No office rate
Both codes concern forearm amputation. Compare the full current code descriptions and operative documentation to identify the specific procedure performed.
On this page
CMS RVU26D · Effective 2026-10-01
25915 Forearm amputation Medicare reimbursement rates in Arkansas
Reports surgical removal of the forearm, generally for a nonviable or severely damaged limb, when the operative level is in the forearm. Compare 25915 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 25915 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
$948.82
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.
Upper extremity surgery
About 25915: Forearm-level amputation
Reports surgical removal of the forearm, generally for a nonviable or severely damaged limb, when the operative level is in the forearm.
This procedure removes the forearm at the level selected by the surgeon and shapes the remaining limb for healing and possible prosthetic planning. It may be performed for severe trauma, irreversible loss of blood supply, or infection that cannot be controlled while preserving the limb. Orthopedic and hand surgeons commonly perform the operation in an operating room, typically in a hospital setting.
Select the code that matches the documented amputation level and procedure rather than a wrist-level or hand-level removal, or surgery on a prior amputation. The operative report should identify the side, level, indication, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 25915
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.08 · 54%
- Practice expense (office) RVU11.01 · 35%
- Malpractice RVU3.63 · 11%
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.
25915 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
This is another forearm amputation code. The operative details, not the general diagnosis alone, determine which family code applies.
No office rate
This code is for amputation at the wrist. Choose the forearm-level code when the documented removal is at the forearm.
No office rate
This code is identified as follow-up amputation surgery. Do not substitute it for a forearm amputation when the service is removal at the forearm level.
Compare 25915 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
$948.82
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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 25915 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,519
- Code
- 25915
- Physician work
- 17.08
- Practice expense
- 11.01
- Malpractice
- 3.63
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.08 | × 1.000 | 17.0800 |
| Practice expense | 11.01 | × 0.859 | 9.4576 |
| Malpractice | 3.63 | × 0.515 | 1.8695 |
| Total RVUs | 28.4070 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$948.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.08 | 1 |
| Practice expense | 11.01 | 0.859 |
| Malpractice | 3.63 | 0.515 |
(17.08 × 1 + 11.01 × 0.859 + 3.63 × 0.515) × $33.4009 = $948.82
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.
25915 billing questions
How does this differ from a wrist-level amputation?
This code is for removal at the forearm level. Use a wrist-level amputation code when the operative level is at the wrist.
Can this code be reported for surgery on an existing amputation stump?
No. Distinguish a forearm amputation from follow-up surgery on a prior amputation; the operative report should make clear whether a new forearm-level amputation was performed.
What documentation supports reporting this code?
Document the indication, side, operative level, and procedure performed. The record should distinguish forearm removal from wrist or hand amputation and from surgery on a prior stump.
How is a bilateral procedure reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules provided.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,51625905,,Amputation of forearm,A,,9.35,8.42,NA,8.42,,1.99,19.76,19.76,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51725907,,Amputation follow-up surgery,A,,7.89,7.96,NA,7.96,,1.68,17.53,17.53,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51825909,,Amputation follow-up surgery,A,,9.08,8.33,NA,8.33,,1.93,19.34,19.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51925915,,Amputation of forearm,A,,17.08,11.01,NA,11.01,,3.63,31.72,31.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52025920,,Amputate hand at wrist,A,,8.80,10.21,NA,10.21,,1.87,20.88,20.88,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52125922,,Amputate hand at wrist,A,,7.46,9.63,NA,9.63,,1.59,18.68,18.68,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52225924,,Amputation follow-up surgery,A,,8.59,9.99,NA,9.99,,1.83,20.41,20.41,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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