No office rate
25150 describes partial excision of the ulna; this code describes partial excision of the radius. Follow the bone identified in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
25151 Radius excision Medicare reimbursement rates in Illinois
Reports surgical removal of a limited portion of the radius, such as for focal bone disease requiring partial excision rather than complete tumor resection. Compare 25151 office and facility rates across CMS payment localities in Illinois.
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 25151 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$551.53–$611.48
4 of 4 localities have a supported rate.
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.
Where 25151 pays more and less in Illinois
Orthopedic surgery
About 25151: Partial excision of the radius
Reports surgical removal of a limited portion of the radius, such as for focal bone disease requiring partial excision rather than complete tumor resection.
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.
CMS billing rules for 25151
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.49 · 46%
- Practice expense (office) RVU7.40 · 45%
- Malpractice RVU1.45 · 9%
205
Medicare services in 2024 · #4306 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.
25151 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
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.
No office rate
25170 represents resection of a radius or ulna tumor. Choose it when the documented tumor resection is more extensive than partial radial excision.
Compare 25151 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$611.48
East St. Louis →
Office / nonfacility
Unavailable
Facility
$575.11
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$551.53
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$591.58
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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 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.
2,40425136,,Remove & graft wrist lesion,A,,5.99,7.20,NA,7.20,,1.28,14.47,14.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40525145,,Remove forearm bone lesion,A,,6.38,7.32,NA,7.32,,1.34,15.04,15.04,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40625150,,Partial removal of ulna,A,,7.20,7.37,NA,7.37,,1.44,16.01,16.01,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40725151,,Partial removal of radius,A,,7.49,7.40,NA,7.40,,1.45,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40825170,,Resect radius/ulnar tumor,A,,21.65,13.55,NA,13.55,,4.61,39.81,39.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40925210,,Removal of wrist bone,A,,5.97,6.87,NA,6.87,,1.15,13.99,13.99,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41025215,,Removal of wrist bones,A,,7.94,7.85,NA,7.85,,1.51,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00