No office rate
Use 25800 for complete wrist fusion without graft. Use 25820 when the surgeon fuses only selected wrist joints.
On this page
CMS RVU26D · Effective 2026-10-01
25820 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$627.53
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 25820: Limited wrist fusion without bone graft
A surgeon fuses selected wrist bones without bone graft to treat conditions such as painful arthritis or instability while preserving unfused wrist joints.
An orthopedic or hand surgeon performs a limited wrist arthrodesis by joining selected wrist bones while leaving other wrist joints unfused. The procedure may be used for painful wrist arthritis, post-traumatic damage, or instability when the treatment plan calls for a partial rather than complete wrist fusion. This code describes the limited fusion performed without bone graft; the operative report should identify the bones fused and the extent of the arthrodesis.
Report the code when the surgeon performs that limited fusion and does not use bone graft. Documentation should support the involved joints, the reason for fusion, and the graft status. 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team-surgery billing is not permitted.
CMS billing rules for 25820
- 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 RVU7.45 · 40%
- Practice expense (office) RVU9.52 · 52%
- Malpractice RVU1.45 · 8%
403
Medicare services in 2024 · #3732 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.
25820 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Use 25805 when the wrist fusion includes a sliding bone graft; 25820 describes a limited fusion without graft.
No office rate
Use 25810 when iliac or another autograft is used for the wrist arthrodesis. This code is for limited fusion without bone graft.
No office rate
Use 25825 when autograft is used for wrist arthrodesis. Use 25820 when the documented limited fusion is performed without graft.
The same code, a different location
How does Merced compare?
25820 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 · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Modesto
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Napa
California · 25820
Office
Unavailable
Facility
$708.21
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25820
Office
Unavailable
Facility
$661.83
No comparable office rate is available.
Redding
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Rest Of California
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25820
Office
Unavailable
Facility
$643.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25820
Office
Unavailable
Facility
$653.56
No comparable office rate is available.
Salinas
California · 25820
Office
Unavailable
Facility
$651.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25820
Office
Unavailable
Facility
$662.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25820
Office
Unavailable
Facility
$743.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25820
Office
Unavailable
Facility
$741.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25820
Office
Unavailable
Facility
$760.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25820
Office
Unavailable
Facility
$753.96
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25820
Office
Unavailable
Facility
$641.20
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25820
Office
Unavailable
Facility
$666.36
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25820
Office
Unavailable
Facility
$652.52
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25820
Office
Unavailable
Facility
$672.74
No comparable office rate is available.
Stockton
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Vallejo
California · 25820
Office
Unavailable
Facility
$705.84
No comparable office rate is available.
Visalia
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Yuba City
California · 25820
Office
Unavailable
Facility
$627.53
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25820
Office
Unavailable
Facility
$690.75
No comparable office rate is available.
Miami
Florida · 25820
Office
Unavailable
Facility
$702.33
No comparable office rate is available.
Chicago
Illinois · 25820
Office
Unavailable
Facility
$681.29
No comparable office rate is available.
Manhattan
New York · 25820
Office
Unavailable
Facility
$711.06
No comparable office rate is available.
Alaska*
Alaska · 25820
Office
Unavailable
Facility
$738.59
No comparable office rate is available.
Alabama
Alabama · 25820
Office
Unavailable
Facility
$554.48
No comparable office rate is available.
Arkansas
Arkansas · 25820
Office
Unavailable
Facility
$546.92
No comparable office rate is available.
Arizona
Arizona · 25820
Office
Unavailable
Facility
$598.41
No comparable office rate is available.
Colorado
Colorado · 25820
Office
Unavailable
Facility
$627.97
No comparable office rate is available.
Connecticut
Connecticut · 25820
Office
Unavailable
Facility
$654.88
No comparable office rate is available.
Delaware
Delaware · 25820
Office
Unavailable
Facility
$607.78
No comparable office rate is available.
Fort Lauderdale
Florida · 25820
Office
Unavailable
Facility
$658.51
No comparable office rate is available.
Rest Of Florida
Florida · 25820
Office
Unavailable
Facility
$625.61
No comparable office rate is available.
Atlanta
Georgia · 25820
Office
Unavailable
Facility
$630.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 25820
Office
Unavailable
Facility
$590.20
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25820
Office
Unavailable
Facility
$638.42
No comparable office rate is available.
Iowa
Iowa · 25820
Office
Unavailable
Facility
$559.01
No comparable office rate is available.
Idaho
Idaho · 25820
Office
Unavailable
Facility
$564.28
No comparable office rate is available.
East St. Louis
Illinois · 25820
Office
Unavailable
Facility
$638.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 25820
Office
Unavailable
Facility
$614.85
No comparable office rate is available.
Suburban Chicago
Illinois · 25820
Office
Unavailable
Facility
$662.96
No comparable office rate is available.
Indiana
Indiana · 25820
Office
Unavailable
Facility
$567.14
No comparable office rate is available.
Kansas
Kansas · 25820
Office
Unavailable
Facility
$560.70
No comparable office rate is available.
Kentucky
Kentucky · 25820
Office
Unavailable
Facility
$575.83
No comparable office rate is available.
New Orleans
Louisiana · 25820
Office
Unavailable
Facility
$603.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25820
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25820
Office
Unavailable
Facility
$681.81
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25820
Office
Unavailable
Facility
$626.25
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25820
Office
Unavailable
Facility
$653.92
No comparable office rate is available.
Rest Of Maryland
Maryland · 25820
Office
Unavailable
Facility
$617.58
No comparable office rate is available.
Rest Of Maine
Maine · 25820
Office
Unavailable
Facility
$571.50
No comparable office rate is available.
Southern Maine
Maine · 25820
Office
Unavailable
Facility
$594.51
No comparable office rate is available.
Detroit
Michigan · 25820
Office
Unavailable
Facility
$637.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 25820
Office
Unavailable
Facility
$593.83
No comparable office rate is available.
Minnesota
Minnesota · 25820
Office
Unavailable
Facility
$590.37
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25820
Office
Unavailable
Facility
$594.73
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25820
Office
Unavailable
Facility
$600.08
No comparable office rate is available.
Rest Of Missouri
Missouri · 25820
Office
Unavailable
Facility
$570.10
No comparable office rate is available.
Mississippi
Mississippi · 25820
Office
Unavailable
Facility
$558.41
No comparable office rate is available.
Montana**
Montana · 25820
Office
Unavailable
Facility
$615.15
No comparable office rate is available.
North Carolina
North Carolina · 25820
Office
Unavailable
Facility
$576.46
No comparable office rate is available.
North Dakota**
North Dakota · 25820
Office
Unavailable
Facility
$586.48
No comparable office rate is available.
Nebraska
Nebraska · 25820
Office
Unavailable
Facility
$560.64
No comparable office rate is available.
New Hampshire
New Hampshire · 25820
Office
Unavailable
Facility
$622.23
No comparable office rate is available.
Northern Nj
New Jersey · 25820
Office
Unavailable
Facility
$685.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25820
Office
Unavailable
Facility
$659.15
No comparable office rate is available.
New Mexico
New Mexico · 25820
Office
Unavailable
Facility
$598.59
No comparable office rate is available.
Nevada**
Nevada · 25820
Office
Unavailable
Facility
$607.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25820
Office
Unavailable
Facility
$732.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25820
Office
Unavailable
Facility
$666.82
No comparable office rate is available.
Queens
New York · 25820
Office
Unavailable
Facility
$710.45
No comparable office rate is available.
Rest Of New York
New York · 25820
Office
Unavailable
Facility
$584.96
No comparable office rate is available.
Ohio
Ohio · 25820
Office
Unavailable
Facility
$587.97
No comparable office rate is available.
Oklahoma
Oklahoma · 25820
Office
Unavailable
Facility
$570.42
No comparable office rate is available.
Portland
Oregon · 25820
Office
Unavailable
Facility
$642.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 25820
Office
Unavailable
Facility
$599.59
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25820
Office
Unavailable
Facility
$642.11
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25820
Office
Unavailable
Facility
$586.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25820
Office
Unavailable
Facility
$618.02
No comparable office rate is available.
Rhode Island
Rhode Island · 25820
Office
Unavailable
Facility
$625.24
No comparable office rate is available.
South Carolina
South Carolina · 25820
Office
Unavailable
Facility
$583.81
No comparable office rate is available.
South Dakota**
South Dakota · 25820
Office
Unavailable
Facility
$583.09
No comparable office rate is available.
Tennessee
Tennessee · 25820
Office
Unavailable
Facility
$563.89
No comparable office rate is available.
Austin
Texas · 25820
Office
Unavailable
Facility
$628.66
No comparable office rate is available.
Beaumont
Texas · 25820
Office
Unavailable
Facility
$583.19
No comparable office rate is available.
Brazoria
Texas · 25820
Office
Unavailable
Facility
$603.72
No comparable office rate is available.
Dallas
Texas · 25820
Office
Unavailable
Facility
$609.33
No comparable office rate is available.
Fort Worth
Texas · 25820
Office
Unavailable
Facility
$606.78
No comparable office rate is available.
Galveston
Texas · 25820
Office
Unavailable
Facility
$606.68
No comparable office rate is available.
Houston
Texas · 25820
Office
Unavailable
Facility
$633.22
No comparable office rate is available.
Rest Of Texas
Texas · 25820
Office
Unavailable
Facility
$594.33
No comparable office rate is available.
Utah
Utah · 25820
Office
Unavailable
Facility
$591.23
No comparable office rate is available.
Virginia
Virginia · 25820
Office
Unavailable
Facility
$595.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25820
Office
Unavailable
Facility
$618.02
No comparable office rate is available.
Vermont
Vermont · 25820
Office
Unavailable
Facility
$588.14
No comparable office rate is available.
Rest Of Washington
Washington · 25820
Office
Unavailable
Facility
$623.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25820
Office
Unavailable
Facility
$691.00
No comparable office rate is available.
Wisconsin
Wisconsin · 25820
Office
Unavailable
Facility
$568.38
No comparable office rate is available.
West Virginia
West Virginia · 25820
Office
Unavailable
Facility
$594.46
No comparable office rate is available.
Wyoming**
Wyoming · 25820
Office
Unavailable
Facility
$602.65
No comparable office rate is available.
See how rates vary across the country
25820 · 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 25820 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$690.28
$627.53 × 110% = $690.28
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 25820 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,512
- Code
- 25820
- Physician work
- 7.45
- Practice expense
- 9.52
- Malpractice
- 1.45
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.45 | × 1.017 | 7.5766 |
| Practice expense | 9.52 | × 1.096 | 10.4339 |
| Malpractice | 1.45 | × 0.536 | 0.7772 |
| Total RVUs | 18.7878 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$627.53
Open 25820 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.45 | 1.017 |
| Practice expense | 9.52 | 1.096 |
| Malpractice | 1.45 | 0.536 |
(7.45 × 1.017 + 9.52 × 1.096 + 1.45 × 0.536) × $33.4009 = $627.53
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
25820 · 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 | $627.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $627.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $627.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $627.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $659.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $659.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $659.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $659.75 | RVU25A |
25820 billing questions
How does this differ from a complete wrist fusion?
This code is for fusion of selected wrist bones, with other wrist joints left unfused. A complete wrist fusion is reported with 25800 when that broader procedure is performed.
Can this code be reported if bone graft is used?
No. This code describes a limited wrist fusion without bone graft; select the code that matches the graft used and the documented procedure.
What documentation supports reporting this code?
The operative report should identify the bones or joints fused, confirm the limited extent of the fusion, state that no bone graft was used, and document the clinical reason.
Can an assistant-at-surgery claim be submitted?
CMS allows payment for an assistant at surgery for this procedure. Co-surgeon payment requires supporting documentation.
How is this procedure handled when performed bilaterally?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support performance on both wrists.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of 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.
2,50925800,,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
2,51525900,,Amputation of forearm,A,,9.37,8.81,NA,8.81,,1.88,20.06,20.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,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