No office rate
This is a closely related wrist tendon procedure. Distinguish the codes by matching the full descriptor to the operative technique documented.
On this page
CMS RVU26D · Effective 2026-10-01
25301 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$585.06
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 25301: Wrist tendon fusion
Reports an operation joining tendons at the wrist to alter or stabilize tendon function, rather than transferring a tendon or repairing the wrist joint.
The surgeon joins tendons at the wrist as a reconstructive procedure to change or stabilize their action. It may be performed by an orthopedic hand surgeon or plastic surgeon in an operating room, commonly for a wrist tendon imbalance or deformity when the operative plan calls for tendon fusion rather than a tendon transfer. The operative report should identify the tendons joined and the wrist treated.
Report the code when the documented operation is fusion of tendons at the wrist; distinguish it from tendon transplantation and procedures on the wrist joint. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted under the listed CMS rules.
CMS billing rules for 25301
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.38 · 47%
- Practice expense (office) RVU7.93 · 44%
- Malpractice RVU1.63 · 9%
481
Medicare services in 2024 · #3601 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.
25301 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Use 25310 for forearm tendon transplantation. Use 25301 when the documented operation joins tendons at the wrist.
No office rate
Code 25315 concerns revision of hand tendons for palsy. This code is for fusion of tendons at the wrist.
No office rate
Code 25320 concerns repair or revision of the wrist joint; this code describes a tendon procedure, not joint repair.
The same code, a different location
How does Wyoming** compare?
25301 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 · 25301
Office
Unavailable
Facility
$542.48
No comparable office rate is available.
Arkansas
Arkansas · 25301
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Arizona
Arizona · 25301
Office
Unavailable
Facility
$583.16
No comparable office rate is available.
Bakersfield
California · 25301
Office
Unavailable
Facility
$608.67
No comparable office rate is available.
Chico
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
El Centro
California · 25301
Office
Unavailable
Facility
$604.41
No comparable office rate is available.
Fresno
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Hanford-Corcoran
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Madera
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Merced
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Modesto
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Napa
California · 25301
Office
Unavailable
Facility
$674.29
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25301
Office
Unavailable
Facility
$634.73
No comparable office rate is available.
Redding
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Rest Of California
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25301
Office
Unavailable
Facility
$621.67
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25301
Office
Unavailable
Facility
$627.20
No comparable office rate is available.
Salinas
California · 25301
Office
Unavailable
Facility
$624.74
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25301
Office
Unavailable
Facility
$634.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25301
Office
Unavailable
Facility
$704.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25301
Office
Unavailable
Facility
$703.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25301
Office
Unavailable
Facility
$721.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25301
Office
Unavailable
Facility
$714.24
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25301
Office
Unavailable
Facility
$615.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25301
Office
Unavailable
Facility
$636.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25301
Office
Unavailable
Facility
$625.76
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25301
Office
Unavailable
Facility
$642.74
No comparable office rate is available.
Stockton
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Vallejo
California · 25301
Office
Unavailable
Facility
$671.62
No comparable office rate is available.
Visalia
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Yuba City
California · 25301
Office
Unavailable
Facility
$604.14
No comparable office rate is available.
Colorado
Colorado · 25301
Office
Unavailable
Facility
$607.60
No comparable office rate is available.
Connecticut
Connecticut · 25301
Office
Unavailable
Facility
$636.64
No comparable office rate is available.
Delaware
Delaware · 25301
Office
Unavailable
Facility
$591.93
No comparable office rate is available.
Fort Lauderdale
Florida · 25301
Office
Unavailable
Facility
$646.65
No comparable office rate is available.
Rest Of Florida
Florida · 25301
Office
Unavailable
Facility
$614.94
No comparable office rate is available.
Atlanta
Georgia · 25301
Office
Unavailable
Facility
$615.23
No comparable office rate is available.
Rest Of Georgia
Georgia · 25301
Office
Unavailable
Facility
$581.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25301
Office
Unavailable
Facility
$612.58
No comparable office rate is available.
Iowa
Iowa · 25301
Office
Unavailable
Facility
$543.87
No comparable office rate is available.
Idaho
Idaho · 25301
Office
Unavailable
Facility
$549.33
No comparable office rate is available.
East St. Louis
Illinois · 25301
Office
Unavailable
Facility
$633.23
No comparable office rate is available.
Rest Of Illinois
Illinois · 25301
Office
Unavailable
Facility
$606.82
No comparable office rate is available.
Suburban Chicago
Illinois · 25301
Office
Unavailable
Facility
$650.35
No comparable office rate is available.
Indiana
Indiana · 25301
Office
Unavailable
Facility
$551.89
No comparable office rate is available.
Kansas
Kansas · 25301
Office
Unavailable
Facility
$546.78
No comparable office rate is available.
Kentucky
Kentucky · 25301
Office
Unavailable
Facility
$565.18
No comparable office rate is available.
New Orleans
Louisiana · 25301
Office
Unavailable
Facility
$590.99
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25301
Office
Unavailable
Facility
$566.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25301
Office
Unavailable
Facility
$656.08
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25301
Office
Unavailable
Facility
$606.68
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25301
Office
Unavailable
Facility
$635.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 25301
Office
Unavailable
Facility
$600.73
No comparable office rate is available.
Rest Of Maine
Maine · 25301
Office
Unavailable
Facility
$557.44
No comparable office rate is available.
Southern Maine
Maine · 25301
Office
Unavailable
Facility
$576.74
No comparable office rate is available.
Detroit
Michigan · 25301
Office
Unavailable
Facility
$627.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 25301
Office
Unavailable
Facility
$583.19
No comparable office rate is available.
Minnesota
Minnesota · 25301
Office
Unavailable
Facility
$568.57
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25301
Office
Unavailable
Facility
$581.80
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25301
Office
Unavailable
Facility
$586.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 25301
Office
Unavailable
Facility
$561.24
No comparable office rate is available.
Mississippi
Mississippi · 25301
Office
Unavailable
Facility
$548.19
No comparable office rate is available.
Montana**
Montana · 25301
Office
Unavailable
Facility
$599.10
No comparable office rate is available.
North Carolina
North Carolina · 25301
Office
Unavailable
Facility
$561.81
No comparable office rate is available.
North Dakota**
North Dakota · 25301
Office
Unavailable
Facility
$566.87
No comparable office rate is available.
Nebraska
Nebraska · 25301
Office
Unavailable
Facility
$544.95
No comparable office rate is available.
New Hampshire
New Hampshire · 25301
Office
Unavailable
Facility
$603.27
No comparable office rate is available.
Northern Nj
New Jersey · 25301
Office
Unavailable
Facility
$662.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25301
Office
Unavailable
Facility
$640.06
No comparable office rate is available.
New Mexico
New Mexico · 25301
Office
Unavailable
Facility
$588.17
No comparable office rate is available.
Nevada**
Nevada · 25301
Office
Unavailable
Facility
$590.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25301
Office
Unavailable
Facility
$713.84
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25301
Office
Unavailable
Facility
$648.40
No comparable office rate is available.
Queens
New York · 25301
Office
Unavailable
Facility
$689.40
No comparable office rate is available.
Rest Of New York
New York · 25301
Office
Unavailable
Facility
$569.80
No comparable office rate is available.
Ohio
Ohio · 25301
Office
Unavailable
Facility
$576.60
No comparable office rate is available.
Oklahoma
Oklahoma · 25301
Office
Unavailable
Facility
$558.73
No comparable office rate is available.
Portland
Oregon · 25301
Office
Unavailable
Facility
$619.15
No comparable office rate is available.
Rest Of Oregon
Oregon · 25301
Office
Unavailable
Facility
$581.98
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25301
Office
Unavailable
Facility
$625.62
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25301
Office
Unavailable
Facility
$574.50
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25301
Office
Unavailable
Facility
$601.31
No comparable office rate is available.
Rhode Island
Rhode Island · 25301
Office
Unavailable
Facility
$607.39
No comparable office rate is available.
South Carolina
South Carolina · 25301
Office
Unavailable
Facility
$570.92
No comparable office rate is available.
South Dakota**
South Dakota · 25301
Office
Unavailable
Facility
$563.06
No comparable office rate is available.
Tennessee
Tennessee · 25301
Office
Unavailable
Facility
$549.90
No comparable office rate is available.
Austin
Texas · 25301
Office
Unavailable
Facility
$608.93
No comparable office rate is available.
Beaumont
Texas · 25301
Office
Unavailable
Facility
$571.51
No comparable office rate is available.
Brazoria
Texas · 25301
Office
Unavailable
Facility
$587.09
No comparable office rate is available.
Dallas
Texas · 25301
Office
Unavailable
Facility
$592.94
No comparable office rate is available.
Fort Worth
Texas · 25301
Office
Unavailable
Facility
$591.00
No comparable office rate is available.
Galveston
Texas · 25301
Office
Unavailable
Facility
$590.23
No comparable office rate is available.
Houston
Texas · 25301
Office
Unavailable
Facility
$620.07
No comparable office rate is available.
Rest Of Texas
Texas · 25301
Office
Unavailable
Facility
$580.42
No comparable office rate is available.
Utah
Utah · 25301
Office
Unavailable
Facility
$577.77
No comparable office rate is available.
Virginia
Virginia · 25301
Office
Unavailable
Facility
$578.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25301
Office
Unavailable
Facility
$601.31
No comparable office rate is available.
Vermont
Vermont · 25301
Office
Unavailable
Facility
$569.67
No comparable office rate is available.
Rest Of Washington
Washington · 25301
Office
Unavailable
Facility
$603.88
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25301
Office
Unavailable
Facility
$663.37
No comparable office rate is available.
Wisconsin
Wisconsin · 25301
Office
Unavailable
Facility
$550.41
No comparable office rate is available.
West Virginia
West Virginia · 25301
Office
Unavailable
Facility
$587.98
No comparable office rate is available.
See how rates vary across the country
25301 · 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 25301 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$643.57
$585.06 × 110% = $643.57
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 25301 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,429
- Code
- 25301
- Physician work
- 8.38
- Practice expense
- 7.93
- Malpractice
- 1.63
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.38 | × 1.000 | 8.3800 |
| Practice expense | 7.93 | × 1.000 | 7.9300 |
| Malpractice | 1.63 | × 0.740 | 1.2062 |
| Total RVUs | 17.5162 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$585.06
Open 25301 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.38 | 1 |
| Practice expense | 7.93 | 1 |
| Malpractice | 1.63 | 0.74 |
(8.38 × 1 + 7.93 × 1 + 1.63 × 0.74) × $33.4009 = $585.06
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
25301 · 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 | $585.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $585.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $585.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $585.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $627.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $627.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $627.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $627.52 | RVU25A |
25301 billing questions
How is tendon fusion different from a tendon transplant?
This code describes joining tendons at the wrist. Codes 25310 and 25312 describe forearm tendon transplantation; select based on the operation actually documented.
What should the operative report document?
Document the wrist treated, the tendons joined, and the operative technique and purpose. These details distinguish tendon fusion from tendon transfer or wrist-joint repair.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS payment is 150% under the listed rule.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted under the listed CMS rules.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and the other procedure or procedures are paid at 50% under the standard multiple-procedure reduction.
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.
2,42625290,,Incise wrist/forearm tendon,A,,5.29,6.11,NA,6.11,,1.01,12.41,12.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42725295,,Release wrist/forearm tendon,A,,6.55,7.07,NA,7.07,,1.26,14.88,14.88,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42825300,,Fusion of tendons at wrist,A,,8.79,8.99,NA,8.99,,1.87,19.65,19.65,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42925301,,Fusion of tendons at wrist,A,,8.38,7.93,NA,7.93,,1.63,17.94,17.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43025310,,Transplant forearm tendon,A,,8.78,9.56,NA,9.56,,1.67,20.01,20.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43125312,,Transplant forearm tendon,A,,9.57,8.43,NA,8.43,,1.88,19.88,19.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43225315,,Revise palsy hand tendon(s),A,,10.41,8.96,NA,8.96,,2.21,21.58,21.58,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,