No office rate
25920 describes a wrist-level hand amputation. Use 25927 when the operative level is through the metacarpals.
On this page
CMS RVU26D · Effective 2026-10-01
25927 Hand amputation Medicare reimbursement rates in Florida
Reports surgical removal of the hand through the metacarpal level, typically when injury, infection, or disease makes preservation of the hand impossible. Compare 25927 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 25927 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
$850.81–$956.77
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 25927 pays more and less in Florida
Hand surgery
About 25927: Hand Amputation Through Metacarpals
Reports surgical removal of the hand through the metacarpal level, typically when injury, infection, or disease makes preservation of the hand impossible.
This operation removes the hand through the metacarpal level while preserving the wrist. It may be performed for a severely mangled hand, nonviable tissue after trauma, or disease that cannot be controlled while retaining the hand. An orthopedic or hand surgeon, plastic surgeon, or other qualified surgeon typically performs the procedure in a hospital or ambulatory surgical setting. The operative report should identify the amputation level and describe the procedure performed.
Report 25927 when the documented operative level is through the metacarpals, not at the wrist or through the forearm. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If multiple procedures are performed in the same 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 requires documented medical necessity; co-surgeon and team-surgery claims are not permitted.
CMS billing rules for 25927
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.86 · 35%
- Practice expense (office) RVU14.39 · 57%
- Malpractice RVU1.90 · 8%
23
Medicare services in 2024 · #5838 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.
25927 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
25922 is also for a wrist-level hand amputation. The operative report's stated level determines whether 25927 is appropriate.
No office rate
25900 is a forearm amputation, a more proximal level than the metacarpal-level hand amputation reported with 25927.
Compare 25927 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
$897.56
Miami →
Office / nonfacility
Unavailable
Facility
$956.77
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$850.81
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25927 billing questions
How do I distinguish 25927 from a wrist-level hand amputation?
Use 25927 when the operative level is through the metacarpals. Codes 25920 and 25922 describe wrist-level hand amputations.
What documentation supports 25927?
The operative report should establish the precise amputation level through the metacarpals and describe the procedure performed. The clinical record should support the need for removal of the hand.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 25927 reported?
Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeon and team-surgery claims are not permitted for this procedure.
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.
2,52025920,,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
2,52225924,,Amputation follow-up surgery,A,,8.59,9.99,NA,9.99,,1.83,20.41,20.41,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52325927,,Amputation of hand,A,,8.86,14.39,NA,14.39,,1.90,25.15,25.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52425929,,Amputation follow-up surgery,A,,7.62,7.87,NA,7.87,,1.63,17.12,17.12,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52525931,,Amputation follow-up surgery,A,,7.84,13.91,NA,13.91,,1.67,23.42,23.42,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52625999,,Unlisted px forearm/wrist,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00