No office rate
Choose 25442 for prosthetic arthroplasty of the distal ulna. This code is for replacement at the distal radius.
On this page
CMS RVU26D · Effective 2026-10-01
25441 Wrist arthroplasty Medicare reimbursement rates in Kentucky
Reports wrist arthroplasty using a prosthetic replacement of the distal radius, typically when surgery addresses damage involving the radius at the wrist joint. Compare 25441 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 25441 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
$823.06
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.
Orthopedic surgery
About 25441: Distal radius prosthetic arthroplasty
Reports wrist arthroplasty using a prosthetic replacement of the distal radius, typically when surgery addresses damage involving the radius at the wrist joint.
An orthopedic hand or wrist surgeon removes or reshapes the damaged distal radius joint surface and places a prosthesis to restore the radial side of the wrist articulation. The procedure may be considered for substantial joint damage, including damage related to prior trauma or degenerative disease. It is generally performed in an operating room rather than an office setting.
Select this code when the operative service includes prosthetic replacement of the distal radius; distinguish it from replacement of the distal ulna or other carpal structures. The operative report should identify the treated bone, the extent of the arthroplasty, and the prosthesis placed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25441
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.96 · 50%
- Practice expense (office) RVU10.31 · 40%
- Malpractice RVU2.75 · 11%
77
Medicare services in 2024 · #5081 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.
25441 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Choose 25446 when the prosthetic arthroplasty involves both the distal radius and carpus; this code identifies distal-radius replacement.
No office rate
Code 25449 describes revision of a wrist arthroplasty. This code describes prosthetic arthroplasty of the distal radius, not revision of a wrist joint replacement.
Compare 25441 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
$823.06
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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 25441 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,458
- Code
- 25441
- Physician work
- 12.96
- Practice expense
- 10.31
- Malpractice
- 2.75
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.96 | × 1.000 | 12.9600 |
| Practice expense | 10.31 | × 0.889 | 9.1656 |
| Malpractice | 2.75 | × 0.915 | 2.5163 |
| Total RVUs | 24.6418 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$823.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.96 | 1 |
| Practice expense | 10.31 | 0.889 |
| Malpractice | 2.75 | 0.915 |
(12.96 × 1 + 10.31 × 0.889 + 2.75 × 0.915) × $33.4009 = $823.06
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.
25441 billing questions
How is this distinguished from distal ulna prosthetic arthroplasty?
Use this code when the prosthetic replacement is at the distal radius. Code 25442 describes prosthetic arthroplasty of the distal ulna.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included in the surgical payment. The global period also includes the day-before preoperative visit.
How should bilateral distal radius procedures be reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What operative documentation supports this code?
Document that a prosthetic replacement was performed at the distal radius, identify the treated anatomy and describe the prosthesis and operative work.
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.
2,45525430,,Vasc graft into carpal bone,A,,9.47,9.33,NA,9.33,,2.02,20.82,20.82,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45625431,,Repair nonunion carpal bone,A,,10.62,9.24,NA,9.24,,2.26,22.12,22.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45725440,,Repair nonu scphd carpl b1,A,,10.41,8.69,NA,8.69,,2.00,21.10,21.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45825441,,Arthrp w/prostc dstl rds,A,,12.96,10.31,NA,10.31,,2.75,26.02,26.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45925442,,Arthrp w/prostc dstl ulna,A,,10.84,9.28,NA,9.28,,2.05,22.17,22.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46025443,,Arthrp prostc dstl scph crpl,A,,10.39,9.49,NA,9.49,,2.20,22.08,22.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46125444,,Arthrp w/prostc lunate,A,,11.13,9.46,NA,9.46,,2.15,22.74,22.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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