No office rate
The codes describe closely related wrist or forearm lesion operations. Use the full descriptor and operative details to determine which procedure was performed.
On this page
CMS RVU26D · Effective 2026-10-01
25115 Lesion excision Medicare reimbursement rates in Guam
Surgical removal of a wrist or forearm lesion is reported when the operative service matches this code’s procedure and anatomic scope. Compare 25115 office and facility rates across CMS payment localities in Guam.
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 25115 in Guam?
Guam 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
$719.73
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Orthopedic surgery
About 25115: Wrist and forearm lesion excision
Surgical removal of a wrist or forearm lesion is reported when the operative service matches this code’s procedure and anatomic scope.
This code represents an operation to remove a lesion in the wrist or forearm. It is typically performed by an orthopedic or hand surgeon in an operating room or, when appropriate, an office procedure setting. The operative report should identify the lesion’s location and the tissues involved, and describe the work performed. A wrist or forearm location alone is not enough to distinguish this service from excision of a tendon-sheath lesion, a joint procedure, or removal of a bone lesion.
Report the code when the documented operation matches its specific procedure, rather than selecting it from the lesion’s general location or diagnosis alone. Include the operative findings and the anatomic site in the record to support code selection. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 25115
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.84 · 47%
- Practice expense (office) RVU9.34 · 44%
- Malpractice RVU1.88 · 9%
4.3K
Medicare services in 2024 · #1966 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.
25115 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
This code is for a wrist tendon-sheath or joint-capsule lesion, such as a ganglion. Choose it when that structure and procedure are documented rather than relying on the broader site description.
No office rate
This code concerns a bone cyst or benign tumor of the radius or ulna. It is distinct from excision of a lesion in other wrist or forearm tissues.
Compare 25115 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$719.73
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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 25115 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,395
- Code
- 25115
- Physician work
- 9.84
- Practice expense
- 9.34
- Malpractice
- 1.88
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.84 | × 1.000 | 9.8400 |
| Practice expense | 9.34 | × 1.137 | 10.6196 |
| Malpractice | 1.88 | × 0.579 | 1.0885 |
| Total RVUs | 21.5481 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$719.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.84 | 1 |
| Practice expense | 9.34 | 1.137 |
| Malpractice | 1.88 | 0.579 |
(9.84 × 1 + 9.34 × 1.137 + 1.88 × 0.579) × $33.4009 = $719.73
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.
25115 billing questions
How do I distinguish this code from 25116?
Both concern a wrist or forearm lesion, so use the full code descriptions and the documented operation to identify the applicable code. Do not select between them based on site alone.
When is a tendon-sheath lesion code more appropriate?
Use the code that specifically describes excision of a tendon-sheath or joint-capsule lesion when the operative report identifies that structure as the target. A general wrist or forearm location does not establish that this code applies.
Is related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. CMS also includes the day-before preoperative visit in that global period.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full and the other procedures are paid at 50% under the standard multiple procedure reduction.
Can I report an assistant or co-surgeon for this operation?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this code?
Document the wrist or forearm site, the lesion’s anatomic location and involved tissues, and the operative work performed. These details help distinguish the service from tendon-sheath, joint, and bone procedures.
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.
2,39225110,,Remove wrist tendon lesion,A,,3.94,5.39,NA,5.39,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39325111,,Remove wrist tendon lesion,A,,3.44,5.51,NA,5.51,,0.66,9.61,9.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39425112,,Reremove wrist tendon lesion,A,,4.55,5.86,NA,5.86,,0.88,11.29,11.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39525115,,Remove wrist/forearm lesion,A,,9.84,9.34,NA,9.34,,1.88,21.06,21.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39625116,,Remove wrist/forearm lesion,A,,7.37,8.32,NA,8.32,,1.41,17.10,17.10,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39725118,,Excise wrist tendon sheath,A,,4.40,5.83,NA,5.83,,0.84,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39825119,,Partial removal of ulna,A,,6.05,7.22,NA,7.22,,1.30,14.57,14.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014