No office rate
Choose 25100 when the wrist joint is opened for biopsy. Choose 25107 when the documented work removes articular cartilage.
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CMS RVU26D · Effective 2026-10-01
25107 Wrist cartilage excision Medicare reimbursement rates in Connecticut
Open wrist arthrotomy with articular cartilage removal is reported when the surgeon directly excises wrist-joint cartilage rather than synovium, tendon, or a lesion. Compare 25107 office and facility rates across CMS payment localities in Connecticut.
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 25107 in Connecticut?
Connecticut 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
$625.26
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 25107: Open wrist joint cartilage excision
Open wrist arthrotomy with articular cartilage removal is reported when the surgeon directly excises wrist-joint cartilage rather than synovium, tendon, or a lesion.
An orthopedic or hand surgeon opens the wrist joint and removes articular cartilage directly from the joint surfaces. The operative target is cartilage within the wrist joint, not the synovial lining, a tendon or tendon sheath, or a separate bone or soft-tissue lesion. The operative report should identify the joint entered and document the cartilage excision; opening the joint for inspection alone does not establish this service.
Select this code when the documented work includes excision of wrist-joint articular cartilage, distinguishing it from wrist arthrotomy for biopsy, exploration, or synovectomy. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25107
- 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 RVU7.51 · 43%
- Practice expense (office) RVU8.64 · 49%
- Malpractice RVU1.45 · 8%
241
Medicare services in 2024 · #4160 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.
25107 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Code 25101 describes wrist-joint exploration, drainage, or foreign-body removal; 25107 requires excision of articular cartilage.
No office rate
Code 25105 targets the synovial lining. Code 25107 targets articular cartilage.
No office rate
Code 29846 describes wrist arthroscopy with specified debridement or triangular fibrocartilage work. Code 25107 describes cartilage excision through open wrist arthrotomy.
Compare 25107 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$625.26
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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 25107 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,390
- Code
- 25107
- Physician work
- 7.51
- Practice expense
- 8.64
- Malpractice
- 1.45
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.51 | × 1.020 | 7.6602 |
| Practice expense | 8.64 | × 1.077 | 9.3053 |
| Malpractice | 1.45 | × 1.210 | 1.7545 |
| Total RVUs | 18.7200 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$625.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.51 | 1.02 |
| Practice expense | 8.64 | 1.077 |
| Malpractice | 1.45 | 1.21 |
(7.51 × 1.02 + 8.64 × 1.077 + 1.45 × 1.21) × $33.4009 = $625.26
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.
25107 billing questions
How does this differ from wrist synovectomy code 25105?
This code describes removal of articular cartilage from the wrist joint. Code 25105 addresses removal of the joint’s synovial lining.
Does opening the wrist joint for inspection qualify?
No. The operative documentation should support actual excision of articular cartilage, not exposure or exploration alone.
Can synovectomy be reported with cartilage excision?
They describe different operative targets. Report both only when the documentation supports each service and applicable coding edits permit separate reporting.
How is bilateral surgery reported?
CMS pays bilateral reporting with modifier 50 at 150% of the single-side payment.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires 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.
2,38725100,,Biopsy of wrist joint,A,,3.92,5.63,NA,5.63,,0.84,10.39,10.39,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38825101,,Explore/treat wrist joint,A,,4.71,6.11,NA,6.11,,0.92,11.74,11.74,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38925105,,Remove wrist joint lining,A,,5.87,6.89,NA,6.89,,1.14,13.90,13.90,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39025107,,Remove wrist joint cartilage,A,,7.51,8.64,NA,8.64,,1.45,17.60,17.60,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39125109,,Excise tendon forearm/wrist,A,,6.77,7.09,NA,7.09,,1.29,15.15,15.15,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39225110,,Remove wrist tendon lesion,A,,3.94,5.39,NA,5.39,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39325111,,Remove wrist tendon lesion,A,,3.44,5.51,NA,5.51,,0.66,9.61,9.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808