No office rate
Use 25927 for an initial amputation through the metacarpals. Use 25931 when the service is a re-amputation at that level.
On this page
CMS RVU26D · Effective 2026-10-01
25931 Hand re-amputation Medicare reimbursement rates in Iowa
Reports repeat amputation through the hand metacarpals when a prior amputation stump requires further surgical removal at that level. Compare 25931 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 25931 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
$709.12
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.
Amputation surgery
About 25931: Re-amputation through hand metacarpals
Reports repeat amputation through the hand metacarpals when a prior amputation stump requires further surgical removal at that level.
This code applies when a surgeon performs a re-amputation through the hand metacarpals after an earlier amputation at that level. The operation removes additional tissue and bone to establish a viable residual hand stump. Hand or orthopedic surgeons commonly perform the procedure in an operating room; plastic surgeons may be involved when stump coverage or reconstruction is part of the operative plan.
Select the code based on the documented re-amputation and its metacarpal level, rather than an initial amputation or a revision limited to secondary closure or scar revision. The operative report should identify the prior amputation, the reason further amputation was needed, the level treated, and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25931
- 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 RVU7.84 · 33%
- Practice expense (office) RVU13.91 · 59%
- Malpractice RVU1.67 · 7%
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.
25931 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
25929 covers metacarpal-level follow-up surgery involving secondary closure or scar revision; 25931 is for re-amputation.
No office rate
Both describe amputation follow-up surgery, but 25924 is at the wrist and 25931 is through the hand metacarpals.
Compare 25931 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
$709.12
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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 25931 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,525
- Code
- 25931
- Physician work
- 7.84
- Practice expense
- 13.91
- Malpractice
- 1.67
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.84 | × 1.000 | 7.8400 |
| Practice expense | 13.91 | × 0.915 | 12.7277 |
| Malpractice | 1.67 | × 0.397 | 0.6630 |
| Total RVUs | 21.2306 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$709.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.84 | 1 |
| Practice expense | 13.91 | 0.915 |
| Malpractice | 1.67 | 0.397 |
(7.84 × 1 + 13.91 × 0.915 + 1.67 × 0.397) × $33.4009 = $709.12
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.
25931 billing questions
How does 25931 differ from 25927?
25931 is for re-amputation through the metacarpals after a prior amputation. 25927 describes an initial amputation at that level.
When would 25929 be considered instead?
25929 describes amputation follow-up surgery through the metacarpals involving secondary closure or scar revision. Use 25931 when the documented work is a re-amputation.
What documentation supports 25931?
Document the prior amputation, why further amputation was required, the metacarpal level treated, and the operative work performed.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction and are paid at 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted 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 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.
2,52225924,,Amputation follow-up surgery,A,,8.59,9.99,NA,9.99,,1.83,20.41,20.41,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52325927,,Amputation of hand,A,,8.86,14.39,NA,14.39,,1.90,25.15,25.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52425929,,Amputation follow-up surgery,A,,7.62,7.87,NA,7.87,,1.63,17.12,17.12,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52525931,,Amputation follow-up surgery,A,,7.84,13.91,NA,13.91,,1.67,23.42,23.42,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52625999,,Unlisted px forearm/wrist,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52726010,,Drainage of finger abscess,A,,1.55,9.40,,2.51,,0.28,11.23,4.34,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52826011,,Drainage of finger abscess,A,,2.18,12.87,,2.85,,0.43,15.48,5.46,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,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