No office rate
25441 describes primary prosthetic arthroplasty of the distal radius. Use 25449 when the operative service revises an existing wrist arthroplasty.
On this page
CMS RVU26D · Effective 2026-10-01
25449 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$930.71
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 25449: Revision of wrist joint arthroplasty
Revision wrist arthroplasty addresses a previously replaced wrist joint when the existing prosthetic reconstruction requires operative revision.
An orthopedic or hand surgeon revises a previously performed wrist joint arthroplasty when the prosthetic reconstruction has failed or requires correction. The operation may address problems such as implant loosening, wear, or instability. These procedures are generally performed in an operating room, with the operative report describing the prior reconstruction and the revision work performed on the wrist joint and implant construct.
Report this code for revision of an existing wrist arthroplasty, not for a first-time prosthetic replacement. Documentation should establish the prior arthroplasty, the reason for revision, and the work performed. CMS 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%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25449
- 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 RVU14.57 · 52%
- Practice expense (office) RVU10.53 · 38%
- Malpractice RVU2.81 · 10%
148
Medicare services in 2024 · #4568 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.
25449 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
25443 is a primary prosthetic arthroplasty involving the distal scaphoid. It is not the revision code for a previously performed wrist arthroplasty.
No office rate
25446 describes primary prosthetic arthroplasty involving the distal radius and carpal bones; 25449 is for revision of an existing wrist arthroplasty.
The same code, a different location
How does Redding compare?
25449 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 · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Merced
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Modesto
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Napa
California · 25449
Office
Unavailable
Facility
$1028.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25449
Office
Unavailable
Facility
$974.47
No comparable office rate is available.
Rest Of California
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25449
Office
Unavailable
Facility
$960.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25449
Office
Unavailable
Facility
$963.52
No comparable office rate is available.
Salinas
California · 25449
Office
Unavailable
Facility
$959.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25449
Office
Unavailable
Facility
$972.77
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25449
Office
Unavailable
Facility
$1071.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25449
Office
Unavailable
Facility
$1068.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25449
Office
Unavailable
Facility
$1097.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25449
Office
Unavailable
Facility
$1084.61
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25449
Office
Unavailable
Facility
$945.83
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25449
Office
Unavailable
Facility
$974.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25449
Office
Unavailable
Facility
$960.68
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25449
Office
Unavailable
Facility
$983.46
No comparable office rate is available.
Stockton
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Vallejo
California · 25449
Office
Unavailable
Facility
$1023.95
No comparable office rate is available.
Visalia
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Yuba City
California · 25449
Office
Unavailable
Facility
$930.71
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25449
Office
Unavailable
Facility
$1031.71
No comparable office rate is available.
Miami
Florida · 25449
Office
Unavailable
Facility
$1090.15
No comparable office rate is available.
Chicago
Illinois · 25449
Office
Unavailable
Facility
$1058.93
No comparable office rate is available.
Manhattan
New York · 25449
Office
Unavailable
Facility
$1075.34
No comparable office rate is available.
Alaska*
Alaska · 25449
Office
Unavailable
Facility
$1156.26
No comparable office rate is available.
Alabama
Alabama · 25449
Office
Unavailable
Facility
$847.52
No comparable office rate is available.
Arkansas
Arkansas · 25449
Office
Unavailable
Facility
$837.11
No comparable office rate is available.
Arizona
Arizona · 25449
Office
Unavailable
Facility
$907.80
No comparable office rate is available.
Colorado
Colorado · 25449
Office
Unavailable
Facility
$940.01
No comparable office rate is available.
Connecticut
Connecticut · 25449
Office
Unavailable
Facility
$988.74
No comparable office rate is available.
Delaware
Delaware · 25449
Office
Unavailable
Facility
$920.95
No comparable office rate is available.
Fort Lauderdale
Florida · 25449
Office
Unavailable
Facility
$1012.63
No comparable office rate is available.
Rest Of Florida
Florida · 25449
Office
Unavailable
Facility
$963.95
No comparable office rate is available.
Atlanta
Georgia · 25449
Office
Unavailable
Facility
$958.17
No comparable office rate is available.
Rest Of Georgia
Georgia · 25449
Office
Unavailable
Facility
$912.25
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25449
Office
Unavailable
Facility
$940.89
No comparable office rate is available.
Iowa
Iowa · 25449
Office
Unavailable
Facility
$845.73
No comparable office rate is available.
Idaho
Idaho · 25449
Office
Unavailable
Facility
$854.62
No comparable office rate is available.
East St. Louis
Illinois · 25449
Office
Unavailable
Facility
$999.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 25449
Office
Unavailable
Facility
$954.46
No comparable office rate is available.
Suburban Chicago
Illinois · 25449
Office
Unavailable
Facility
$1017.58
No comparable office rate is available.
Indiana
Indiana · 25449
Office
Unavailable
Facility
$858.30
No comparable office rate is available.
Kansas
Kansas · 25449
Office
Unavailable
Facility
$851.90
No comparable office rate is available.
Kentucky
Kentucky · 25449
Office
Unavailable
Facility
$885.20
No comparable office rate is available.
New Orleans
Louisiana · 25449
Office
Unavailable
Facility
$924.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25449
Office
Unavailable
Facility
$887.83
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25449
Office
Unavailable
Facility
$1010.08
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25449
Office
Unavailable
Facility
$939.59
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25449
Office
Unavailable
Facility
$987.92
No comparable office rate is available.
Rest Of Maryland
Maryland · 25449
Office
Unavailable
Facility
$933.61
No comparable office rate is available.
Rest Of Maine
Maine · 25449
Office
Unavailable
Facility
$868.60
No comparable office rate is available.
Southern Maine
Maine · 25449
Office
Unavailable
Facility
$894.42
No comparable office rate is available.
Detroit
Michigan · 25449
Office
Unavailable
Facility
$984.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 25449
Office
Unavailable
Facility
$913.73
No comparable office rate is available.
Minnesota
Minnesota · 25449
Office
Unavailable
Facility
$876.34
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25449
Office
Unavailable
Facility
$908.61
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25449
Office
Unavailable
Facility
$915.52
No comparable office rate is available.
Rest Of Missouri
Missouri · 25449
Office
Unavailable
Facility
$881.24
No comparable office rate is available.
Mississippi
Mississippi · 25449
Office
Unavailable
Facility
$858.83
No comparable office rate is available.
Montana**
Montana · 25449
Office
Unavailable
Facility
$932.03
No comparable office rate is available.
North Carolina
North Carolina · 25449
Office
Unavailable
Facility
$874.77
No comparable office rate is available.
North Dakota**
North Dakota · 25449
Office
Unavailable
Facility
$876.47
No comparable office rate is available.
Nebraska
Nebraska · 25449
Office
Unavailable
Facility
$846.76
No comparable office rate is available.
New Hampshire
New Hampshire · 25449
Office
Unavailable
Facility
$934.91
No comparable office rate is available.
Northern Nj
New Jersey · 25449
Office
Unavailable
Facility
$1025.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25449
Office
Unavailable
Facility
$993.15
No comparable office rate is available.
New Mexico
New Mexico · 25449
Office
Unavailable
Facility
$921.89
No comparable office rate is available.
Nevada**
Nevada · 25449
Office
Unavailable
Facility
$916.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25449
Office
Unavailable
Facility
$1110.27
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25449
Office
Unavailable
Facility
$1007.24
No comparable office rate is available.
Queens
New York · 25449
Office
Unavailable
Facility
$1068.86
No comparable office rate is available.
Rest Of New York
New York · 25449
Office
Unavailable
Facility
$886.76
No comparable office rate is available.
Ohio
Ohio · 25449
Office
Unavailable
Facility
$902.37
No comparable office rate is available.
Oklahoma
Oklahoma · 25449
Office
Unavailable
Facility
$873.66
No comparable office rate is available.
Portland
Oregon · 25449
Office
Unavailable
Facility
$955.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 25449
Office
Unavailable
Facility
$902.94
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25449
Office
Unavailable
Facility
$973.51
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25449
Office
Unavailable
Facility
$898.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25449
Office
Unavailable
Facility
$934.68
No comparable office rate is available.
Rhode Island
Rhode Island · 25449
Office
Unavailable
Facility
$942.94
No comparable office rate is available.
South Carolina
South Carolina · 25449
Office
Unavailable
Facility
$891.41
No comparable office rate is available.
South Dakota**
South Dakota · 25449
Office
Unavailable
Facility
$869.90
No comparable office rate is available.
Tennessee
Tennessee · 25449
Office
Unavailable
Facility
$856.76
No comparable office rate is available.
Austin
Texas · 25449
Office
Unavailable
Facility
$942.89
No comparable office rate is available.
Beaumont
Texas · 25449
Office
Unavailable
Facility
$893.90
No comparable office rate is available.
Brazoria
Texas · 25449
Office
Unavailable
Facility
$912.30
No comparable office rate is available.
Dallas
Texas · 25449
Office
Unavailable
Facility
$921.86
No comparable office rate is available.
Fort Worth
Texas · 25449
Office
Unavailable
Facility
$919.57
No comparable office rate is available.
Galveston
Texas · 25449
Office
Unavailable
Facility
$917.51
No comparable office rate is available.
Houston
Texas · 25449
Office
Unavailable
Facility
$968.94
No comparable office rate is available.
Rest Of Texas
Texas · 25449
Office
Unavailable
Facility
$905.18
No comparable office rate is available.
Utah
Utah · 25449
Office
Unavailable
Facility
$901.54
No comparable office rate is available.
Virginia
Virginia · 25449
Office
Unavailable
Facility
$898.65
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25449
Office
Unavailable
Facility
$934.68
No comparable office rate is available.
Vermont
Vermont · 25449
Office
Unavailable
Facility
$882.34
No comparable office rate is available.
Rest Of Washington
Washington · 25449
Office
Unavailable
Facility
$934.75
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25449
Office
Unavailable
Facility
$1019.21
No comparable office rate is available.
Wisconsin
Wisconsin · 25449
Office
Unavailable
Facility
$852.50
No comparable office rate is available.
West Virginia
West Virginia · 25449
Office
Unavailable
Facility
$926.60
No comparable office rate is available.
Wyoming**
Wyoming · 25449
Office
Unavailable
Facility
$907.82
No comparable office rate is available.
See how rates vary across the country
25449 · 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 25449 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1023.78
$930.71 × 110% = $1023.78
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 25449 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,466
- Code
- 25449
- Physician work
- 14.57
- Practice expense
- 10.53
- Malpractice
- 2.81
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.57 | × 1.017 | 14.8177 |
| Practice expense | 10.53 | × 1.096 | 11.5409 |
| Malpractice | 2.81 | × 0.536 | 1.5062 |
| Total RVUs | 27.8647 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$930.71
Open 25449 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.57 | 1.017 |
| Practice expense | 10.53 | 1.096 |
| Malpractice | 2.81 | 0.536 |
(14.57 × 1.017 + 10.53 × 1.096 + 2.81 × 0.536) × $33.4009 = $930.71
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
25449 · 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 | $930.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $930.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $930.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $930.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $1027.58 | RVU25D |
| 2025-07-01 | Not available in this setting | $1027.58 | RVU25C |
| 2025-04-01 | Not available in this setting | $1027.58 | RVU25B |
| 2025-01-01 | Not available in this setting | $1027.58 | RVU25A |
25449 billing questions
When should this code be chosen instead of a primary wrist arthroplasty code?
Use 25449 when the surgeon revises a wrist joint that has already undergone arthroplasty. A first-time prosthetic replacement is represented by a code for the specific joint or bone being replaced.
What documentation supports reporting a revision?
Document the prior wrist arthroplasty, the reason it requires revision, and the specific revision work performed. The operative report should make clear that the procedure addresses the existing arthroplasty rather than creating a primary replacement.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The surgeon's related routine follow-up care during that period is part of the surgical package.
How is the code treated when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple procedure reduction.
Can modifier 50 be used for bilateral wrist revisions?
CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided.
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.
2,46325446,,Arthrp w/prostc dst rds&crps,A,,16.87,11.34,NA,11.34,,3.28,31.49,31.49,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46425447,,Arthrp ntrcrp/crp/mtcr ntrps,A,,10.24,10.07,NA,10.07,,1.96,22.27,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46525448,,Arthrp ntrcrpl/crp/mtcrp ssp,A,,11.55,10.78,NA,10.78,,2.20,24.53,24.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46625449,,Revj arthrp wrist joint,A,,14.57,10.53,NA,10.53,,2.81,27.91,27.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46725450,,Epiphysl arrst dstl rds/ulna,A,,7.86,8.14,NA,8.14,,1.67,17.67,17.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46825455,,Epiphysl arrst dstl rds&ulna,A,,9.47,9.21,NA,9.21,,2.02,20.70,20.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46925490,,Prophylactic tx radius,A,,9.49,8.81,NA,8.81,,2.02,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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