No office rate
Choose 25390 for shortening one forearm bone. Choose 25391 when one bone is surgically lengthened.
On this page
CMS RVU26D · Effective 2026-10-01
25390 Bone shortening Medicare reimbursement rates in Maine
Reports operative shortening of the radius or ulna, commonly to correct forearm bone-length mismatch contributing to wrist pain or impaired joint mechanics. Compare 25390 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 25390 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
$656.34–$677.50
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 25390: Radius or ulna shortening osteotomy
Reports operative shortening of the radius or ulna, commonly to correct forearm bone-length mismatch contributing to wrist pain or impaired joint mechanics.
This operation shortens one forearm bone by removing bone and correcting its length, with stabilization as needed. Orthopedic and hand surgeons commonly perform it in an operating room. A familiar indication is ulnar impaction, in which the ulna is relatively long and overloads the wrist; the surgeon selects the bone and correction based on the patient’s anatomy and treatment plan.
Report 25390 when the operative work shortens either the radius or the ulna; use the both-bone code when both are shortened. The operative report should identify the bone and side, the reason for shortening, and the procedure performed. Medicare assigns a 90-day global period, including 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 50% reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 25390
- 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 RVU10.43 · 49%
- Practice expense (office) RVU8.67 · 41%
- Malpractice RVU2.00 · 9%
609
Medicare services in 2024 · #3380 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.
25390 compared with similar codes
Office rates for Maine, from the same CMS release.
Compare 25390 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
$656.34
Southern Maine →
Office / nonfacility
Unavailable
Facility
$677.50
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
25390 billing questions
When is 25390 used instead of 25392?
Use 25390 when the surgeon shortens either the radius or the ulna. Code 25392 describes shortening both bones.
How does 25390 differ from 25391?
25390 is for shortening one forearm bone; 25391 is for lengthening one. The operative direction of the bone correction distinguishes them.
Can modifier 50 be reported for bilateral shortening?
Yes. CMS identifies this as a bilateral procedure, with modifier 50 paid at 150%.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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.
2,44125365,,Revise radius & ulna,A,,12.59,10.21,NA,10.21,,2.68,25.48,25.48,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44225370,,Revise radius or ulna,A,,13.75,11.48,NA,11.48,,2.93,28.16,28.16,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44325375,,Revise radius & ulna,A,,13.21,10.41,NA,10.41,,2.82,26.44,26.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44425390,,Shorten radius or ulna,A,,10.43,8.67,NA,8.67,,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
2,44525391,,Lengthen radius or ulna,A,,13.92,10.63,NA,10.63,,2.97,27.52,27.52,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44625392,,Shorten radius & ulna,A,,14.22,10.72,NA,10.72,,3.03,27.97,27.97,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44725393,,Lengthen radius & ulna,A,,16.15,11.34,NA,11.34,,3.44,30.93,30.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00