44 | 1.017 |
| Practice expense | 11.17 | 1.096 |
| Malpractice | 2.19 | 0.541 |
(11.44 × 1.017 + 11.17 × 1.096 + 2.19 × 0.541) × $33.4009 = $837.08
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
25337 · 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 | $837.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $837.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $837.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $837.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $899.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $899.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $899.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $899.39 | RVU25A |
25337 billing questions
When is this code used instead of a wrist reconstruction code?
Use it when the reconstructed structure is specifically the distal radioulnar joint and the goal is to address its instability. A broader wrist reconstruction code applies when the operative target is the wrist joint more generally.
Does use of a tendon graft change the code?
No. This code covers distal radioulnar joint reconstruction with or without a tendon graft. Document the graft use and the reconstructive work performed.
Does this code include related postoperative care?
Medicare assigns a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How is it paid when performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can it be reported bilaterally?
Yes. Medicare pays bilateral reporting with modifier 50 at 150%.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment is restricted 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.
2,43425320,,Repair/revise wrist joint,A,,12.43,12.93,NA,12.93,,2.41,27.77,27.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43525332,,Revise wrist joint,A,,11.45,9.53,NA,9.53,,2.22,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43625335,,Centralization wrist on ulna,A,,13.06,10.36,NA,10.36,,2.77,26.19,26.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43725337,,Reconstruct ulna/radioulnar,A,,11.44,11.17,NA,11.17,,2.19,24.80,24.80,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43825350,,Revision of radius,A,,8.86,8.19,NA,8.19,,1.72,18.77,18.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43925355,,Revision of radius,A,,10.27,9.05,NA,9.05,,2.19,21.51,21.51,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44025360,,Revision of ulna,A,,8.52,8.07,NA,8.07,,1.67,18.26,18.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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