No office rate
Both represent complete wrist fusion; choose 25810 when autograft is used and 25800 when the fusion is performed without bone graft.
On this page
CMS RVU26D · Effective 2026-10-01
25810 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$798.27
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.
Orthopedic surgery
About 25810: Complete wrist fusion with autograft
Complete wrist fusion using iliac-crest or another autologous bone graft is reported when graft-supported fusion is performed.
An orthopedic hand or upper-extremity surgeon uses this code for complete wrist fusion supported by the patient’s own bone graft, commonly obtained from the iliac crest or another donor site. The operation joins the wrist across the intended fusion surfaces, often for severe painful arthritis, post-traumatic joint damage, or an unstable wrist when preserving wrist motion is not the goal. It is generally performed in an operating room with fixation selected by the surgeon.
Report this code when the operative report supports complete wrist arthrodesis with autograft; obtaining the graft is included. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25810
- 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 RVU11.65 · 49%
- Practice expense (office) RVU9.92 · 42%
- Malpractice RVU2.20 · 9%
632
Medicare services in 2024 · #3348 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.
25810 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
This code represents complete fusion with a sliding graft technique. 25810 is for complete fusion with iliac or other autograft.
No office rate
25820 describes a limited wrist fusion without bone graft, not the complete fusion with autograft represented by 25810.
No office rate
25825 is for limited wrist fusion with autograft; 25810 represents complete wrist fusion with autograft.
The same code, a different location
How does Merced compare?
25810 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 · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Modesto
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Napa
California · 25810
Office
Unavailable
Facility
$887.67
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25810
Office
Unavailable
Facility
$837.44
No comparable office rate is available.
Redding
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Rest Of California
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25810
Office
Unavailable
Facility
$821.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25810
Office
Unavailable
Facility
$827.86
No comparable office rate is available.
Salinas
California · 25810
Office
Unavailable
Facility
$824.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25810
Office
Unavailable
Facility
$836.90
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25810
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25810
Office
Unavailable
Facility
$924.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25810
Office
Unavailable
Facility
$949.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25810
Office
Unavailable
Facility
$938.88
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25810
Office
Unavailable
Facility
$812.51
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25810
Office
Unavailable
Facility
$839.25
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25810
Office
Unavailable
Facility
$825.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25810
Office
Unavailable
Facility
$847.06
No comparable office rate is available.
Stockton
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Vallejo
California · 25810
Office
Unavailable
Facility
$884.07
No comparable office rate is available.
Visalia
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Yuba City
California · 25810
Office
Unavailable
Facility
$798.27
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25810
Office
Unavailable
Facility
$882.23
No comparable office rate is available.
Miami
Florida · 25810
Office
Unavailable
Facility
$919.88
No comparable office rate is available.
Chicago
Illinois · 25810
Office
Unavailable
Facility
$893.48
No comparable office rate is available.
Manhattan
New York · 25810
Office
Unavailable
Facility
$915.58
No comparable office rate is available.
Alaska*
Alaska · 25810
Office
Unavailable
Facility
$977.04
No comparable office rate is available.
Alabama
Alabama · 25810
Office
Unavailable
Facility
$720.63
No comparable office rate is available.
Arkansas
Arkansas · 25810
Office
Unavailable
Facility
$711.58
No comparable office rate is available.
Arizona
Arizona · 25810
Office
Unavailable
Facility
$773.09
No comparable office rate is available.
Colorado
Colorado · 25810
Office
Unavailable
Facility
$803.72
No comparable office rate is available.
Connecticut
Connecticut · 25810
Office
Unavailable
Facility
$842.67
No comparable office rate is available.
Delaware
Delaware · 25810
Office
Unavailable
Facility
$784.49
No comparable office rate is available.
Fort Lauderdale
Florida · 25810
Office
Unavailable
Facility
$857.62
No comparable office rate is available.
Rest Of Florida
Florida · 25810
Office
Unavailable
Facility
$816.32
No comparable office rate is available.
Atlanta
Georgia · 25810
Office
Unavailable
Facility
$815.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 25810
Office
Unavailable
Facility
$772.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25810
Office
Unavailable
Facility
$808.40
No comparable office rate is available.
Iowa
Iowa · 25810
Office
Unavailable
Facility
$721.47
No comparable office rate is available.
Idaho
Idaho · 25810
Office
Unavailable
Facility
$728.71
No comparable office rate is available.
East St. Louis
Illinois · 25810
Office
Unavailable
Facility
$841.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 25810
Office
Unavailable
Facility
$806.48
No comparable office rate is available.
Suburban Chicago
Illinois · 25810
Office
Unavailable
Facility
$862.34
No comparable office rate is available.
Indiana
Indiana · 25810
Office
Unavailable
Facility
$731.98
No comparable office rate is available.
Kansas
Kansas · 25810
Office
Unavailable
Facility
$725.68
No comparable office rate is available.
Kentucky
Kentucky · 25810
Office
Unavailable
Facility
$750.92
No comparable office rate is available.
New Orleans
Louisiana · 25810
Office
Unavailable
Facility
$784.38
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25810
Office
Unavailable
Facility
$752.75
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25810
Office
Unavailable
Facility
$866.09
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25810
Office
Unavailable
Facility
$802.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25810
Office
Unavailable
Facility
$841.77
No comparable office rate is available.
Rest Of Maryland
Maryland · 25810
Office
Unavailable
Facility
$795.78
No comparable office rate is available.
Rest Of Maine
Maine · 25810
Office
Unavailable
Facility
$739.66
No comparable office rate is available.
Southern Maine
Maine · 25810
Office
Unavailable
Facility
$763.84
No comparable office rate is available.
Detroit
Michigan · 25810
Office
Unavailable
Facility
$832.75
No comparable office rate is available.
Rest Of Michigan
Michigan · 25810
Office
Unavailable
Facility
$774.59
No comparable office rate is available.
Minnesota
Minnesota · 25810
Office
Unavailable
Facility
$751.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25810
Office
Unavailable
Facility
$772.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25810
Office
Unavailable
Facility
$778.18
No comparable office rate is available.
Rest Of Missouri
Missouri · 25810
Office
Unavailable
Facility
$746.30
No comparable office rate is available.
Mississippi
Mississippi · 25810
Office
Unavailable
Facility
$728.70
No comparable office rate is available.
Montana**
Montana · 25810
Office
Unavailable
Facility
$793.79
No comparable office rate is available.
North Carolina
North Carolina · 25810
Office
Unavailable
Facility
$745.21
No comparable office rate is available.
North Dakota**
North Dakota · 25810
Office
Unavailable
Facility
$750.29
No comparable office rate is available.
Nebraska
Nebraska · 25810
Office
Unavailable
Facility
$722.72
No comparable office rate is available.
New Hampshire
New Hampshire · 25810
Office
Unavailable
Facility
$798.34
No comparable office rate is available.
Northern Nj
New Jersey · 25810
Office
Unavailable
Facility
$876.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25810
Office
Unavailable
Facility
$847.11
No comparable office rate is available.
New Mexico
New Mexico · 25810
Office
Unavailable
Facility
$781.21
No comparable office rate is available.
Nevada**
Nevada · 25810
Office
Unavailable
Facility
$782.00
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25810
Office
Unavailable
Facility
$944.44
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25810
Office
Unavailable
Facility
$858.36
No comparable office rate is available.
Queens
New York · 25810
Office
Unavailable
Facility
$911.63
No comparable office rate is available.
Rest Of New York
New York · 25810
Office
Unavailable
Facility
$755.55
No comparable office rate is available.
Ohio
Ohio · 25810
Office
Unavailable
Facility
$765.70
No comparable office rate is available.
Oklahoma
Oklahoma · 25810
Office
Unavailable
Facility
$742.10
No comparable office rate is available.
Portland
Oregon · 25810
Office
Unavailable
Facility
$818.13
No comparable office rate is available.
Rest Of Oregon
Oregon · 25810
Office
Unavailable
Facility
$770.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25810
Office
Unavailable
Facility
$828.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25810
Office
Unavailable
Facility
$762.73
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25810
Office
Unavailable
Facility
$796.48
No comparable office rate is available.
Rhode Island
Rhode Island · 25810
Office
Unavailable
Facility
$804.33
No comparable office rate is available.
South Carolina
South Carolina · 25810
Office
Unavailable
Facility
$757.74
No comparable office rate is available.
South Dakota**
South Dakota · 25810
Office
Unavailable
Facility
$745.15
No comparable office rate is available.
Tennessee
Tennessee · 25810
Office
Unavailable
Facility
$729.77
No comparable office rate is available.
Austin
Texas · 25810
Office
Unavailable
Facility
$805.56
No comparable office rate is available.
Beaumont
Texas · 25810
Office
Unavailable
Facility
$758.90
No comparable office rate is available.
Brazoria
Texas · 25810
Office
Unavailable
Facility
$777.90
No comparable office rate is available.
Dallas
Texas · 25810
Office
Unavailable
Facility
$785.68
No comparable office rate is available.
Fort Worth
Texas · 25810
Office
Unavailable
Facility
$783.32
No comparable office rate is available.
Galveston
Texas · 25810
Office
Unavailable
Facility
$782.09
No comparable office rate is available.
Houston
Texas · 25810
Office
Unavailable
Facility
$822.36
No comparable office rate is available.
Rest Of Texas
Texas · 25810
Office
Unavailable
Facility
$769.91
No comparable office rate is available.
Utah
Utah · 25810
Office
Unavailable
Facility
$766.56
No comparable office rate is available.
Virginia
Virginia · 25810
Office
Unavailable
Facility
$766.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25810
Office
Unavailable
Facility
$796.48
No comparable office rate is available.
Vermont
Vermont · 25810
Office
Unavailable
Facility
$754.33
No comparable office rate is available.
Rest Of Washington
Washington · 25810
Office
Unavailable
Facility
$799.00
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25810
Office
Unavailable
Facility
$875.16
No comparable office rate is available.
Wisconsin
Wisconsin · 25810
Office
Unavailable
Facility
$729.17
No comparable office rate is available.
West Virginia
West Virginia · 25810
Office
Unavailable
Facility
$782.20
No comparable office rate is available.
Wyoming**
Wyoming · 25810
Office
Unavailable
Facility
$774.83
No comparable office rate is available.
See how rates vary across the country
25810 · 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 25810 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$878.10
$798.27 × 110% = $878.10
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 25810 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,511
- Code
- 25810
- Physician work
- 11.65
- Practice expense
- 9.92
- Malpractice
- 2.20
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.65 | × 1.017 | 11.8480 |
| Practice expense | 9.92 | × 1.096 | 10.8723 |
| Malpractice | 2.20 | × 0.536 | 1.1792 |
| Total RVUs | 23.8996 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$798.27
Open 25810 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.65 | 1.017 |
| Practice expense | 9.92 | 1.096 |
| Malpractice | 2.2 | 0.536 |
(11.65 × 1.017 + 9.92 × 1.096 + 2.2 × 0.536) × $33.4009 = $798.27
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
25810 · 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 | $798.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $798.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $798.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $798.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $872.34 | RVU25D |
| 2025-07-01 | Not available in this setting | $872.34 | RVU25C |
| 2025-04-01 | Not available in this setting | $872.34 | RVU25B |
| 2025-01-01 | Not available in this setting | $872.34 | RVU25A |
25810 billing questions
How does this differ from 25800?
Both describe complete wrist fusion, but 25810 includes autograft use, while 25800 is the complete fusion code without bone graft.
Can the graft harvest be billed separately?
No. Obtaining the autograft is included in 25810.
When is 25805 a better choice?
Use 25805 when the complete wrist fusion is performed with a sliding graft technique rather than the iliac or other autograft service represented by 25810.
What documentation supports 25810?
The operative report should establish complete wrist arthrodesis and use of the patient’s own bone graft. It should also identify the graft source and the procedure performed.
How is bilateral wrist fusion paid?
CMS pays bilateral reporting with modifier 50 at 150%. The code also has a 90-day global period for related postoperative care.
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.
2,50825695,,Optx lunate dislocation,A,,8.30,7.93,NA,7.93,,1.76,17.99,17.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50925800,,Arthrd wrist complete wo grf,A,,9.82,8.46,NA,8.46,,1.88,20.16,20.16,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51025805,,Arthrd wrist w/sliding graft,A,,11.44,9.84,NA,9.84,,2.44,23.72,23.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51125810,,Arthrd wrst iliac/oth agrft,A,,11.65,9.92,NA,9.92,,2.20,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51225820,,Arthrd wrist lmtd w/o b1 grf,A,,7.45,9.52,NA,9.52,,1.45,18.42,18.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51325825,,Arthrd wrist with autograft,A,,9.45,11.03,NA,11.03,,1.79,22.27,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51425830,,Arthrd dst rad/ul jt sgm rsc,A,,10.61,16.37,NA,16.37,,2.08,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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