No office rate
Both short descriptors refer to wrist-level hand amputation. Check the full CPT descriptor and operative report to identify the service-specific distinction.
On this page
CMS RVU26D · Effective 2026-10-01
25922 Hand amputation Medicare reimbursement rates in Idaho
Reports surgical amputation of the hand at the wrist, when the operative service is performed at this level rather than through the forearm or hand. Compare 25922 office and facility rates across CMS payment localities in Idaho.
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 25922 in Idaho?
Idaho 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
$570.21
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Amputation surgery
About 25922: Wrist-level hand amputation
Reports surgical amputation of the hand at the wrist, when the operative service is performed at this level rather than through the forearm or hand.
Code 25922 represents surgical removal of the hand at the wrist level, separating the hand from the forearm. Orthopedic or hand surgeons typically perform this operation in a hospital or other surgical setting for a limb that cannot be preserved, such as after severe trauma or with nonviable tissue. The operative report should establish the amputation level and describe the procedure performed.
Select this code for a wrist-level hand amputation, not an amputation through the forearm or at a more distal level of the hand. The service has 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 other procedures are subject to the standard 50% reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25922
- 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 RVU7.46 · 40%
- Practice expense (office) RVU9.63 · 52%
- Malpractice RVU1.59 · 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.
25922 compared with similar codes
Office rates for Idaho, from the same CMS release.
Compare 25922 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
Idaho →
Office / nonfacility
Unavailable
Facility
$570.21
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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 25922 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
2,521
- Code
- 25922
- Physician work
- 7.46
- Practice expense
- 9.63
- Malpractice
- 1.59
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.46 | × 1.000 | 7.4600 |
| Practice expense | 9.63 | × 0.920 | 8.8596 |
| Malpractice | 1.59 | × 0.473 | 0.7521 |
| Total RVUs | 17.0717 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$570.21
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.46 | 1 |
| Practice expense | 9.63 | 0.92 |
| Malpractice | 1.59 | 0.473 |
(7.46 × 1 + 9.63 × 0.92 + 1.59 × 0.473) × $33.4009 = $570.21
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.
25922 billing questions
How does 25922 differ from 25920?
Both CMS short descriptors identify a hand amputation at the wrist. Use the complete CPT descriptor and operative report to determine which code's specific service was performed; the short descriptor alone does not establish that the codes are interchangeable.
When should the forearm amputation codes be considered instead?
Use a forearm-level code when the operative amputation passes through the forearm rather than ending at the wrist. The documented level of bone division distinguishes these services.
Does the global period include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral wrist-level amputations?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when the procedure is bilateral.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted 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.
2,51825909,,Amputation follow-up surgery,A,,9.08,8.33,NA,8.33,,1.93,19.34,19.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51925915,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772