Billing code 25909: Amputation revisionMedicare rate & RVUs in Iowa
Reports operative revision of a forearm amputation stump when a prior amputation requires further surgery at the residual-limb level.
CMS doesn’t publish an office rate for 25909 in Iowa.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25909 covers
This code covers further surgery on a previously amputated forearm, rather than the initial removal of the forearm. A hand or upper-extremity surgeon may revise the residual limb when the stump needs operative correction, such as for a problematic scar, wound, or bony contour. The service is typically performed in a hospital or ambulatory surgical setting; the operative report should establish the prior amputation and the revision performed.
Report the code when the documented procedure meets its specific billing code definition, not merely because the patient has a prior amputation. CMS assigns a 90-day global period: the day-before preoperative visit and related care during the following 90 days are included. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
25909 in Iowa
| Payment locality | Office | Facility |
|---|---|---|
| Iowa | Unavailable | $583.45 |
How the 25909 rate is calculated
Each of 25909’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25909
RVUs × geographic indexes × conversion factor
Work9.08
9.08 RVUs× 1.000 GPCI
Practice expense8.33
8.33 RVUs× 1.000 GPCI
Malpractice1.93
1.93 RVUs× 1.000 GPCI
Adjusted RVUs
19.3400
Conversion factor
$33.4009
Medicare rate
$645.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25909
25909 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25909
Amputation revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25909
Amputation revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25909 without 50 · national facility
$645.97
Amputation revision
25909-50 · Bilateral: 150%
$968.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25909 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25900Forearm amputation
- Use 25900 for the initial forearm amputation through the radius and ulna. Use 25909 for a qualifying revision of a prior forearm amputation.
- 25907Amputation revision
- Both relate to forearm amputation revision. Choose based on the operative criteria in the code descriptors and the work documented, not the general label of stump revision.
- 25924Amputation revision
- 25924 concerns revision at the wrist level. This code concerns revision at the forearm level; the documented anatomic site guides selection.
25909 billing questions
How is this different from a primary forearm amputation?
This code is for surgery on an existing forearm amputation stump. A code for primary forearm amputation describes the initial removal, not subsequent stump revision.
How should I distinguish this from 25907?
Both codes concern forearm amputation revision. Apply the specific operative criteria in the billing code descriptors; the fact that a stump was revised by itself does not establish which code applies.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
Can I report modifier 50 for bilateral revisions?
Yes. CMS treats this as a bilateral procedure and pays 150% when reported bilaterally with modifier 50.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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