Billing code 25332: Wrist arthroplastyMedicare rate & RVUs in Guam
Reports operative reconstruction of a damaged wrist joint, with or without interposed material or fixation, commonly for advanced wrist arthritis.
CMS doesn’t publish an office rate for 25332 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 25332 covers
A hand or orthopedic surgeon reshapes or reconstructs the wrist joint to address substantial joint damage, often from advanced degenerative or post-traumatic arthritis. The procedure may include interposing tissue or other material and may use internal or external fixation. It is performed in an operating room, usually in a hospital or ambulatory surgery setting. The operative report should identify the wrist joint treated and describe the arthroplasty and any interposition or fixation performed.
Choose this code for arthroplasty of the wrist joint, rather than a procedure directed at wrist tendons, bones, or ligament stability. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be 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.
25332 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $787.29 |
How the 25332 rate is calculated
Each of 25332’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 · 25332
RVUs × geographic indexes × conversion factor
Work11.45
11.45 RVUs× 1.000 GPCI
Practice expense9.53
9.53 RVUs× 1.000 GPCI
Malpractice2.22
2.22 RVUs× 1.000 GPCI
Adjusted RVUs
23.2000
Conversion factor
$33.4009
Medicare rate
$774.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25332
25332 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25332
Wrist arthroplasty
| 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) | 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 · 25332
Wrist arthroplasty
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
25332 without 50 · national facility
$774.90
Wrist arthroplasty
25332-50 · Bilateral: 150%
$1,162.35
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).
25332 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25320Wrist stabilization
- Use 25332 for arthroplasty of the wrist joint. Code 25320 describes open capsular repair or reconstruction, not joint arthroplasty.
- 25337Joint reconstruction
- Code 25337 reconstructs the distal radioulnar joint. Code 25332 addresses wrist joint arthroplasty; identify the joint and operative objective in the report.
- 25335Wrist centralization
- Code 25335 centralizes the wrist on the ulna. It is a different reconstructive procedure, not arthroplasty for a damaged wrist joint.
25332 billing questions
How is this different from 25320?
25332 is wrist joint arthroplasty. Code 25320 is directed at open wrist capsular repair or reconstruction, rather than arthroplasty of the joint.
Does the code include interposition or fixation?
The code accommodates wrist arthroplasty performed with or without interposed material and with or without external or internal fixation. Document what was done in the operative report.
Can the procedure be reported for both wrists?
For bilateral surgery, report modifier 50; the CMS bilateral payment rule is 150%.
How does the multiple procedure rule affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
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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