No office rate
25920 describes creating a hand amputation at the wrist. This code is for operative revision of an existing wrist-level amputation.
On this page
CMS RVU26D · Effective 2026-10-01
25924 Amputation revision Medicare reimbursement rates in Hawaii
Revision of an existing hand amputation at the wrist is reported when surgery reshapes or corrects the stump rather than creating the original amputation. Compare 25924 office and facility rates across CMS payment localities in Hawaii.
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 25924 in Hawaii?
Hawaii 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
$701.69
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.
Hand surgery
About 25924: Wrist-Level Hand Amputation Revision
Revision of an existing hand amputation at the wrist is reported when surgery reshapes or corrects the stump rather than creating the original amputation.
This service revises an established amputation stump at the wrist. The surgeon may address a problematic stump that needs operative correction; it is distinct from performing the initial wrist-level hand amputation. It is generally performed by an orthopedic or hand surgeon in an operating-room setting. The operative report should identify the existing amputation level and describe the revision performed.
Report this code for revision at the wrist level, not for revision of a forearm-level or more distal hand amputation. The 90-day global period includes the day-before preoperative visit and 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. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 25924
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.59 · 42%
- Practice expense (office) RVU9.99 · 49%
- Malpractice RVU1.83 · 9%
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.
25924 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
25907 is in the forearm amputation revision family. Select by the documented amputation level; this code is for the hand at the wrist.
No office rate
25929 applies to revision at the more distal hand level through the metacarpals. This code applies to revision at the wrist.
Compare 25924 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
$701.69
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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 25924 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,522
- Code
- 25924
- Physician work
- 8.59
- Practice expense
- 9.99
- Malpractice
- 1.83
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.59 | × 1.000 | 8.5900 |
| Practice expense | 9.99 | × 1.137 | 11.3586 |
| Malpractice | 1.83 | × 0.579 | 1.0596 |
| Total RVUs | 21.0082 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$701.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.59 | 1 |
| Practice expense | 9.99 | 1.137 |
| Malpractice | 1.83 | 0.579 |
(8.59 × 1 + 9.99 × 1.137 + 1.83 × 0.579) × $33.4009 = $701.69
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.
25924 billing questions
How does this differ from an initial wrist-level hand amputation?
This code is for revising an existing amputation stump at the wrist. Use an initial amputation code when the procedure creates the amputation rather than revising a prior one.
Which documentation supports reporting this revision?
The operative report should establish the prior wrist-level amputation and describe the surgical correction to the stump. Documentation should distinguish this site from a forearm-level or more distal hand amputation.
How does the 90-day global period affect postoperative care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are not separately reported as routine postoperative care.
What happens when other 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 reporting, modifier 50 is paid at 150%.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment may be available. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
2,51925915,,Amputation of forearm,A,,17.08,11.01,NA,11.01,,3.63,31.72,31.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52025920,,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
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