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CMS RVU26D · Effective 2026-10-01

25392 Forearm osteotomy Medicare reimbursement rates in Indiana

Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna. Compare 25392 office and facility rates across CMS payment localities in Indiana.

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 25392 in Indiana?

Indiana 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

$856.07

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 25392 in your payment locality →

Orthopedic surgery

About 25392: Shortening osteotomy of radius and ulna

Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna.

This operation shortens both the radius and ulna through bone cuts, with stabilization as needed to maintain the intended alignment during healing. It is typically performed by an orthopedic surgeon specializing in hand or upper-extremity surgery in an operating room. The clinical plan must call for shortening both bones; a procedure addressing only one forearm bone belongs to a different code in the shortening family.

Report the service when the operative work documents shortening of both bones, rather than lengthening or revision of an existing deformity. The 90-day global period includes 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 multiple-procedure reduction. For bilateral surgery, 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 25392

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 RVU14.22 · 51%
  • Practice expense (office) RVU10.72 · 38%
  • Malpractice RVU3.03 · 11%

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.

25392 compared with similar codes

Office rates for Indiana, from the same CMS release.

25390

Bone shortening

Radius or ulna

No office rate

Choose 25390 when the operative shortening involves the radius or ulna alone. This code is for shortening both bones.

25391

Bone lengthening

One forearm bone

No office rate

25391 describes lengthening the radius or ulna. This code describes shortening both forearm bones.

25393

Forearm lengthening

Both forearm bones

No office rate

Both codes involve the radius and ulna, but 25393 is for lengthening; this code is for shortening.

Compare 25392 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

Office and facility base rates · shared scale starting at $0

  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $856.07

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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 25392 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

2,446

Code
25392
Physician work
14.22
Practice expense
10.72
Malpractice
3.03

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 25392 in Indiana
ComponentRVULocality factorAdjusted
Physician work14.22× 1.00014.2200
Practice expense10.72× 0.9279.9374
Malpractice3.03× 0.4861.4726
Total RVUs25.6300
Conversion factor× 33.4009

Facility rate, Indiana$856.07

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work14.221
Practice expense10.720.927
Malpractice3.030.486

(14.22 × 1 + 10.72 × 0.927 + 3.03 × 0.486) × $33.4009 = $856.07

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.

25392 billing questions

When should this code be used instead of 25390?

Use this code when the surgeon shortens both the radius and ulna. Code 25390 describes shortening of the radius or ulna, rather than both bones.

How is this code different from 25393?

This code represents shortening of both forearm bones; 25393 represents lengthening both bones. The operative plan and documented bone work determine the choice.

Does the global period include postoperative care?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery paid?

CMS identifies this as a bilateral procedure; with modifier 50, payment is at 150%.

Can an assistant surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules provided for this code.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to 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.

RVUs for 25392PPRRVU2026_Oct_nonQPP.csv, line 2,446 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet