25120 describes forearm lesion removal. Use 25170 when the operation is a radical resection of a radius or ulna tumor, rather than a more limited lesion procedure.
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CMS RVU26D · Effective 2026-10-01
25170 Bone tumor resection Medicare reimbursement rates in Florida
Reports radical resection of a tumor involving the radius or ulna, typically when an oncologic operation removes the tumor-bearing portion of forearm bone. Compare 25170 office and facility rates across CMS payment localities in Florida.
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 25170 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1387.23–$1583.68
3 of 3 localities have a supported rate.
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.
Where 25170 pays more and less in Florida
Orthopedic surgery
About 25170: Radical forearm bone tumor resection
Reports radical resection of a tumor involving the radius or ulna, typically when an oncologic operation removes the tumor-bearing portion of forearm bone.
An orthopedic surgeon, often an orthopedic oncologist, performs this operation to remove a tumor involving the radius or ulna as a radical bone resection. It is generally performed in an operating room, with the resected bone or tumor tissue sent for examination. The operative extent distinguishes it from limited lesion removal or curettage.
Report the code when the documented procedure supports radical resection of a radius or ulna tumor; the operative report should identify the bone and describe the resection performed. 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 25170
- 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 RVU21.65 · 54%
- Practice expense (office) RVU13.55 · 34%
- Malpractice RVU4.61 · 12%
16
Medicare services in 2024 · #6026 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.
25170 compared with similar codes
Office rates for Florida, from the same CMS release.
25125 describes forearm lesion removal with grafting. It is not a substitute for 25170 when the documented operation is radical tumor resection.
25150 describes partial removal of the ulna. Code 25170 applies when the procedure is a radical resection of a tumor involving the radius or ulna.
25151 describes partial removal of the radius. Choose 25170 instead when the documented procedure is radical tumor resection.
Compare 25170 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1459.99
Miami →
Office / nonfacility
Unavailable
Facility
$1583.68
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1387.23
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25170 billing questions
How is this different from code 25120?
Code 25170 is for radical resection of a radius or ulna tumor. Code 25120 describes removal of a forearm lesion; select based on the operation actually performed and documented, not the diagnosis alone.
When would a lesion-removal code with grafting be considered instead?
Codes 25125 and 25126 describe forearm lesion removal with grafting. They are alternatives when that is the documented procedure rather than radical tumor resection.
Does the 90-day global include routine postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment 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.
