No office rate
Choose 25210 when the procedure removes one carpal bone. Use 25215 when all three bones of the proximal carpal row are removed.
On this page
CMS RVU26D · Effective 2026-10-01
25215 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$564.72
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.
Wrist surgery
About 25215: Proximal row carpectomy
Reports surgical removal of the scaphoid, lunate, and triquetrum as a proximal row carpectomy, often used to address selected forms of wrist arthritis.
A proximal row carpectomy removes the scaphoid, lunate, and triquetrum, the three bones forming the wrist’s proximal carpal row. A hand or orthopedic surgeon may perform it for selected cases of painful wrist arthritis, including arthritis after carpal injury or collapse, when the remaining joint surfaces can support the intended reconstruction. The operation is commonly performed in a hospital outpatient or ambulatory surgery setting, and may also be performed in an inpatient setting.
Report 25215 when the documented procedure removes the entire proximal row, rather than one carpal bone. The operative note should identify the bones removed, the side, the indication, and any distinct procedures performed in the same session. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25215
- 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 RVU7.94 · 46%
- Practice expense (office) RVU7.85 · 45%
- Malpractice RVU1.51 · 9%
2.2K
Medicare services in 2024 · #2389 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.
25215 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
25230 concerns partial removal of the radius, not removal of the proximal carpal row. Select based on the bone actually resected.
No office rate
25240 concerns partial removal of the ulna. It is not the code for a proximal row carpectomy.
No office rate
25215 removes the proximal carpal row; 25800 is wrist arthrodesis. The operative plan and documented procedure distinguish carpectomy from fusion.
The same code, a different location
How does Wyoming** compare?
25215 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 25215
Office
Unavailable
Facility
$523.17
No comparable office rate is available.
Arkansas
Arkansas · 25215
Office
Unavailable
Facility
$516.40
No comparable office rate is available.
Arizona
Arizona · 25215
Office
Unavailable
Facility
$562.44
No comparable office rate is available.
Bakersfield
California · 25215
Office
Unavailable
Facility
$588.33
No comparable office rate is available.
Chico
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
El Centro
California · 25215
Office
Unavailable
Facility
$584.37
No comparable office rate is available.
Fresno
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Hanford-Corcoran
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Madera
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Merced
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Modesto
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Napa
California · 25215
Office
Unavailable
Facility
$653.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25215
Office
Unavailable
Facility
$613.97
No comparable office rate is available.
Redding
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Rest Of California
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25215
Office
Unavailable
Facility
$600.37
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25215
Office
Unavailable
Facility
$606.72
No comparable office rate is available.
Salinas
California · 25215
Office
Unavailable
Facility
$604.34
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25215
Office
Unavailable
Facility
$614.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25215
Office
Unavailable
Facility
$683.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25215
Office
Unavailable
Facility
$681.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25215
Office
Unavailable
Facility
$699.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25215
Office
Unavailable
Facility
$692.49
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25215
Office
Unavailable
Facility
$595.39
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25215
Office
Unavailable
Facility
$616.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25215
Office
Unavailable
Facility
$605.38
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25215
Office
Unavailable
Facility
$622.17
No comparable office rate is available.
Stockton
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Vallejo
California · 25215
Office
Unavailable
Facility
$650.64
No comparable office rate is available.
Visalia
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Yuba City
California · 25215
Office
Unavailable
Facility
$584.11
No comparable office rate is available.
Colorado
Colorado · 25215
Office
Unavailable
Facility
$586.75
No comparable office rate is available.
Connecticut
Connecticut · 25215
Office
Unavailable
Facility
$613.92
No comparable office rate is available.
Delaware
Delaware · 25215
Office
Unavailable
Facility
$570.92
No comparable office rate is available.
Fort Lauderdale
Florida · 25215
Office
Unavailable
Facility
$622.00
No comparable office rate is available.
Rest Of Florida
Florida · 25215
Office
Unavailable
Facility
$591.67
No comparable office rate is available.
Atlanta
Georgia · 25215
Office
Unavailable
Facility
$592.96
No comparable office rate is available.
Rest Of Georgia
Georgia · 25215
Office
Unavailable
Facility
$559.20
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25215
Office
Unavailable
Facility
$592.52
No comparable office rate is available.
Iowa
Iowa · 25215
Office
Unavailable
Facility
$525.14
No comparable office rate is available.
Idaho
Idaho · 25215
Office
Unavailable
Facility
$530.28
No comparable office rate is available.
East St. Louis
Illinois · 25215
Office
Unavailable
Facility
$608.00
No comparable office rate is available.
Rest Of Illinois
Illinois · 25215
Office
Unavailable
Facility
$583.42
No comparable office rate is available.
Suburban Chicago
Illinois · 25215
Office
Unavailable
Facility
$625.71
No comparable office rate is available.
Indiana
Indiana · 25215
Office
Unavailable
Facility
$532.77
No comparable office rate is available.
Kansas
Kansas · 25215
Office
Unavailable
Facility
$527.65
No comparable office rate is available.
Kentucky
Kentucky · 25215
Office
Unavailable
Facility
$544.44
No comparable office rate is available.
New Orleans
Louisiana · 25215
Office
Unavailable
Facility
$569.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25215
Office
Unavailable
Facility
$545.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25215
Office
Unavailable
Facility
$634.03
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25215
Office
Unavailable
Facility
$585.74
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25215
Office
Unavailable
Facility
$613.17
No comparable office rate is available.
Rest Of Maryland
Maryland · 25215
Office
Unavailable
Facility
$579.50
No comparable office rate is available.
Rest Of Maine
Maine · 25215
Office
Unavailable
Facility
$537.80
No comparable office rate is available.
Southern Maine
Maine · 25215
Office
Unavailable
Facility
$556.87
No comparable office rate is available.
Detroit
Michigan · 25215
Office
Unavailable
Facility
$603.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 25215
Office
Unavailable
Facility
$561.53
No comparable office rate is available.
Minnesota
Minnesota · 25215
Office
Unavailable
Facility
$549.93
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25215
Office
Unavailable
Facility
$560.68
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25215
Office
Unavailable
Facility
$565.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 25215
Office
Unavailable
Facility
$540.34
No comparable office rate is available.
Mississippi
Mississippi · 25215
Office
Unavailable
Facility
$528.23
No comparable office rate is available.
Montana**
Montana · 25215
Office
Unavailable
Facility
$577.73
No comparable office rate is available.
North Carolina
North Carolina · 25215
Office
Unavailable
Facility
$542.06
No comparable office rate is available.
North Dakota**
North Dakota · 25215
Office
Unavailable
Facility
$547.88
No comparable office rate is available.
Nebraska
Nebraska · 25215
Office
Unavailable
Facility
$526.28
No comparable office rate is available.
New Hampshire
New Hampshire · 25215
Office
Unavailable
Facility
$582.28
No comparable office rate is available.
Northern Nj
New Jersey · 25215
Office
Unavailable
Facility
$639.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25215
Office
Unavailable
Facility
$617.46
No comparable office rate is available.
New Mexico
New Mexico · 25215
Office
Unavailable
Facility
$566.21
No comparable office rate is available.
Nevada**
Nevada · 25215
Office
Unavailable
Facility
$569.68
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25215
Office
Unavailable
Facility
$687.59
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25215
Office
Unavailable
Facility
$625.27
No comparable office rate is available.
Queens
New York · 25215
Office
Unavailable
Facility
$664.82
No comparable office rate is available.
Rest Of New York
New York · 25215
Office
Unavailable
Facility
$549.75
No comparable office rate is available.
Ohio
Ohio · 25215
Office
Unavailable
Facility
$555.43
No comparable office rate is available.
Oklahoma
Oklahoma · 25215
Office
Unavailable
Facility
$538.53
No comparable office rate is available.
Portland
Oregon · 25215
Office
Unavailable
Facility
$598.27
No comparable office rate is available.
Rest Of Oregon
Oregon · 25215
Office
Unavailable
Facility
$561.81
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25215
Office
Unavailable
Facility
$603.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25215
Office
Unavailable
Facility
$553.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25215
Office
Unavailable
Facility
$579.96
No comparable office rate is available.
Rhode Island
Rhode Island · 25215
Office
Unavailable
Facility
$586.08
No comparable office rate is available.
South Carolina
South Carolina · 25215
Office
Unavailable
Facility
$550.34
No comparable office rate is available.
South Dakota**
South Dakota · 25215
Office
Unavailable
Facility
$544.35
No comparable office rate is available.
Tennessee
Tennessee · 25215
Office
Unavailable
Facility
$530.62
No comparable office rate is available.
Austin
Texas · 25215
Office
Unavailable
Facility
$587.82
No comparable office rate is available.
Beaumont
Texas · 25215
Office
Unavailable
Facility
$550.66
No comparable office rate is available.
Brazoria
Texas · 25215
Office
Unavailable
Facility
$566.50
No comparable office rate is available.
Dallas
Texas · 25215
Office
Unavailable
Facility
$572.01
No comparable office rate is available.
Fort Worth
Texas · 25215
Office
Unavailable
Facility
$570.05
No comparable office rate is available.
Galveston
Texas · 25215
Office
Unavailable
Facility
$569.45
No comparable office rate is available.
Houston
Texas · 25215
Office
Unavailable
Facility
$597.09
No comparable office rate is available.
Rest Of Texas
Texas · 25215
Office
Unavailable
Facility
$559.57
No comparable office rate is available.
Utah
Utah · 25215
Office
Unavailable
Facility
$556.96
No comparable office rate is available.
Virginia
Virginia · 25215
Office
Unavailable
Facility
$558.55
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25215
Office
Unavailable
Facility
$579.96
No comparable office rate is available.
Vermont
Vermont · 25215
Office
Unavailable
Facility
$550.30
No comparable office rate is available.
Rest Of Washington
Washington · 25215
Office
Unavailable
Facility
$583.13
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25215
Office
Unavailable
Facility
$641.38
No comparable office rate is available.
Wisconsin
Wisconsin · 25215
Office
Unavailable
Facility
$531.92
No comparable office rate is available.
West Virginia
West Virginia · 25215
Office
Unavailable
Facility
$565.23
No comparable office rate is available.
See how rates vary across the country
25215 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 25215 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$621.19
$564.72 × 110% = $621.19
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 25215 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,410
- Code
- 25215
- Physician work
- 7.94
- Practice expense
- 7.85
- Malpractice
- 1.51
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.94 | × 1.000 | 7.9400 |
| Practice expense | 7.85 | × 1.000 | 7.8500 |
| Malpractice | 1.51 | × 0.740 | 1.1174 |
| Total RVUs | 16.9074 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$564.72
Open 25215 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.94 | 1 |
| Practice expense | 7.85 | 1 |
| Malpractice | 1.51 | 0.74 |
(7.94 × 1 + 7.85 × 1 + 1.51 × 0.74) × $33.4009 = $564.72
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
25215 · 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 | $564.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $564.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $564.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $564.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $605.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $605.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $605.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $605.87 | RVU25A |
25215 billing questions
How does 25215 differ from 25210?
25215 is for removal of the entire proximal carpal row: the scaphoid, lunate, and triquetrum. 25210 describes removal of one carpal bone, not the full row.
What documentation supports 25215?
Document the wrist side, the indication, and removal of all three proximal-row bones. The operative report should also identify any separate procedures performed during the session.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and related postoperative care for 90 days in the global period.
How is bilateral 25215 paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The operative documentation should support that the procedure was performed on both wrists.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does CMS handle other procedures in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
2,40725151,,Partial removal of radius,A,,7.49,7.40,NA,7.40,,1.45,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40825170,,Resect radius/ulnar tumor,A,,21.65,13.55,NA,13.55,,4.61,39.81,39.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40925210,,Removal of wrist bone,A,,5.97,6.87,NA,6.87,,1.15,13.99,13.99,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41025215,,Removal of wrist bones,A,,7.94,7.85,NA,7.85,,1.51,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41125230,,Partial removal of radius,A,,5.24,6.12,NA,6.12,,1.02,12.38,12.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41225240,,Partial removal of ulna,A,,5.18,6.10,NA,6.10,,1.01,12.29,12.29,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41325246,,Injection for wrist x-ray,A,,1.41,4.07,,0.29,,0.14,5.62,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,