No office rate
Choose 25310 for a single tendon. The related multiple-tendon code is the relevant family option when more than one tendon is transferred or transplanted.
On this page
CMS RVU26D · Effective 2026-10-01
25310 Tendon transfer Medicare reimbursement rates in Alabama
Reports a single tendon transfer or transplant in the forearm or wrist to restore movement when injury or tendon loss impairs function. Compare 25310 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 25310 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$604.23
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Hand surgery
About 25310: Single forearm tendon transfer or transplant
Reports a single tendon transfer or transplant in the forearm or wrist to restore movement when injury or tendon loss impairs function.
The hand or orthopedic surgeon redirects one functioning tendon or transplants a tendon graft in the forearm or wrist to restore or improve movement. These procedures may be part of reconstruction after tendon damage or loss. The code includes obtaining the graft when one is needed. The work is typically performed in an operating room, with the specific tendon and the intended functional change guiding code selection.
Report this code for a single tendon; a procedure involving multiple tendons may require a different code in the family. The operative report should identify the tendon moved or transplanted, the recipient location, the indication, and whether a graft was obtained. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 25310
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU8.78 · 44%
- Practice expense (office) RVU9.56 · 48%
- Malpractice RVU1.67 · 8%
11.3K
Medicare services in 2024 · #1414 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.
25310 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
25315 is the paralysis-related option for a tendon procedure addressing hand palsy. Use 25310 for the single-tendon service when that paralysis-specific circumstance is not the basis for code selection.
No office rate
25316 describes a related paralysis-hand tendon procedure with a different extent or tendon count. Distinguish it from the single-tendon service reported with 25310.
Compare 25310 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$604.23
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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 25310 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,430
- Code
- 25310
- Physician work
- 8.78
- Practice expense
- 9.56
- Malpractice
- 1.67
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.000 | 8.7800 |
| Practice expense | 9.56 | × 0.875 | 8.3650 |
| Malpractice | 1.67 | × 0.566 | 0.9452 |
| Total RVUs | 18.0902 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$604.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.78 | 1 |
| Practice expense | 9.56 | 0.875 |
| Malpractice | 1.67 | 0.566 |
(8.78 × 1 + 9.56 × 0.875 + 1.67 × 0.566) × $33.4009 = $604.23
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.
25310 billing questions
How does this code differ from 25312?
25310 is for a single tendon. Use the applicable multiple-tendon code when the operation transfers or transplants multiple tendons.
Is harvesting a tendon graft separately reported?
Obtaining the graft is included in this service. The operative note should still identify the graft and the tendon reconstruction performed.
Can modifier 50 be used for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code based on its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
Assistant-at-surgery payment may be made. 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.
2,42725295,,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
2,43325316,,Revise palsy hand tendon(s),A,,12.58,10.21,NA,10.21,,2.68,25.47,25.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515