No office rate
Both address a cyst or benign tumor in the radius or ulna. Choose 25125 when autograft is used to fill the defect; 25120 describes treatment without graft.
On this page
CMS RVU26D · Effective 2026-10-01
25125 Bone lesion excision Medicare reimbursement rates in Alaska
Reports removal or curettage of a benign lesion or cyst in the radius or ulna, with the resulting bone defect filled using the patient's own graft. Compare 25125 office and facility rates across CMS payment localities in Alaska.
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 25125 in Alaska?
Alaska 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
$689.31
1 of 1 localities have a supported rate.
Payment area: Alaska*
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.
Orthopedic surgery
About 25125: Forearm bone lesion excision with autograft
Reports removal or curettage of a benign lesion or cyst in the radius or ulna, with the resulting bone defect filled using the patient's own graft.
An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the radius or ulna and fills the defect with the patient's own bone graft. The procedure is performed in an operative setting when the lesion requires surgical treatment and grafting to address the bone defect. The operative report should identify the affected forearm bone, the lesion treated, the excision or curettage, and the autograft used; this code includes obtaining the graft.
Select this service when the forearm bone lesion is treated with autograft, rather than reporting the corresponding excision or curettage without graft. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 25125
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.48 · 44%
- Practice expense (office) RVU8.02 · 47%
- Malpractice RVU1.59 · 9%
21
Medicare services in 2024 · #5888 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.
25125 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
The graft source distinguishes these related forearm procedures: 25125 uses the patient's own bone, while 25126 uses allograft.
No office rate
This related grafted lesion procedure applies to a wrist bone. Use 25125 for a lesion in the radius or ulna.
Compare 25125 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$689.31
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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 25125 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,400
- Code
- 25125
- Physician work
- 7.48
- Practice expense
- 8.02
- Malpractice
- 1.59
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.48 | × 1.500 | 11.2200 |
| Practice expense | 8.02 | × 1.065 | 8.5413 |
| Malpractice | 1.59 | × 0.551 | 0.8761 |
| Total RVUs | 20.6374 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$689.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.48 | 1.5 |
| Practice expense | 8.02 | 1.065 |
| Malpractice | 1.59 | 0.551 |
(7.48 × 1.5 + 8.02 × 1.065 + 1.59 × 0.551) × $33.4009 = $689.31
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.
25125 billing questions
How does this differ from 25120?
Use 25125 when the radius or ulna lesion is removed or curetted and the defect is filled with autograft. Code 25120 describes the corresponding treatment without graft.
Is graft harvesting separately reported?
No. Obtaining the autograft is included in this service.
How does 25126 differ?
Code 25126 is the related forearm lesion procedure using allograft. This code is for treatment with the patient's own bone.
What documentation supports the code?
Document whether the lesion is in the radius or ulna, the removal or curettage performed, and that the defect was filled with autograft.
Can modifier 50 be used for bilateral procedures?
CMS identifies this as a bilateral procedure. With modifier 50, payment is 150%.
Can an assistant surgeon be reported?
CMS pays an assistant at surgery only when medical necessity is documented. Co-surgeons and team surgery are 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.
2,39725118,,Excise wrist tendon sheath,A,,4.40,5.83,NA,5.83,,0.84,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39825119,,Partial removal of ulna,A,,6.05,7.22,NA,7.22,,1.30,14.57,14.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39925120,,Removal of forearm lesion,A,,6.11,6.92,NA,6.92,,1.20,14.23,14.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40025125,,Remove/graft forearm lesion,A,,7.48,8.02,NA,8.02,,1.59,17.09,17.09,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40125126,,Remove/graft forearm lesion,A,,7.55,8.04,NA,8.04,,1.61,17.20,17.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40225130,,Removal of wrist lesion,A,,5.29,6.60,NA,6.60,,1.01,12.90,12.90,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40325135,,Remove & graft wrist lesion,A,,6.90,7.83,NA,7.83,,1.47,16.20,16.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609