No office rate
25927 describes an amputation through the metacarpals. Choose 25929 when the operation revises a prior amputation at that level.
On this page
CMS RVU26D · Effective 2026-10-01
25929 Amputation revision Medicare reimbursement rates in Massachusetts
Reports surgical revision of a prior hand amputation through the metacarpals, such as reshaping a residual limb that is painful or poorly healed. Compare 25929 office and facility rates across CMS payment localities in Massachusetts.
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 25929 in Massachusetts?
Massachusetts 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
$578.78–$627.27
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.
Hand surgery
About 25929: Revision of hand amputation
Reports surgical revision of a prior hand amputation through the metacarpals, such as reshaping a residual limb that is painful or poorly healed.
This code describes surgery to revise a residual hand after an amputation through the metacarpals. A hand or orthopedic surgeon may reshape the remaining bone and soft tissue or address a problematic scar or wound when the residual limb is painful, poorly healed, or unsuitable for use. The operative report should establish that this is revision of a prior amputation and document the level and work performed.
Report the code for the revision procedure, not for the original amputation. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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% multiple procedure reduction. Modifier 50 applies to bilateral procedures, with payment at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25929
- 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 RVU7.62 · 45%
- Practice expense (office) RVU7.87 · 46%
- Malpractice RVU1.63 · 10%
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.
25929 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
25924 is follow-up surgery at the wrist level; 25929 is for revision in the hand through the metacarpals.
No office rate
25900 describes forearm amputation, not revision of a hand amputation through the metacarpals.
Compare 25929 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$627.27
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$578.78
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25929 billing questions
When is this code used instead of 25927?
Use 25929 for revision of a prior hand amputation through the metacarpals. Code 25927 describes an amputation through the metacarpals, rather than revision of an existing amputation.
What documentation supports reporting a revision?
Document the prior amputation, the residual-limb problem being treated, the level, and the revision work performed. The operative report should make clear that the procedure revises the existing amputation.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care. It also includes the preoperative visit on the day before surgery.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple procedure reduction.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
How is bilateral revision handled?
For a bilateral procedure, report modifier 50; CMS payment is at 150%.
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.
2,52125922,,Amputate hand at wrist,A,,7.46,9.63,NA,9.63,,1.59,18.68,18.68,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52225924,,Amputation follow-up surgery,A,,8.59,9.99,NA,9.99,,1.83,20.41,20.41,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52325927,,Amputation of hand,A,,8.86,14.39,NA,14.39,,1.90,25.15,25.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52425929,,Amputation follow-up surgery,A,,7.62,7.87,NA,7.87,,1.63,17.12,17.12,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52525931,,Amputation follow-up surgery,A,,7.84,13.91,NA,13.91,,1.67,23.42,23.42,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52625999,,Unlisted px forearm/wrist,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,52726010,,Drainage of finger abscess,A,,1.55,9.40,,2.51,,0.28,11.23,4.34,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00