No office rate
Choose 25390 when the operation shortens the radius or ulna. This code is for shortening a carpal bone.
On this page
CMS RVU26D · Effective 2026-10-01
25394 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$736.09
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 25394: Carpal bone shortening osteotomy
Reports an operation that shortens a carpal bone, such as the lunate, to address selected wrist disorders involving carpal bone mechanics.
This service involves surgically removing or reshaping bone to shorten a carpal bone, such as the lunate. A hand or orthopedic surgeon may perform it for selected wrist conditions in which changing carpal bone length is part of the treatment plan; lunate disorders such as Kienböck disease are one clinical context. The operative report should identify the bone and describe the shortening procedure performed.
Report this code for shortening a carpal bone, not for an osteotomy that shortens the radius or ulna. Documentation should support the affected bone, side, indication, and procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25394
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.58 · 48%
- Practice expense (office) RVU9.19 · 42%
- Malpractice RVU2.25 · 10%
45
Medicare services in 2024 · #5411 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.
25394 compared with similar codes
Office rates for Merced, from the same CMS release.
The same code, a different location
How does Merced compare?
25394 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Modesto
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Napa
California · 25394
Office
Unavailable
Facility
$818.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25394
Office
Unavailable
Facility
$772.92
No comparable office rate is available.
Redding
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Rest Of California
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25394
Office
Unavailable
Facility
$760.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25394
Office
Unavailable
Facility
$763.37
No comparable office rate is available.
Salinas
California · 25394
Office
Unavailable
Facility
$760.38
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25394
Office
Unavailable
Facility
$771.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25394
Office
Unavailable
Facility
$854.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25394
Office
Unavailable
Facility
$851.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25394
Office
Unavailable
Facility
$875.16
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25394
Office
Unavailable
Facility
$864.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25394
Office
Unavailable
Facility
$749.29
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25394
Office
Unavailable
Facility
$774.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25394
Office
Unavailable
Facility
$761.47
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25394
Office
Unavailable
Facility
$781.20
No comparable office rate is available.
Stockton
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Vallejo
California · 25394
Office
Unavailable
Facility
$814.71
No comparable office rate is available.
Visalia
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Yuba City
California · 25394
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25394
Office
Unavailable
Facility
$817.70
No comparable office rate is available.
Miami
Florida · 25394
Office
Unavailable
Facility
$862.98
No comparable office rate is available.
Chicago
Illinois · 25394
Office
Unavailable
Facility
$836.82
No comparable office rate is available.
Manhattan
New York · 25394
Office
Unavailable
Facility
$851.87
No comparable office rate is available.
Alaska*
Alaska · 25394
Office
Unavailable
Facility
$898.39
No comparable office rate is available.
Alabama
Alabama · 25394
Office
Unavailable
Facility
$664.50
No comparable office rate is available.
Arkansas
Arkansas · 25394
Office
Unavailable
Facility
$655.76
No comparable office rate is available.
Arizona
Arizona · 25394
Office
Unavailable
Facility
$715.15
No comparable office rate is available.
Colorado
Colorado · 25394
Office
Unavailable
Facility
$742.92
No comparable office rate is available.
Connecticut
Connecticut · 25394
Office
Unavailable
Facility
$781.97
No comparable office rate is available.
Delaware
Delaware · 25394
Office
Unavailable
Facility
$725.98
No comparable office rate is available.
Fort Lauderdale
Florida · 25394
Office
Unavailable
Facility
$800.20
No comparable office rate is available.
Rest Of Florida
Florida · 25394
Office
Unavailable
Facility
$759.78
No comparable office rate is available.
Atlanta
Georgia · 25394
Office
Unavailable
Facility
$756.56
No comparable office rate is available.
Rest Of Georgia
Georgia · 25394
Office
Unavailable
Facility
$716.77
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25394
Office
Unavailable
Facility
$745.90
No comparable office rate is available.
Iowa
Iowa · 25394
Office
Unavailable
Facility
$664.08
No comparable office rate is available.
Idaho
Idaho · 25394
Office
Unavailable
Facility
$671.33
No comparable office rate is available.
East St. Louis
Illinois · 25394
Office
Unavailable
Facility
$787.14
No comparable office rate is available.
Rest Of Illinois
Illinois · 25394
Office
Unavailable
Facility
$751.09
No comparable office rate is available.
Suburban Chicago
Illinois · 25394
Office
Unavailable
Facility
$804.27
No comparable office rate is available.
Indiana
Indiana · 25394
Office
Unavailable
Facility
$674.45
No comparable office rate is available.
Kansas
Kansas · 25394
Office
Unavailable
Facility
$668.74
No comparable office rate is available.
Kentucky
Kentucky · 25394
Office
Unavailable
Facility
$695.03
No comparable office rate is available.
New Orleans
Louisiana · 25394
Office
Unavailable
Facility
$727.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25394
Office
Unavailable
Facility
$697.03
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25394
Office
Unavailable
Facility
$801.26
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25394
Office
Unavailable
Facility
$742.15
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25394
Office
Unavailable
Facility
$781.36
No comparable office rate is available.
Rest Of Maryland
Maryland · 25394
Office
Unavailable
Facility
$736.54
No comparable office rate is available.
Rest Of Maine
Maine · 25394
Office
Unavailable
Facility
$682.52
No comparable office rate is available.
Southern Maine
Maine · 25394
Office
Unavailable
Facility
$704.99
No comparable office rate is available.
Detroit
Michigan · 25394
Office
Unavailable
Facility
$776.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 25394
Office
Unavailable
Facility
$718.48
No comparable office rate is available.
Minnesota
Minnesota · 25394
Office
Unavailable
Facility
$691.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25394
Office
Unavailable
Facility
$715.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25394
Office
Unavailable
Facility
$720.90
No comparable office rate is available.
Rest Of Missouri
Missouri · 25394
Office
Unavailable
Facility
$691.17
No comparable office rate is available.
Mississippi
Mississippi · 25394
Office
Unavailable
Facility
$673.21
No comparable office rate is available.
Montana**
Montana · 25394
Office
Unavailable
Facility
$735.34
No comparable office rate is available.
North Carolina
North Carolina · 25394
Office
Unavailable
Facility
$687.79
No comparable office rate is available.
North Dakota**
North Dakota · 25394
Office
Unavailable
Facility
$690.85
No comparable office rate is available.
Nebraska
Nebraska · 25394
Office
Unavailable
Facility
$665.11
No comparable office rate is available.
New Hampshire
New Hampshire · 25394
Office
Unavailable
Facility
$738.68
No comparable office rate is available.
Northern Nj
New Jersey · 25394
Office
Unavailable
Facility
$811.97
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25394
Office
Unavailable
Facility
$785.15
No comparable office rate is available.
New Mexico
New Mexico · 25394
Office
Unavailable
Facility
$725.12
No comparable office rate is available.
Nevada**
Nevada · 25394
Office
Unavailable
Facility
$723.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25394
Office
Unavailable
Facility
$880.52
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25394
Office
Unavailable
Facility
$796.33
No comparable office rate is available.
Queens
New York · 25394
Office
Unavailable
Facility
$847.19
No comparable office rate is available.
Rest Of New York
New York · 25394
Office
Unavailable
Facility
$697.82
No comparable office rate is available.
Ohio
Ohio · 25394
Office
Unavailable
Facility
$709.38
No comparable office rate is available.
Oklahoma
Oklahoma · 25394
Office
Unavailable
Facility
$685.88
No comparable office rate is available.
Portland
Oregon · 25394
Office
Unavailable
Facility
$755.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 25394
Office
Unavailable
Facility
$711.94
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25394
Office
Unavailable
Facility
$768.94
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25394
Office
Unavailable
Facility
$706.18
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25394
Office
Unavailable
Facility
$737.74
No comparable office rate is available.
Rhode Island
Rhode Island · 25394
Office
Unavailable
Facility
$744.22
No comparable office rate is available.
South Carolina
South Carolina · 25394
Office
Unavailable
Facility
$700.89
No comparable office rate is available.
South Dakota**
South Dakota · 25394
Office
Unavailable
Facility
$685.59
No comparable office rate is available.
Tennessee
Tennessee · 25394
Office
Unavailable
Facility
$672.76
No comparable office rate is available.
Austin
Texas · 25394
Office
Unavailable
Facility
$745.43
No comparable office rate is available.
Beaumont
Texas · 25394
Office
Unavailable
Facility
$702.53
No comparable office rate is available.
Brazoria
Texas · 25394
Office
Unavailable
Facility
$719.02
No comparable office rate is available.
Dallas
Texas · 25394
Office
Unavailable
Facility
$726.77
No comparable office rate is available.
Fort Worth
Texas · 25394
Office
Unavailable
Facility
$724.68
No comparable office rate is available.
Galveston
Texas · 25394
Office
Unavailable
Facility
$723.24
No comparable office rate is available.
Houston
Texas · 25394
Office
Unavailable
Facility
$764.42
No comparable office rate is available.
Rest Of Texas
Texas · 25394
Office
Unavailable
Facility
$712.54
No comparable office rate is available.
Utah
Utah · 25394
Office
Unavailable
Facility
$709.41
No comparable office rate is available.
Virginia
Virginia · 25394
Office
Unavailable
Facility
$708.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25394
Office
Unavailable
Facility
$737.74
No comparable office rate is available.
Vermont
Vermont · 25394
Office
Unavailable
Facility
$695.29
No comparable office rate is available.
Rest Of Washington
Washington · 25394
Office
Unavailable
Facility
$738.39
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25394
Office
Unavailable
Facility
$809.08
No comparable office rate is available.
Wisconsin
Wisconsin · 25394
Office
Unavailable
Facility
$670.59
No comparable office rate is available.
West Virginia
West Virginia · 25394
Office
Unavailable
Facility
$727.67
No comparable office rate is available.
Wyoming**
Wyoming · 25394
Office
Unavailable
Facility
$715.95
No comparable office rate is available.
See how rates vary across the country
25394 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 25394 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$809.70
$736.09 × 110% = $809.70
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 25394 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,448
- Code
- 25394
- Physician work
- 10.58
- Practice expense
- 9.19
- Malpractice
- 2.25
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.58 | × 1.017 | 10.7599 |
| Practice expense | 9.19 | × 1.096 | 10.0722 |
| Malpractice | 2.25 | × 0.536 | 1.2060 |
| Total RVUs | 22.0381 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$736.09
Open 25394 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.58 | 1.017 |
| Practice expense | 9.19 | 1.096 |
| Malpractice | 2.25 | 0.536 |
(10.58 × 1.017 + 9.19 × 1.096 + 2.25 × 0.536) × $33.4009 = $736.09
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
25394 · 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 | $736.09 | RVU26D |
| 2026-07-01 | Not available in this setting | $736.09 | RVU26C |
| 2026-04-01 | Not available in this setting | $736.09 | RVU26B |
| 2026-01-01 | Not available in this setting | $736.09 | RVU26A |
| 2025-10-01 | Not available in this setting | $785.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $785.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $785.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $785.52 | RVU25A |
25394 billing questions
How does this differ from a forearm-bone shortening code?
This code is for shortening a carpal bone in the wrist. Use the radius or ulna codes when the osteotomy shortens one or both forearm bones.
What should the operative report identify?
Document the carpal bone treated, the side, the clinical indication, and the shortening procedure performed.
Can modifier 50 be used for bilateral work?
Yes. CMS lists this as a bilateral procedure; modifier 50 is paid at 150%.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and additional procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,44525391,,Lengthen radius or ulna,A,,13.92,10.63,NA,10.63,,2.97,27.52,27.52,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44625392,,Shorten radius & ulna,A,,14.22,10.72,NA,10.72,,3.03,27.97,27.97,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44725393,,Lengthen radius & ulna,A,,16.15,11.34,NA,11.34,,3.44,30.93,30.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44825394,,Repair carpal bone shorten,A,,10.58,9.19,NA,9.19,,2.25,22.02,22.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44925400,,Repair radius or ulna,A,,11.00,8.91,NA,8.91,,2.16,22.07,22.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45025405,,Repair/graft radius or ulna,A,,14.63,10.62,NA,10.62,,2.87,28.12,28.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45125415,,Repair radius & ulna,A,,13.46,10.48,NA,10.48,,2.87,26.81,26.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623