No office rate
Use 25900 for the initial forearm amputation through the radius and ulna. Use 25909 for a qualifying revision of a prior forearm amputation.
On this page
CMS RVU26D · Effective 2026-10-01
25909 Amputation revision Medicare reimbursement rates in Delaware
Reports operative revision of a forearm amputation stump when a prior amputation requires further surgery at the residual-limb level. Compare 25909 office and facility rates across CMS payment localities in Delaware.
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 25909 in Delaware?
Delaware 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
$637.64
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Amputation surgery
About 25909: Forearm amputation stump revision
Reports operative revision of a forearm amputation stump when a prior amputation requires further surgery at the residual-limb level.
This code covers further surgery on a previously amputated forearm, rather than the initial removal of the forearm. A hand or upper-extremity surgeon may revise the residual limb when the stump needs operative correction, such as for a problematic scar, wound, or bony contour. The service is typically performed in a hospital or ambulatory surgical setting; the operative report should establish the prior amputation and the revision performed.
Report the code when the documented procedure meets its specific CPT definition, not merely because the patient has a prior amputation. CMS assigns a 90-day global period: the day-before preoperative visit and related care during the following 90 days are included. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25909
- 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 RVU9.08 · 47%
- Practice expense (office) RVU8.33 · 43%
- Malpractice RVU1.93 · 10%
19
Medicare services in 2024 · #5937 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.
25909 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both relate to forearm amputation revision. Choose based on the operative criteria in the code descriptors and the work documented, not the general label of stump revision.
No office rate
25924 concerns revision at the wrist level. This code concerns revision at the forearm level; the documented anatomic site guides selection.
Compare 25909 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
Delaware →
Office / nonfacility
Unavailable
Facility
$637.64
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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 25909 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,518
- Code
- 25909
- Physician work
- 9.08
- Practice expense
- 8.33
- Malpractice
- 1.93
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.08 | × 1.005 | 9.1254 |
| Practice expense | 8.33 | × 0.988 | 8.2300 |
| Malpractice | 1.93 | × 0.899 | 1.7351 |
| Total RVUs | 19.0905 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$637.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.08 | 1.005 |
| Practice expense | 8.33 | 0.988 |
| Malpractice | 1.93 | 0.899 |
(9.08 × 1.005 + 8.33 × 0.988 + 1.93 × 0.899) × $33.4009 = $637.64
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.
25909 billing questions
How is this different from a primary forearm amputation?
This code is for surgery on an existing forearm amputation stump. A code for primary forearm amputation describes the initial removal, not subsequent stump revision.
How should I distinguish this from 25907?
Both codes concern forearm amputation revision. Apply the specific operative criteria in the CPT descriptors; the fact that a stump was revised by itself does not establish which code applies.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
Can I report modifier 50 for bilateral revisions?
Yes. CMS treats this as a bilateral procedure and pays 150% when reported bilaterally with modifier 50.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery 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.
2,51525900,,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
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
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503