No office rate
Both codes describe radical soft-tissue tumor resection in the forearm or wrist. Use 25077 for a tumor under 3 cm and 25078 for one measuring 3 cm or larger.
On this page
CMS RVU26D · Effective 2026-10-01
25077 Tumor resection Medicare reimbursement rates in Iowa
Reports radical removal of a soft-tissue tumor under 3 cm from the forearm or wrist, typically when the surgeon removes the tumor with surrounding tissue margins. Compare 25077 office and facility rates across CMS payment localities in Iowa.
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 25077 in Iowa?
Iowa 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
$737.74
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Musculoskeletal surgery
About 25077: Radical forearm or wrist tumor resection under 3 cm
Reports radical removal of a soft-tissue tumor under 3 cm from the forearm or wrist, typically when the surgeon removes the tumor with surrounding tissue margins.
This service covers radical resection of a soft-tissue tumor in the forearm, wrist, or both when the tumor measures less than 3 cm. The surgeon removes the tumor with surrounding tissue margins; a sarcoma is a typical example. Orthopedic oncologists and other surgeons experienced in soft-tissue tumor surgery commonly perform the procedure in an operating room. The operative report should establish the anatomic site, tumor size, and extent of resection.
Choose this code for a radical resection, not a limited excision or a biopsy alone. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the 50% multiple-procedure reduction. When performed bilaterally with modifier 50, payment is 150%. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 25077
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.61 · 51%
- Practice expense (office) RVU8.90 · 36%
- Malpractice RVU3.36 · 14%
83
Medicare services in 2024 · #5014 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.
25077 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Code 25076 describes excision of a deep tumor under 3 cm; 25077 is for radical resection of a soft-tissue tumor under 3 cm.
$502.44
Code 25075 is for excision of a superficial forearm lesion under 3 cm. Code 25077 is for radical resection of a soft-tissue tumor in the forearm or wrist.
$240.41
Code 25065 reports a forearm soft-tissue biopsy. Use 25077 when the documented service is radical tumor removal rather than diagnostic tissue sampling.
Compare 25077 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
Iowa →
Office / nonfacility
Unavailable
Facility
$737.74
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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 25077 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,384
- Code
- 25077
- Physician work
- 12.61
- Practice expense
- 8.90
- Malpractice
- 3.36
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.61 | × 1.000 | 12.6100 |
| Practice expense | 8.90 | × 0.915 | 8.1435 |
| Malpractice | 3.36 | × 0.397 | 1.3339 |
| Total RVUs | 22.0874 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$737.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.61 | 1 |
| Practice expense | 8.9 | 0.915 |
| Malpractice | 3.36 | 0.397 |
(12.61 × 1 + 8.9 × 0.915 + 3.36 × 0.397) × $33.4009 = $737.74
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.
25077 billing questions
How does this differ from code 25076?
Code 25077 describes radical resection of a soft-tissue tumor under 3 cm. Code 25076 describes excision of a deep forearm or wrist tumor under 3 cm, rather than radical resection.
When is code 25078 used instead?
Use 25078 for the corresponding radical soft-tissue tumor resection when the tumor is 3 cm or larger. The operative documentation should support the tumor size.
Can a tumor biopsy be reported as this resection?
No. A biopsy obtains tissue for diagnosis; this code describes definitive radical tumor removal. Report the service that matches the documented procedure performed.
What is included in the global period?
CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral procedures and additional procedures?
With modifier 50, bilateral performance is paid at 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
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.
2,38125073,,Exc forearm tum deep 3 cm/>,A,,6.95,6.79,NA,6.79,,1.47,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38225075,,Exc forearm les sc < 3 cm,A,,3.86,11.87,,4.51,,0.81,16.54,9.18,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38325076,,Exc forearm tum deep < 3 cm,A,,6.57,6.83,NA,6.83,,1.30,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38425077,,Resect forearm/wrist tum<3cm,A,,12.61,8.90,NA,8.90,,3.36,24.87,24.87,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38525078,,Resect forarm/wrist tum 3cm>,A,,17.25,11.26,NA,11.26,,3.89,32.40,32.40,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38625085,,Incision of wrist capsule,A,,5.50,6.20,NA,6.20,,1.06,12.76,12.76,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38725100,,Biopsy of wrist joint,A,,3.92,5.63,NA,5.63,,0.84,10.39,10.39,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136