No office rate
Use 25800 for complete fusion of the wrist without graft. Code 25830 describes distal radioulnar joint fusion with segmental resection of the ulna.
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CMS RVU26D · Effective 2026-10-01
25830 DRUJ arthrodesis Medicare reimbursement rates in Kentucky
Reports fusion of the distal radioulnar joint with removal of an ulnar segment, commonly used to treat painful distal radioulnar joint disease. Compare 25830 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 25830 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
$904.03
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.
Wrist surgery
About 25830: Distal radioulnar joint fusion with ulnar resection
Reports fusion of the distal radioulnar joint with removal of an ulnar segment, commonly used to treat painful distal radioulnar joint disease.
This procedure fuses the distal radioulnar joint and removes a segment of the ulna, creating a proximal space that permits forearm rotation while stabilizing the joint. It is commonly used for painful distal radioulnar joint arthritis or dysfunction, including problems following trauma. An orthopedic or hand surgeon typically performs the operation in a hospital or ambulatory surgery center. The procedure is also known as the Sauvé-Kapandji operation.
Report the code when the operative record supports both distal radioulnar joint fusion and segmental ulnar resection; it is distinct from fusion of the wrist joint itself. Documentation should identify the treated joint, the reason for surgery, and the fusion and resection performed. The 90-day global period includes 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 25830
- 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 RVU10.61 · 37%
- Practice expense (office) RVU16.37 · 56%
- Malpractice RVU2.08 · 7%
147
Medicare services in 2024 · #4575 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.
25830 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Code 25820 describes limited wrist fusion without bone graft. Code 25830 addresses the distal radioulnar joint and includes ulnar segment resection.
No office rate
Code 25825 is wrist fusion using autograft. Choose 25830 when the operation fuses the distal radioulnar joint and includes segmental ulnar resection.
Compare 25830 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
$904.03
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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 25830 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,514
- Code
- 25830
- Physician work
- 10.61
- Practice expense
- 16.37
- Malpractice
- 2.08
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.61 | × 1.000 | 10.6100 |
| Practice expense | 16.37 | × 0.889 | 14.5529 |
| Malpractice | 2.08 | × 0.915 | 1.9032 |
| Total RVUs | 27.0661 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$904.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.61 | 1 |
| Practice expense | 16.37 | 0.889 |
| Malpractice | 2.08 | 0.915 |
(10.61 × 1 + 16.37 × 0.889 + 2.08 × 0.915) × $33.4009 = $904.03
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.
25830 billing questions
How is this different from a wrist arthrodesis code?
This code is for fusion of the distal radioulnar joint with segmental ulnar resection. Wrist arthrodesis codes describe fusion of the wrist joint, with the code choice depending on the extent and graft technique.
Is the ulnar segment removal included?
Yes. The segmental resection is part of the procedure represented by this code; it is not a separate service within this operative technique.
What documentation supports reporting this code?
The operative report should identify the distal radioulnar joint as the fused joint and describe the segmental ulnar resection, along with the indication for surgery.
How is bilateral surgery reported?
CMS lists this as a bilateral procedure. Modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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.
2,51125810,,Arthrd wrst iliac/oth agrft,A,,11.65,9.92,NA,9.92,,2.20,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51225820,,Arthrd wrist lmtd w/o b1 grf,A,,7.45,9.52,NA,9.52,,1.45,18.42,18.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51325825,,Arthrd wrist with autograft,A,,9.45,11.03,NA,11.03,,1.79,22.27,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51425830,,Arthrd dst rad/ul jt sgm rsc,A,,10.61,16.37,NA,16.37,,2.08,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51525900,,Amputation of forearm,A,,9.37,8.81,NA,8.81,,1.88,20.06,20.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51625905,,Amputation of forearm,A,,9.35,8.42,NA,8.42,,1.99,19.76,19.76,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51725907,,Amputation follow-up surgery,A,,7.89,7.96,NA,7.96,,1.68,17.53,17.53,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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