Billing code 25151: Radius excisionMedicare rate & RVUs in Guam
Reports surgical removal of a limited portion of the radius, such as for focal bone disease requiring partial excision rather than complete tumor resection.
CMS doesn’t publish an office rate for 25151 in Guam.
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 25151 covers
An orthopedic or hand surgeon uses this service to remove a limited portion of the radius. The work may involve saucerizing bone or removing a devitalized bone fragment, such as in a focal process requiring partial excision. It is performed in an operative setting; the operative report should identify the radial site and describe the extent and purpose of the bone removal. The code is specific to the radius, not the ulna or a wrist-joint procedure.
Report it when the surgeon’s documented work supports partial radial bone excision, rather than curettage of a bone lesion or a more extensive tumor resection. The record should make clear which bone was treated and what was removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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.
25151 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $559.24 |
How the 25151 rate is calculated
Each of 25151’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 · 25151
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.49Practice expense 7.40Malpractice 1.45
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25151
25151 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25151
Radius 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 25151
Radius 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
25151 without 50 · national facility
$545.77
Radius excision
25151-50 · Bilateral: 150%
$818.66
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).
25151 compared with similar codes
Compare codes
25151 vs 25150 vs 25120 vs 25170: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25150Ulna resection
- 25150 describes partial excision of the ulna; this code describes partial excision of the radius. Follow the bone identified in the operative report.
- 25120Bone lesion removal
- 25120 is used for excision or curettage of a radius or ulna bone cyst or benign tumor. This code represents partial radial bone excision rather than that lesion-focused procedure.
- 25170Bone tumor resection
- 25170 represents resection of a radius or ulna tumor. Choose it when the documented tumor resection is more extensive than partial radial excision.
25151 billing questions
How is this code distinguished from partial excision of the ulna?
This code is for partial removal of the radius. Use the ulna code, 25150, when the operative work removes part of the ulna instead.
When is a bone-lesion excision code a better fit?
Consider 25120 or 25125 when the documented procedure is excision or curettage of a radial or ulnar bone cyst or benign tumor, rather than the partial radial bone removal represented here.
Does the 90-day global period include postoperative care?
Yes. Related postoperative care for 90 days and the day-before preoperative visit are included in the global period.
How should bilateral radial procedures be reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does Medicare handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
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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