No office rate
Both describe wrist-level hand amputation, but 25922 represents re-amputation. Use the operative history and full procedure documentation to distinguish the initial amputation from a repeat amputation.
On this page
CMS RVU26D · Effective 2026-10-01
25920 Hand amputation Medicare reimbursement rates in Arkansas
Reports surgical removal of the hand at the wrist, such as for a severely injured or nonviable hand when amputation is required. Compare 25920 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 25920 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
$619.03
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 25920: Hand amputation at the wrist
Reports surgical removal of the hand at the wrist, such as for a severely injured or nonviable hand when amputation is required.
This service removes the hand at the wrist level, separating it from the forearm through the wrist. It may be required after devastating crush or other traumatic injury, or when severe infection or loss of blood supply leaves the hand nonviable. An orthopedic, plastic, or hand surgeon typically performs the operation in an operating room, often in a hospital or other facility setting.
Select this code when the operative report supports amputation at the wrist, rather than through the metacarpals or at a forearm level. Document the indication, the anatomical level, and the operative findings; prior amputation history can help distinguish an initial procedure from re-amputation. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 25920
- 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 RVU8.80 · 42%
- Practice expense (office) RVU10.21 · 49%
- Malpractice RVU1.87 · 9%
18
Medicare services in 2024 · #5967 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.
25920 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
25920 is used for amputation at the wrist; 25927 applies when the hand is amputated through the metacarpal bones.
No office rate
25900 is a forearm-level amputation code. Choose based on the documented operative level, not simply the extent of hand injury.
Compare 25920 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
$619.03
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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 25920 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,520
- Code
- 25920
- Physician work
- 8.80
- Practice expense
- 10.21
- Malpractice
- 1.87
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.80 | × 1.000 | 8.8000 |
| Practice expense | 10.21 | × 0.859 | 8.7704 |
| Malpractice | 1.87 | × 0.515 | 0.9631 |
| Total RVUs | 18.5334 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$619.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1 |
| Practice expense | 10.21 | 0.859 |
| Malpractice | 1.87 | 0.515 |
(8.8 × 1 + 10.21 × 0.859 + 1.87 × 0.515) × $33.4009 = $619.03
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.
25920 billing questions
How is 25920 distinguished from 25927?
25920 represents amputation at the wrist. Use 25927 when the operative level is through the metacarpal bones.
How does 25920 differ from 25922?
Both are wrist-level hand amputation codes. 25922 is for re-amputation at the wrist; 25920 is for the initial amputation.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral wrist-level hand amputation reported?
Report modifier 50 for a bilateral procedure; Medicare pays the bilateral service at 150%.
When can an assistant at surgery be paid?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon and team-surgery payment 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 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.
2,51725907,,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
2,52325927,,Amputation of hand,A,,8.86,14.39,NA,14.39,,1.90,25.15,25.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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