CPT code 25075: Forearm tumor excision2026 Medicare rate & RVUs in Georgia
Report this code for excision of a subcutaneous soft-tissue tumor in the forearm or wrist area when the tumor is under 3 cm.
Medicare pays $514.83–$564.62 for 25075 in the office in Georgia, from Rest Of Georgia to Atlanta. Which amount applies depends on the service address.
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 25075 covers
This code describes surgical removal of a soft-tissue tumor located beneath the skin in the forearm or wrist area, with a tumor size under 3 cm. An orthopedic or hand surgeon, or another surgeon treating soft-tissue masses, may perform the procedure in an office-based operating room or a hospital or ambulatory surgery facility. The key distinctions are the anatomic area, the tumor’s subcutaneous depth, and its size; removal of a skin lesion or a deeper mass belongs to a different code category or level.
Select the code using operative documentation that identifies the forearm or wrist area, describes the mass as subcutaneous, and records its size and excision. 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 are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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.
Where 25075 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $564.62 | $314.86 |
| Rest Of Georgia | $514.83 | $295.55 |
How the 25075 rate is calculated
Each of 25075’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 · 25075
RVUs × geographic indexes × conversion factor
Work3.86
3.86 RVUs× 1.000 GPCI
Practice expense11.87
11.87 RVUs× 1.000 GPCI
Malpractice0.81
0.81 RVUs× 1.000 GPCI
Adjusted RVUs
16.5400
Conversion factor
$33.4009
Medicare rate
$552.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25075
25075 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25075
Forearm tumor 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) | 1 | Not paid (statutory restriction). |
| 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 · 25075
Forearm tumor 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
25075 without 50 · national office
$552.45
Forearm tumor excision
25075-50 · Bilateral: 150%
$828.68
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).
25075 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25071Forearm mass excision
- Both cover subcutaneous forearm or wrist soft-tissue tumor excision; the size threshold separates them. Use 25075 below 3 cm and 25071 at 3 cm or larger.
- 25076Forearm tumor excision
- This code is for a subcutaneous tumor under 3 cm. Use 25076 when the forearm or wrist tumor is deep and under 3 cm.
- 25065Soft-tissue biopsy
- Code 25065 describes biopsy of subcutaneous forearm soft tissue. Use 25075 when the documented service is excision of the tumor rather than biopsy.
- 25066Soft-tissue biopsy
- Code 25066 describes biopsy of deep forearm soft tissue. It is not the code for excision of a subcutaneous tumor.
25075 billing questions
How does this differ from code 25071?
Both describe excision of a subcutaneous forearm or wrist soft-tissue tumor. Use 25075 for a tumor under 3 cm and 25071 for one 3 cm or larger.
Can this code be used for a deep forearm mass under 3 cm?
No. This code is for a subcutaneous tumor; code 25076 is the corresponding code for a deep tumor under 3 cm.
Is this the right code when the surgeon takes only a biopsy?
No. For biopsy rather than excision, consider the forearm soft-tissue biopsy code that matches the documented depth: 25065 for subcutaneous or 25066 for deep.
What operative details support reporting this code?
Document the forearm or wrist location, the tumor’s subcutaneous depth, its size, and that it was excised. The documentation should distinguish the mass from a lesion confined to the skin.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral excision handled?
When the procedure is performed bilaterally and modifier 50 is reported, CMS pays at 150%.
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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