No office rate
Choose 25001 for incision of the FCR sheath. Choose 25000 for the specified extensor tendon-sheath incision at the wrist.
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CMS RVU26D · Effective 2026-10-01
25001 Tendon sheath incision Medicare reimbursement rates in Kansas
Reports operative opening of the flexor carpi radialis tendon sheath at the wrist, typically to treat focal tendon-sheath disease such as tenosynovitis. Compare 25001 office and facility rates across CMS payment localities in Kansas.
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 25001 in Kansas?
Kansas 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
$311.23
1 of 1 localities have a supported rate.
Payment area: Kansas
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 25001: Flexor carpi radialis sheath incision
Reports operative opening of the flexor carpi radialis tendon sheath at the wrist, typically to treat focal tendon-sheath disease such as tenosynovitis.
This operation opens the tendon sheath surrounding the flexor carpi radialis (FCR) at the wrist to relieve a constricting or diseased sheath. Hand and orthopedic surgeons commonly perform it for symptomatic FCR tenosynovitis or stenosis, often in an operating room at a hospital or ambulatory surgery center. The target is the FCR sheath, not the extensor tendons or a forearm fascial compartment.
Report the code when the operative service is an incision of the FCR tendon sheath. The operative note should identify the involved tendon and side, describe the sheath incision and the clinical finding being treated, and distinguish the work from a broader synovectomy or another wrist procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 25001
- 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 RVU3.70 · 36%
- Practice expense (office) RVU5.83 · 57%
- Malpractice RVU0.69 · 7%
162
Medicare services in 2024 · #4499 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.
25001 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
25115 describes wrist flexor tendon-sheath synovectomy. Use 25001 when the documented work is incision of the FCR sheath rather than synovectomy.
No office rate
25020 is a forearm decompression procedure involving one space. It is not an incision of the FCR tendon sheath at the wrist.
Compare 25001 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
Kansas →
Office / nonfacility
Unavailable
Facility
$311.23
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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 25001 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,369
- Code
- 25001
- Physician work
- 3.70
- Practice expense
- 5.83
- Malpractice
- 0.69
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.70 | × 1.000 | 3.7000 |
| Practice expense | 5.83 | × 0.904 | 5.2703 |
| Malpractice | 0.69 | × 0.504 | 0.3478 |
| Total RVUs | 9.3181 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$311.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.7 | 1 |
| Practice expense | 5.83 | 0.904 |
| Malpractice | 0.69 | 0.504 |
(3.7 × 1 + 5.83 × 0.904 + 0.69 × 0.504) × $33.4009 = $311.23
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.
25001 billing questions
How is this different from 25000?
This code is for opening the flexor carpi radialis tendon sheath. Code 25000 addresses an extensor tendon sheath at the wrist, such as the sheath involved in De Quervain disease.
When would a synovectomy code be more appropriate?
Consider 25115 when the documented work is synovectomy of a wrist flexor tendon sheath rather than an incision of the FCR sheath alone. The operative report should support the actual procedure performed.
What documentation supports reporting this code?
Document the FCR as the treated tendon, the side, the sheath pathology or constriction, and the incision or release performed. The note should make clear that the service was not an extensor-sheath procedure or forearm compartment decompression.
Can this code be reported bilaterally?
Yes. CMS specifies modifier 50 for bilateral performance, with payment at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be billed for this procedure?
Medicare does not pay an assistant at surgery for this code. 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.
2,36624940,,Revision of upper arm,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36724999,,Unlisted px humerus/elbow,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
2,36825000,,Incision of tendon sheath,A,,3.46,6.07,NA,6.07,,0.66,10.19,10.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36925001,,Incise flexor carpi radialis,A,,3.70,5.83,NA,5.83,,0.69,10.22,10.22,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37025020,,Decompress forearm 1 space,A,,5.91,14.56,NA,14.56,,1.14,21.61,21.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37125023,,Decompress forearm 1 space,A,,13.48,21.62,NA,21.62,,2.74,37.84,37.84,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37225024,,Decompress forearm 2 spaces,A,,10.52,9.05,NA,9.05,,2.19,21.76,21.76,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958