No office rate
Choose 25125 when the forearm bone-lesion procedure includes grafting; 25120 describes lesion removal or curettage without grafting.
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CMS RVU26D · Effective 2026-10-01
25120 Bone lesion removal Medicare reimbursement rates in Maine
Reports surgical excision or curettage of a benign bone cyst or tumor in the radius or ulna when bone grafting is not included. Compare 25120 office and facility rates across CMS payment localities in Maine.
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 25120 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$441.65–$458.42
2 of 2 localities have a supported rate.
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 25120: Curettage of benign forearm bone lesion
Reports surgical excision or curettage of a benign bone cyst or tumor in the radius or ulna when bone grafting is not included.
An orthopedic surgeon uses this service to remove or curette a benign bone cyst or tumor located in the radius or ulna. The operation treats a lesion in the forearm bone itself, not a ganglion, tendon-sheath growth, or other soft-tissue mass. It is typically performed in an operating room, with the operative report identifying the affected bone and describing the lesion treatment. A specimen may be submitted for pathologic examination when clinically indicated.
Report 25120 when the documented procedure is excision or curettage of the radius or ulna lesion and the service does not include bone grafting. The operative note should support the bone involved, lesion, and work performed; use a grafting sibling when grafting is part of the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment requires medical-necessity documentation, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25120
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.11 · 43%
- Practice expense (office) RVU6.92 · 49%
- Malpractice RVU1.20 · 8%
246
Medicare services in 2024 · #4150 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.
25120 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
25115 concerns a wrist or forearm soft-tissue lesion. Use 25120 when the treated lesion is in the radius or ulna.
No office rate
25130 is for a benign bone cyst or tumor in a carpal bone; 25120 is for the radius or ulna.
Compare 25120 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$441.65
Southern Maine →
Office / nonfacility
Unavailable
Facility
$458.42
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25120 billing questions
When is 25120 appropriate instead of a soft-tissue lesion code?
Use 25120 for curettage or excision of a benign lesion in the radius or ulna. A lesion in a tendon, tendon sheath, or other soft tissue is not a forearm bone lesion.
How does 25120 differ from 25125 or 25126?
Those related forearm-lesion codes include bone grafting. Report 25120 when the documented lesion removal or curettage does not include grafting.
Is related postoperative care separately reported?
The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.
How is bilateral surgery handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.
What documentation supports assistant or co-surgeon payment?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation.
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.
2,39625116,,Remove wrist/forearm lesion,A,,7.37,8.32,NA,8.32,,1.41,17.10,17.10,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39725118,,Excise wrist tendon sheath,A,,4.40,5.83,NA,5.83,,0.84,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39825119,,Partial removal of ulna,A,,6.05,7.22,NA,7.22,,1.30,14.57,14.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39925120,,Removal of forearm lesion,A,,6.11,6.92,NA,6.92,,1.20,14.23,14.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40025125,,Remove/graft forearm lesion,A,,7.48,8.02,NA,8.02,,1.59,17.09,17.09,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40125126,,Remove/graft forearm lesion,A,,7.55,8.04,NA,8.04,,1.61,17.20,17.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40225130,,Removal of wrist lesion,A,,5.29,6.60,NA,6.60,,1.01,12.90,12.90,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00