Billing code 25907: Amputation revisionMedicare rate & RVUs in Alaska

Reports revision surgery at a forearm amputation site, such as operative correction of a residual limb rather than a new forearm amputation.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 25907 in Alaska.

—Office (non-facility)
$709.37Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 25907 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 25907 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 25907 covers

This code represents revision surgery at a previous forearm amputation site. An orthopedic or hand surgeon may operate to address a residual limb problem, such as a painful or poorly functioning stump. The operative report should establish that the surgeon revised the existing amputation site and identify the anatomical level and work performed; routine prosthetic assessment or postoperative care alone is not this service.

Select the code based on the documented operation and forearm level, distinguishing revision from a new amputation and from revision at the wrist or hand. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral performance, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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.

25907 in Alaska*

25907 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*Unavailable$709.37

How the 25907 rate is calculated

Each of 25907’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 · 25907

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.89Practice expense 7.96Malpractice 1.68

17.5300 adjusted RVUs×$33.4009 conversion factor=$585.52

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 25907

25907 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25907

Amputation revision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25907

Amputation revision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25907 without 50 · national facility

$585.52

Amputation revision

25907-50 · Bilateral: 150%

$878.28

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).

When to use modifier 50

25907 compared with similar codes

Compare codes

25907 vs 25900 vs 25924: national Medicare rates

Swap in your local Medicare rate.

  • 25907
    Amputation revision · 7.89 wRVU
    —
  • 25900
    Forearm amputation · 9.37 wRVU
    —
  • 25924
    Amputation revision · 8.59 wRVU
    —

How to choose

25900Forearm amputation
25900 describes a new forearm amputation. Use 25907 when the surgeon revises a previous forearm amputation site instead.
25924Amputation revision
25924 is a nearby amputation follow-up surgery code. Confirm the operative level and select the code matching the documented procedure rather than relying on the shared follow-up label.

25907 billing questions

How is this different from a new forearm amputation?

This code is for revision of an existing forearm amputation site. Report a new-amputation code when the operation creates the amputation rather than revising a prior site.

What documentation supports reporting this code?

The operative report should identify the prior amputation, the forearm-level site, and the revision work performed. A clinic visit for residual-limb assessment without operative revision does not support this service.

Are routine postoperative visits separately reported?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

How are bilateral procedures and multiple procedures handled?

When performed bilaterally, modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 25907PPRRVU2026_Oct_nonQPP.csv, line 2,517 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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