Billing code 25924: Amputation revisionMedicare rate & RVUs in Alaska
Revision of an existing hand amputation at the wrist is reported when surgery reshapes or corrects the stump rather than creating the original amputation.
CMS doesn’t publish an office rate for 25924 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 25924 covers
This service revises an established amputation stump at the wrist. The surgeon may address a problematic stump that needs operative correction; it is distinct from performing the initial wrist-level hand amputation. It is generally performed by an orthopedic or hand surgeon in an operating-room setting. The operative report should identify the existing amputation level and describe the revision performed.
Report this code for revision at the wrist level, not for revision of a forearm-level or more distal hand amputation. The 90-day global period includes the day-before preoperative visit and related postoperative care. 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% multiple-procedure reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon and team-surgery payment 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.
25924 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $819.41 |
How the 25924 rate is calculated
Each of 25924’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 · 25924
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.59Practice expense 9.99Malpractice 1.83
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25924
25924 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25924
Amputation revision
| 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) | 0 | Not permitted. |
| 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 · 25924
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25924 without 50 · national facility
$681.71
Amputation revision
25924-50 · Bilateral: 150%
$1,022.57
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).
25924 compared with similar codes
Compare codes
25924 vs 25920 vs 25907 vs 25929: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25920Hand amputation
- 25920 describes creating a hand amputation at the wrist. This code is for operative revision of an existing wrist-level amputation.
- 25907Amputation revision
- 25907 is in the forearm amputation revision family. Select by the documented amputation level; this code is for the hand at the wrist.
- 25929Amputation revision
- 25929 applies to revision at the more distal hand level through the metacarpals. This code applies to revision at the wrist.
25924 billing questions
How does this differ from an initial wrist-level hand amputation?
This code is for revising an existing amputation stump at the wrist. Use an initial amputation code when the procedure creates the amputation rather than revising a prior one.
Which documentation supports reporting this revision?
The operative report should establish the prior wrist-level amputation and describe the surgical correction to the stump. Documentation should distinguish this site from a forearm-level or more distal hand amputation.
How does the 90-day global period affect postoperative care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are not separately reported as routine postoperative care.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting, modifier 50 is paid at 150%.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment may be available. CMS does not permit co-surgeon or team-surgery payment 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
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