No office rate
Choose 25210 for excision of one carpal bone; 25215 describes removal of all carpal bones.
On this page
CMS RVU26D · Effective 2026-10-01
25210 Carpal bone removal Medicare reimbursement rates in Arkansas
Reports surgical removal of one carpal bone, such as excision of the pisiform for symptomatic pisotriquetral arthritis. Compare 25210 office and facility rates across CMS payment localities in Arkansas.
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 25210 in Arkansas?
Arkansas 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
$416.29
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 25210: Single carpal bone excision
Reports surgical removal of one carpal bone, such as excision of the pisiform for symptomatic pisotriquetral arthritis.
An orthopedic or hand surgeon uses this service to remove one carpal bone for a specific symptomatic or pathologic problem. A familiar example is pisiform excision for painful pisotriquetral arthritis. The procedure may take place in a hospital outpatient department or ambulatory surgery center, with the operative report identifying the bone removed and the reason for excision.
Select this code when the operation removes a single carpal bone; removal of all carpal bones is a different service. Document the target bone, indication, operative work, and any distinct procedures performed in the same session. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25210
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.97 · 43%
- Practice expense (office) RVU6.87 · 49%
- Malpractice RVU1.15 · 8%
5.5K
Medicare services in 2024 · #1811 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.
25210 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Use 25447 when trapezium excision is performed with interposition or reconstruction for thumb carpometacarpal arthritis, rather than reporting single-bone excision alone.
No office rate
25230 addresses partial removal of the radius. This code applies when the excised bone is one carpal bone.
No office rate
25240 addresses partial removal of the ulna. This code applies when the excised bone is one carpal bone.
Compare 25210 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$416.29
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 25210 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,409
- Code
- 25210
- Physician work
- 5.97
- Practice expense
- 6.87
- Malpractice
- 1.15
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.97 | × 1.000 | 5.9700 |
| Practice expense | 6.87 | × 0.859 | 5.9013 |
| Malpractice | 1.15 | × 0.515 | 0.5922 |
| Total RVUs | 12.4636 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$416.29
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.97 | 1 |
| Practice expense | 6.87 | 0.859 |
| Malpractice | 1.15 | 0.515 |
(5.97 × 1 + 6.87 × 0.859 + 1.15 × 0.515) × $33.4009 = $416.29
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.
25210 billing questions
How does this differ from 25215?
This code is for removal of one carpal bone. Code 25215 is for removal of all carpal bones.
Can modifier 50 be used when the surgeon operates on both wrists?
No. Modifier 50 is inappropriate for this code. The operative documentation should identify the bone removed and the side.
What documentation supports reporting this code?
Document the specific carpal bone removed, the clinical reason for excision, and the operative work. For example, identify pisiform excision when treating symptomatic pisotriquetral arthritis.
Is related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon payment requires supporting documentation.
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.
2,40625150,,Partial removal of ulna,A,,7.20,7.37,NA,7.37,,1.44,16.01,16.01,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40725151,,Partial removal of radius,A,,7.49,7.40,NA,7.40,,1.45,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40825170,,Resect radius/ulnar tumor,A,,21.65,13.55,NA,13.55,,4.61,39.81,39.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40925210,,Removal of wrist bone,A,,5.97,6.87,NA,6.87,,1.15,13.99,13.99,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41025215,,Removal of wrist bones,A,,7.94,7.85,NA,7.85,,1.51,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41125230,,Partial removal of radius,A,,5.24,6.12,NA,6.12,,1.02,12.38,12.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41225240,,Partial removal of ulna,A,,5.18,6.10,NA,6.10,,1.01,12.29,12.29,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541