Billing code 25119: Ulna excisionMedicare rate & RVUs in Alaska
Reports surgical removal of part of the ulna, such as for a wrist or forearm problem requiring bone excision rather than lesion curettage.
CMS doesn’t publish an office rate for 25119 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25119 covers
This code describes an operation that removes a portion of the ulna. An orthopedic or hand surgeon may perform it in a hospital or outpatient surgical facility when the treatment plan calls for partial bone removal at the forearm or wrist. The operative report should identify the ulna, the side, the portion removed, and the clinical reason for the resection.
Report the code for the documented partial ulna excision, distinguishing it from procedures directed at curettage of a bone cyst or benign tumor and from a more extensive tumor resection. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
25119 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $583.87 |
How the 25119 rate is calculated
Each of 25119’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25119
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.05Practice expense 7.22Malpractice 1.30
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25119
25119 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25119
Ulna excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25119
Ulna excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25119 without 50 · national facility
$486.65
Ulna excision
25119-50 · Bilateral: 150%
$729.98
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25119 compared with similar codes
Compare codes
25119 vs 25151 vs 25120 vs 25170: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25151Radius excision
- 25119 is for partial removal of the ulna; 25151 is for partial removal of the radius. The operative report identifies which bone was treated.
- 25120Bone lesion removal
- 25120 is directed to curettage or excision of a bone cyst or benign tumor in the radius or ulna without grafting. Choose based on the documented lesion treatment rather than treating the codes as interchangeable.
- 25170Bone tumor resection
- 25170 describes radical resection of a radius or ulna tumor. Use it when the documented tumor operation is a radical resection, not a partial ulna excision.
25119 billing questions
What operative documentation supports this code?
The operative report should identify the ulna and side, describe the portion removed, and explain the indication for the resection. The documented work should support partial bone removal rather than curettage alone or a more extensive tumor resection.
How does this code differ from 25151?
25119 describes partial removal of the ulna; 25151 describes the corresponding partial removal of the radius. Select the code for the bone actually treated.
Does the procedure have a global period?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
How are bilateral procedures and other same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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