Billing code 25071: Forearm mass excisionMedicare rate & RVUs in Delaware
Removal of a subcutaneous soft-tissue mass in the forearm or wrist area when the mass measures at least 3 cm.
CMS doesn’t publish an office rate for 25071 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25071 covers
This service removes a soft-tissue mass located beneath the skin in the forearm or wrist area. A surgeon, often an orthopedic or hand surgeon, may excise a symptomatic or enlarging mass such as a lipoma. The code is for a subcutaneous mass, not a mass extending into deeper tissues, and the size threshold is 3 cm or larger. Procedures may be performed in an office-based procedure room or a facility operating room.
Select the code based on the mass’s location, tissue depth, and documented size, rather than incision length. The operative report should establish that the mass was subcutaneous and support its measured size and removal. Medicare assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%; assistant-at-surgery payment may be allowed, while co-surgeons and team surgery are not permitted.
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.
25071 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $399.10 |
How the 25071 rate is calculated
Each of 25071’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25071
RVUs × geographic indexes × conversion factor
Work5.76
5.76 RVUs× 1.000 GPCI
Practice expense5.07
5.07 RVUs× 1.000 GPCI
Malpractice1.28
1.28 RVUs× 1.000 GPCI
Adjusted RVUs
12.1100
Conversion factor
$33.4009
Medicare rate
$404.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25071
25071 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25071
Forearm mass excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25071
Forearm mass excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25071 without 50 · national facility
$404.48
Forearm mass excision
25071-50 · Bilateral: 150%
$606.72
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25071 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25075Forearm tumor excision
- This code applies to a subcutaneous mass measuring 3 cm or larger; 25075 is for a subcutaneous mass smaller than 3 cm.
- 25073Tumor excision
- Use 25073 for a mass at least 3 cm that is in deeper soft tissue. This code is for a subcutaneous mass.
- 25065Soft-tissue biopsy
- 25065 is for biopsy of forearm or wrist-area soft tissue. This code represents excision of a subcutaneous mass at least 3 cm, not diagnostic sampling alone.
- 25066Soft-tissue biopsy
- 25066 is for biopsy of deeper forearm or wrist-area soft tissue; this code describes removal of a subcutaneous mass at least 3 cm.
25071 billing questions
How is this code distinguished from 25075?
Both describe removal of a subcutaneous forearm or wrist-area mass. Use 25071 for a mass measuring 3 cm or larger and 25075 for one under 3 cm.
When is 25073 more appropriate?
25073 describes removal of a mass in deeper soft tissue when it measures 3 cm or larger. The operative documentation should support the mass’s depth, not just its size.
Can a diagnostic biopsy be reported instead?
Use a biopsy code when the surgeon samples tissue for diagnosis rather than excising the mass. Codes 25065 and 25066 distinguish forearm or wrist-area soft-tissue biopsy by depth.
What documentation supports code selection?
The operative report should identify the forearm or wrist-area site, show that the mass was subcutaneous, document its size, and describe its removal.
How does Medicare treat bilateral procedures and other procedures in the same session?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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