No office rate
25390 describes shortening one forearm bone; 25391 describes lengthening one. Select based on the direction of the change documented in the operation.
On this page
CMS RVU26D · Effective 2026-10-01
25391 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$915.15
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 25391: Radius or ulna lengthening osteotomy
Reports an operation to lengthen a shortened radius or ulna, typically to address a forearm bone-length discrepancy or deformity.
The surgeon makes a corrective cut in one forearm bone and lengthens it to address shortening or a resulting alignment problem. Orthopedic and hand surgeons may perform this operation for a growth-related difference, congenital shortening, or a post-traumatic deformity. It is generally performed in an operating room, often in a hospital or ambulatory surgery setting; the operative report should identify the bone treated and the lengthening performed.
Report 25391 when the procedure lengthens either the radius or the ulna, rather than both bones. Documentation should support the indication, the specific bone, and the operative work; lengthening both bones is represented by a different code. The code has 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. Modifier 50 bilateral payment is 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25391
- 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 RVU13.92 · 51%
- Practice expense (office) RVU10.63 · 39%
- Malpractice RVU2.97 · 11%
33
Medicare services in 2024 · #5592 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.
25391 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
25392 is for shortening both the radius and ulna. It is not the one-bone lengthening service represented by 25391.
No office rate
25393 describes lengthening both forearm bones, while 25391 describes lengthening either the radius or the ulna.
The same code, a different location
How does Redding compare?
25391 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Merced
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Modesto
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Napa
California · 25391
Office
Unavailable
Facility
$1012.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25391
Office
Unavailable
Facility
$959.43
No comparable office rate is available.
Rest Of California
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25391
Office
Unavailable
Facility
$947.06
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25391
Office
Unavailable
Facility
$947.77
No comparable office rate is available.
Salinas
California · 25391
Office
Unavailable
Facility
$944.03
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25391
Office
Unavailable
Facility
$957.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25391
Office
Unavailable
Facility
$1055.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25391
Office
Unavailable
Facility
$1051.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25391
Office
Unavailable
Facility
$1081.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25391
Office
Unavailable
Facility
$1067.45
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25391
Office
Unavailable
Facility
$930.42
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25391
Office
Unavailable
Facility
$959.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25391
Office
Unavailable
Facility
$945.12
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25391
Office
Unavailable
Facility
$968.06
No comparable office rate is available.
Stockton
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Vallejo
California · 25391
Office
Unavailable
Facility
$1007.72
No comparable office rate is available.
Visalia
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Yuba City
California · 25391
Office
Unavailable
Facility
$915.15
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25391
Office
Unavailable
Facility
$1018.71
No comparable office rate is available.
Miami
Florida · 25391
Office
Unavailable
Facility
$1085.43
No comparable office rate is available.
Chicago
Illinois · 25391
Office
Unavailable
Facility
$1052.69
No comparable office rate is available.
Manhattan
New York · 25391
Office
Unavailable
Facility
$1064.60
No comparable office rate is available.
Alaska*
Alaska · 25391
Office
Unavailable
Facility
$1130.20
No comparable office rate is available.
Alabama
Alabama · 25391
Office
Unavailable
Facility
$831.76
No comparable office rate is available.
Arkansas
Arkansas · 25391
Office
Unavailable
Facility
$821.02
No comparable office rate is available.
Arizona
Arizona · 25391
Office
Unavailable
Facility
$893.90
No comparable office rate is available.
Colorado
Colorado · 25391
Office
Unavailable
Facility
$925.77
No comparable office rate is available.
Connecticut
Connecticut · 25391
Office
Unavailable
Facility
$976.66
No comparable office rate is available.
Delaware
Delaware · 25391
Office
Unavailable
Facility
$907.24
No comparable office rate is available.
Fort Lauderdale
Florida · 25391
Office
Unavailable
Facility
$1003.96
No comparable office rate is available.
Rest Of Florida
Florida · 25391
Office
Unavailable
Facility
$953.47
No comparable office rate is available.
Atlanta
Georgia · 25391
Office
Unavailable
Facility
$946.21
No comparable office rate is available.
Rest Of Georgia
Georgia · 25391
Office
Unavailable
Facility
$899.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25391
Office
Unavailable
Facility
$926.07
No comparable office rate is available.
Iowa
Iowa · 25391
Office
Unavailable
Facility
$829.20
No comparable office rate is available.
Idaho
Idaho · 25391
Office
Unavailable
Facility
$838.51
No comparable office rate is available.
East St. Louis
Illinois · 25391
Office
Unavailable
Facility
$991.38
No comparable office rate is available.
Rest Of Illinois
Illinois · 25391
Office
Unavailable
Facility
$944.15
No comparable office rate is available.
Suburban Chicago
Illinois · 25391
Office
Unavailable
Facility
$1008.62
No comparable office rate is available.
Indiana
Indiana · 25391
Office
Unavailable
Facility
$842.28
No comparable office rate is available.
Kansas
Kansas · 25391
Office
Unavailable
Facility
$835.90
No comparable office rate is available.
Kentucky
Kentucky · 25391
Office
Unavailable
Facility
$871.35
No comparable office rate is available.
New Orleans
Louisiana · 25391
Office
Unavailable
Facility
$911.74
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25391
Office
Unavailable
Facility
$874.20
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25391
Office
Unavailable
Facility
$996.22
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25391
Office
Unavailable
Facility
$925.31
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25391
Office
Unavailable
Facility
$976.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 25391
Office
Unavailable
Facility
$919.97
No comparable office rate is available.
Rest Of Maine
Maine · 25391
Office
Unavailable
Facility
$853.29
No comparable office rate is available.
Southern Maine
Maine · 25391
Office
Unavailable
Facility
$879.39
No comparable office rate is available.
Detroit
Michigan · 25391
Office
Unavailable
Facility
$974.82
No comparable office rate is available.
Rest Of Michigan
Michigan · 25391
Office
Unavailable
Facility
$901.10
No comparable office rate is available.
Minnesota
Minnesota · 25391
Office
Unavailable
Facility
$859.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25391
Office
Unavailable
Facility
$895.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25391
Office
Unavailable
Facility
$902.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 25391
Office
Unavailable
Facility
$867.62
No comparable office rate is available.
Mississippi
Mississippi · 25391
Office
Unavailable
Facility
$843.95
No comparable office rate is available.
Montana**
Montana · 25391
Office
Unavailable
Facility
$918.99
No comparable office rate is available.
North Carolina
North Carolina · 25391
Office
Unavailable
Facility
$859.59
No comparable office rate is available.
North Dakota**
North Dakota · 25391
Office
Unavailable
Facility
$860.27
No comparable office rate is available.
Nebraska
Nebraska · 25391
Office
Unavailable
Facility
$830.15
No comparable office rate is available.
New Hampshire
New Hampshire · 25391
Office
Unavailable
Facility
$921.35
No comparable office rate is available.
Northern Nj
New Jersey · 25391
Office
Unavailable
Facility
$1012.04
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25391
Office
Unavailable
Facility
$980.08
No comparable office rate is available.
New Mexico
New Mexico · 25391
Office
Unavailable
Facility
$909.66
No comparable office rate is available.
Nevada**
Nevada · 25391
Office
Unavailable
Facility
$902.98
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25391
Office
Unavailable
Facility
$1101.07
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25391
Office
Unavailable
Facility
$994.68
No comparable office rate is available.
Queens
New York · 25391
Office
Unavailable
Facility
$1057.42
No comparable office rate is available.
Rest Of New York
New York · 25391
Office
Unavailable
Facility
$871.98
No comparable office rate is available.
Ohio
Ohio · 25391
Office
Unavailable
Facility
$889.10
No comparable office rate is available.
Oklahoma
Oklahoma · 25391
Office
Unavailable
Facility
$859.08
No comparable office rate is available.
Portland
Oregon · 25391
Office
Unavailable
Facility
$940.65
No comparable office rate is available.
Rest Of Oregon
Oregon · 25391
Office
Unavailable
Facility
$888.31
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25391
Office
Unavailable
Facility
$961.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25391
Office
Unavailable
Facility
$884.62
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25391
Office
Unavailable
Facility
$921.61
No comparable office rate is available.
Rhode Island
Rhode Island · 25391
Office
Unavailable
Facility
$929.03
No comparable office rate is available.
South Carolina
South Carolina · 25391
Office
Unavailable
Facility
$877.33
No comparable office rate is available.
South Dakota**
South Dakota · 25391
Office
Unavailable
Facility
$853.32
No comparable office rate is available.
Tennessee
Tennessee · 25391
Office
Unavailable
Facility
$840.95
No comparable office rate is available.
Austin
Texas · 25391
Office
Unavailable
Facility
$929.41
No comparable office rate is available.
Beaumont
Texas · 25391
Office
Unavailable
Facility
$880.19
No comparable office rate is available.
Brazoria
Texas · 25391
Office
Unavailable
Facility
$897.89
No comparable office rate is available.
Dallas
Texas · 25391
Office
Unavailable
Facility
$907.87
No comparable office rate is available.
Fort Worth
Texas · 25391
Office
Unavailable
Facility
$905.61
No comparable office rate is available.
Galveston
Texas · 25391
Office
Unavailable
Facility
$903.36
No comparable office rate is available.
Houston
Texas · 25391
Office
Unavailable
Facility
$957.73
No comparable office rate is available.
Rest Of Texas
Texas · 25391
Office
Unavailable
Facility
$891.46
No comparable office rate is available.
Utah
Utah · 25391
Office
Unavailable
Facility
$887.77
No comparable office rate is available.
Virginia
Virginia · 25391
Office
Unavailable
Facility
$883.99
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25391
Office
Unavailable
Facility
$921.61
No comparable office rate is available.
Vermont
Vermont · 25391
Office
Unavailable
Facility
$866.64
No comparable office rate is available.
Rest Of Washington
Washington · 25391
Office
Unavailable
Facility
$920.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25391
Office
Unavailable
Facility
$1004.88
No comparable office rate is available.
Wisconsin
Wisconsin · 25391
Office
Unavailable
Facility
$835.63
No comparable office rate is available.
West Virginia
West Virginia · 25391
Office
Unavailable
Facility
$915.44
No comparable office rate is available.
Wyoming**
Wyoming · 25391
Office
Unavailable
Facility
$893.40
No comparable office rate is available.
See how rates vary across the country
25391 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 25391 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1006.67
$915.15 × 110% = $1006.67
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 25391 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,445
- Code
- 25391
- Physician work
- 13.92
- Practice expense
- 10.63
- Malpractice
- 2.97
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.92 | × 1.017 | 14.1566 |
| Practice expense | 10.63 | × 1.096 | 11.6505 |
| Malpractice | 2.97 | × 0.536 | 1.5919 |
| Total RVUs | 27.3990 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$915.15
Open 25391 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.92 | 1.017 |
| Practice expense | 10.63 | 1.096 |
| Malpractice | 2.97 | 0.536 |
(13.92 × 1.017 + 10.63 × 1.096 + 2.97 × 0.536) × $33.4009 = $915.15
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
25391 · 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 | $915.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $915.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $915.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $915.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $987.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $987.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $987.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $987.95 | RVU25A |
25391 billing questions
When should 25391 be chosen over 25393?
Use 25391 when the surgeon lengthens one forearm bone, either the radius or ulna. Use 25393 when both bones are lengthened.
How does 25391 differ from 25390?
Both describe work on one forearm bone, but 25391 lengthens it and 25390 shortens it. The operative report should make the direction of the bone-length change clear.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period begins with the operation.
How is bilateral performance handled?
The CMS bilateral rule specifies modifier 50 and payment at 150%. Documentation should identify the procedures performed on each side.
What documentation supports reporting 25391?
The operative report should identify whether the radius or ulna was lengthened and describe the corrective work. If both bones were lengthened, consider the code for lengthening both rather than 25391.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. 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.
2,44225370,,Revise radius or ulna,A,,13.75,11.48,NA,11.48,,2.93,28.16,28.16,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44325375,,Revise radius & ulna,A,,13.21,10.41,NA,10.41,,2.82,26.44,26.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44425390,,Shorten radius or ulna,A,,10.43,8.67,NA,8.67,,2.00,21.10,21.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44525391,,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
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
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536