No office rate
This is a sibling wrist tendon-fusion code. Compare the full CPT descriptors with the tendons and construction documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
25300 Tendon fusion Medicare reimbursement rates in Iowa
Reports operative fusion of tendons at the wrist to alter tendon function or stabilize wrist mechanics when the documented procedure matches this technique. Compare 25300 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 25300 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
$593.14
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.
Hand surgery
About 25300: Wrist tendon fusion
Reports operative fusion of tendons at the wrist to alter tendon function or stabilize wrist mechanics when the documented procedure matches this technique.
A hand or orthopedic surgeon joins tendons at the wrist to change how forces are transmitted or to support wrist function. The procedure may be considered when tendon function is impaired and a tendon-based reconstruction is selected. It is generally performed in an operating room, such as a hospital outpatient department or ambulatory surgery center.
Choose this code from the operative technique, not the diagnosis alone. The record should identify the wrist, the tendons joined, the reason for the reconstruction, and the work performed. 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 25300
- 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 RVU8.79 · 45%
- Practice expense (office) RVU8.99 · 46%
- Malpractice RVU1.87 · 10%
82
Medicare services in 2024 · #5024 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.
25300 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
25310 describes forearm tendon transplantation. Choose it when the surgeon transplants a tendon rather than fusing tendons at the wrist.
No office rate
25315 describes tendon revision for hand palsy. Use 25300 for documented wrist tendon fusion, not simply because the patient has impaired tendon function.
Compare 25300 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
$593.14
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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 25300 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,428
- Code
- 25300
- Physician work
- 8.79
- Practice expense
- 8.99
- Malpractice
- 1.87
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.79 | × 1.000 | 8.7900 |
| Practice expense | 8.99 | × 0.915 | 8.2259 |
| Malpractice | 1.87 | × 0.397 | 0.7424 |
| Total RVUs | 17.7582 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$593.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.79 | 1 |
| Practice expense | 8.99 | 0.915 |
| Malpractice | 1.87 | 0.397 |
(8.79 × 1 + 8.99 × 0.915 + 1.87 × 0.397) × $33.4009 = $593.14
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.
25300 billing questions
How do I choose between 25300 and 25301?
Both are wrist tendon-fusion codes. Select the code whose full CPT descriptor matches the specific tendon construction documented in the operative report; the diagnosis alone does not distinguish them.
Is routine postoperative care separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is bilateral wrist tendon fusion reported?
When the procedure is performed bilaterally, CMS lists modifier 50 payment at 150%.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment may be allowed. CMS does not permit co-surgeon or team-surgery payment for this code.
When is a tendon transplant code more appropriate?
Codes 25310 and 25312 describe forearm tendon transplantation. Use a transplant code when the documented operation is a tendon transplant rather than fusion of tendons at the wrist.
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.
2,42525280,,Revise wrist/forearm tendon,A,,7.21,7.32,NA,7.32,,1.41,15.94,15.94,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42625290,,Incise wrist/forearm tendon,A,,5.29,6.11,NA,6.11,,1.01,12.41,12.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42725295,,Release wrist/forearm tendon,A,,6.55,7.07,NA,7.07,,1.26,14.88,14.88,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42825300,,Fusion of tendons at wrist,A,,8.79,8.99,NA,8.99,,1.87,19.65,19.65,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42925301,,Fusion of tendons at wrist,A,,8.38,7.93,NA,7.93,,1.63,17.94,17.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43025310,,Transplant forearm tendon,A,,8.78,9.56,NA,9.56,,1.67,20.01,20.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43125312,,Transplant forearm tendon,A,,9.57,8.43,NA,8.43,,1.88,19.88,19.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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