No office rate
Choose 25820 for a limited wrist fusion without bone graft. Choose 25825 when autograft is used for the limited fusion.
On this page
CMS RVU26D · Effective 2026-10-01
25825 Wrist fusion Medicare reimbursement rates in Colorado
Reports a limited wrist fusion using the patient's own bone graft, commonly for selected carpal-bone fusion in a painful, arthritic wrist. Compare 25825 office and facility rates across CMS payment localities in Colorado.
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 25825 in Colorado?
Colorado 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
$758.11
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Orthopedic surgery
About 25825: Limited wrist fusion with autograft
Reports a limited wrist fusion using the patient's own bone graft, commonly for selected carpal-bone fusion in a painful, arthritic wrist.
The surgeon fuses selected wrist bones while leaving other wrist joints unfused, using the patient's own bone to support healing. A common example is scaphoid excision with fusion of the lunate, capitate, hamate, and triquetrum for advanced scaphoid-related wrist arthritis. The graft may come from a separate donor site or nearby bone. Hand and orthopedic surgeons typically perform this operation in a hospital or ambulatory surgery setting.
Report 25825 when the operative work is a limited wrist arthrodesis and autograft is used. The operative report should identify the bones fused and document the graft's use; a limited fusion without graft is distinguished by 25820. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25825
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.45 · 42%
- Practice expense (office) RVU11.03 · 50%
- Malpractice RVU1.79 · 8%
1.1K
Medicare services in 2024 · #2882 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.
25825 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
25810 represents wrist arthrodesis with iliac or other autograft; 25825 is for limited fusion rather than the broader wrist fusion.
No office rate
25800 describes complete wrist fusion without graft. 25825 describes fusion of selected wrist bones with autograft.
No office rate
25805 identifies a sliding-graft technique. 25825 identifies limited wrist fusion with autograft, without specifying that sliding-graft method.
Compare 25825 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
Colorado →
Office / nonfacility
Unavailable
Facility
$758.11
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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 25825 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,513
- Code
- 25825
- Physician work
- 9.45
- Practice expense
- 11.03
- Malpractice
- 1.79
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.45 | × 1.012 | 9.5634 |
| Practice expense | 11.03 | × 1.064 | 11.7359 |
| Malpractice | 1.79 | × 0.781 | 1.3980 |
| Total RVUs | 22.6973 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$758.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.45 | 1.012 |
| Practice expense | 11.03 | 1.064 |
| Malpractice | 1.79 | 0.781 |
(9.45 × 1.012 + 11.03 × 1.064 + 1.79 × 0.781) × $33.4009 = $758.11
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.
25825 billing questions
How does 25825 differ from 25820?
Both describe limited wrist fusion, but 25825 includes use of autograft. Use 25820 when the limited fusion is performed without bone graft.
Does 25825 describe a complete wrist fusion?
No. It describes fusion of selected wrist bones. A complete wrist arthrodesis is coded from the complete-fusion family, with the specific code depending on the graft technique.
What documentation supports reporting 25825?
The operative report should identify the wrist bones fused and document that the patient's own bone was used as graft. The documented extent of fusion distinguishes a limited procedure from a complete wrist arthrodesis.
How is bilateral 25825 handled under the CMS fee schedule?
For bilateral surgery, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be paid for this operation?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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.
2,51025805,,Arthrd wrist w/sliding graft,A,,11.44,9.84,NA,9.84,,2.44,23.72,23.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51125810,,Arthrd wrst iliac/oth agrft,A,,11.65,9.92,NA,9.92,,2.20,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51225820,,Arthrd wrist lmtd w/o b1 grf,A,,7.45,9.52,NA,9.52,,1.45,18.42,18.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51325825,,Arthrd wrist with autograft,A,,9.45,11.03,NA,11.03,,1.79,22.27,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51425830,,Arthrd dst rad/ul jt sgm rsc,A,,10.61,16.37,NA,16.37,,2.08,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51525900,,Amputation of forearm,A,,9.37,8.81,NA,8.81,,1.88,20.06,20.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51625905,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899