No office rate
Both cover deep forearm or wrist tumor excision; choose 25076 when the tumor is under 3 cm, and 25073 at 3 cm or larger.
On this page
CMS RVU26D · Effective 2026-10-01
25073 Tumor excision Medicare reimbursement rates in Kentucky
Reports surgical removal of a deep forearm or wrist soft-tissue tumor measuring at least 3 cm, with the operative note establishing depth and size. Compare 25073 office and facility rates across CMS payment localities in Kentucky.
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 25073 in Kentucky?
Kentucky 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
$478.68
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Musculoskeletal surgery
About 25073: Deep forearm soft-tissue tumor excision, 3 cm or larger
Reports surgical removal of a deep forearm or wrist soft-tissue tumor measuring at least 3 cm, with the operative note establishing depth and size.
This service covers removing a soft-tissue tumor in the forearm or wrist that lies beneath the superficial fascia, such as within muscle, and measures 3 cm or more. It is typically performed by an orthopedic or hand surgeon, general surgeon, or surgical oncologist in an operating room or appropriately equipped outpatient setting. The operative work is excision of the tumor, not merely sampling it for diagnosis.
Choose this code when the tumor’s documented location is deep to the fascia and its size meets the 3 cm threshold. The operative report should identify the forearm or wrist site, the tissue plane, tumor dimensions, and the excision 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 others at 50%. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 25073
- 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 RVU6.95 · 46%
- Practice expense (office) RVU6.79 · 45%
- Malpractice RVU1.47 · 10%
897
Medicare services in 2024 · #3045 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.
25073 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
This code applies to a deep tumor measuring at least 3 cm. Code 25071 applies when the tumor is subcutaneous at that size.
No office rate
Code 25078 describes radical resection of a forearm or wrist soft-tissue tumor measuring at least 3 cm; 25073 describes excision of a deep tumor.
No office rate
Code 25066 is for biopsy of deep forearm soft tissue. Use 25073 when the qualifying tumor is excised rather than sampled.
Compare 25073 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$478.68
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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 25073 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,381
- Code
- 25073
- Physician work
- 6.95
- Practice expense
- 6.79
- Malpractice
- 1.47
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.95 | × 1.000 | 6.9500 |
| Practice expense | 6.79 | × 0.889 | 6.0363 |
| Malpractice | 1.47 | × 0.915 | 1.3451 |
| Total RVUs | 14.3314 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$478.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.95 | 1 |
| Practice expense | 6.79 | 0.889 |
| Malpractice | 1.47 | 0.915 |
(6.95 × 1 + 6.79 × 0.889 + 1.47 × 0.915) × $33.4009 = $478.68
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.
25073 billing questions
How is this distinguished from code 25076?
Both describe deep forearm or wrist soft-tissue tumor excision, but 25073 is for a tumor measuring 3 cm or more; 25076 is for one under 3 cm.
When would 25071 be more appropriate?
Use 25071 for a tumor in the subcutaneous tissue measuring 3 cm or more. This code is for a tumor beneath the superficial fascia.
Does a diagnostic biopsy support this code?
No. A limited tissue sample for diagnosis is a biopsy service; this code describes excision of a qualifying deep tumor.
What should the operative report document?
Document the forearm or wrist site, the tumor’s relationship to the fascia, its dimensions, and the excision performed.
How does Medicare handle bilateral procedures and other procedures in the same session?
With modifier 50, bilateral payment is at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
2,37825065,,Biopsy forearm soft tissues,A,,1.99,5.57,,2.10,,0.28,7.84,4.37,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37925066,,Biopsy forearm soft tissues,A,,4.16,5.75,NA,5.75,,0.82,10.73,10.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38025071,,Exc forearm les sc 3 cm/>,A,,5.76,5.07,NA,5.07,,1.28,12.11,12.11,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38125073,,Exc forearm tum deep 3 cm/>,A,,6.95,6.79,NA,6.79,,1.47,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38225075,,Exc forearm les sc < 3 cm,A,,3.86,11.87,,4.51,,0.81,16.54,9.18,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38325076,,Exc forearm tum deep < 3 cm,A,,6.57,6.83,NA,6.83,,1.30,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38425077,,Resect forearm/wrist tum<3cm,A,,12.61,8.90,NA,8.90,,3.36,24.87,24.87,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631