No office rate
25260 describes primary repair of a single flexor tendon or muscle; 25270 is for an extensor structure.
On this page
CMS RVU26D · Effective 2026-10-01
25270 Extensor tendon repair Medicare reimbursement rates in Kansas
Reports primary repair of one extensor tendon or muscle in the forearm or wrist, commonly after a traumatic tendon injury. Compare 25270 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 25270 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
$429.15
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.
Orthopedic surgery
About 25270: Primary single extensor tendon repair
Reports primary repair of one extensor tendon or muscle in the forearm or wrist, commonly after a traumatic tendon injury.
This service repairs one extensor tendon or muscle in the forearm or wrist. The surgeon exposes the injured structure and restores continuity, typically by suturing tendon ends after a laceration or other injury. Orthopedic, hand, or plastic surgeons commonly perform the repair in an operating room or other surgical setting. This code represents a primary repair, rather than a delayed secondary repair or repair of multiple tendons.
Select the code when the operative report supports primary repair of a single extensor tendon or muscle in the specified region; document the structure, site, injury, and repair performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 25270
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.02 · 43%
- Practice expense (office) RVU6.89 · 49%
- Malpractice RVU1.19 · 8%
889
Medicare services in 2024 · #3055 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.
25270 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Both concern a single extensor tendon or muscle, but 25272 is for secondary repair rather than primary repair.
No office rate
25274 describes primary repair of multiple extensor tendons or muscles; 25270 is for a single tendon or muscle.
No office rate
25275 addresses repair of the extensor tendon sheath, rather than primary repair of the tendon or muscle itself.
Compare 25270 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
$429.15
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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 25270 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,421
- Code
- 25270
- Physician work
- 6.02
- Practice expense
- 6.89
- Malpractice
- 1.19
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.02 | × 1.000 | 6.0200 |
| Practice expense | 6.89 | × 0.904 | 6.2286 |
| Malpractice | 1.19 | × 0.504 | 0.5998 |
| Total RVUs | 12.8483 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$429.15
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.02 | 1 |
| Practice expense | 6.89 | 0.904 |
| Malpractice | 1.19 | 0.504 |
(6.02 × 1 + 6.89 × 0.904 + 1.19 × 0.504) × $33.4009 = $429.15
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.
25270 billing questions
How does this differ from 25260?
25270 is for primary repair of a single extensor tendon or muscle in the forearm or wrist. 25260 describes primary repair of a single flexor tendon or muscle in that region.
When should a secondary repair code be considered?
Use a secondary repair code when the procedure is a secondary rather than primary repair. For a single extensor tendon, compare the operative circumstances with 25272.
What if the surgeon repairs more than one extensor tendon?
This code describes a single tendon. For primary repair of multiple extensor tendons, compare 25274 and document the tendons repaired.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for repairs on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
When is an assistant at surgery payable?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
2,41825260,,Repair forearm tendon/muscle,A,,7.84,8.59,NA,8.59,,1.51,17.94,17.94,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41925263,,Repair forearm tendon/muscle,A,,7.84,8.69,NA,8.69,,1.67,18.20,18.20,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42025265,,Repair forearm tendon/muscle,A,,9.85,8.91,NA,8.91,,1.84,20.60,20.60,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42125270,,Repair forearm tendon/muscle,A,,6.02,6.89,NA,6.89,,1.19,14.10,14.10,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42225272,,Repair forearm tendon/muscle,A,,7.03,7.53,NA,7.53,,1.48,16.04,16.04,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42325274,,Repair forearm tendon/muscle,A,,8.72,8.08,NA,8.08,,1.64,18.44,18.44,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42425275,,Repair forearm tendon sheath,A,,8.74,8.28,NA,8.28,,1.66,18.68,18.68,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,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