No office rate
Use 25332 for arthroplasty of the wrist joint. Code 25320 describes open capsular repair or reconstruction, not joint arthroplasty.
On this page
CMS RVU26D · Effective 2026-10-01
25332 Wrist arthroplasty Medicare reimbursement rates in Missouri
Reports operative reconstruction of a damaged wrist joint, with or without interposed material or fixation, commonly for advanced wrist arthritis. Compare 25332 office and facility rates across CMS payment localities in Missouri.
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 25332 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$729.05–$759.77
3 of 3 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.
Where 25332 pays more and less in Missouri
Orthopedic surgery
About 25332: Wrist joint arthroplasty
Reports operative reconstruction of a damaged wrist joint, with or without interposed material or fixation, commonly for advanced wrist arthritis.
A hand or orthopedic surgeon reshapes or reconstructs the wrist joint to address substantial joint damage, often from advanced degenerative or post-traumatic arthritis. The procedure may include interposing tissue or other material and may use internal or external fixation. It is performed in an operating room, usually in a hospital or ambulatory surgery setting. The operative report should identify the wrist joint treated and describe the arthroplasty and any interposition or fixation performed.
Choose this code for arthroplasty of the wrist joint, rather than a procedure directed at wrist tendons, bones, or ligament stability. Medicare assigns a 90-day global period, including 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 multiple procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25332
- 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 RVU11.45 · 49%
- Practice expense (office) RVU9.53 · 41%
- Malpractice RVU2.22 · 10%
505
Medicare services in 2024 · #3554 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.
25332 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Code 25337 reconstructs the distal radioulnar joint. Code 25332 addresses wrist joint arthroplasty; identify the joint and operative objective in the report.
No office rate
Code 25335 centralizes the wrist on the ulna. It is a different reconstructive procedure, not arthroplasty for a damaged wrist joint.
Compare 25332 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$753.78
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$759.77
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$729.05
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25332 billing questions
How is this different from 25320?
25332 is wrist joint arthroplasty. Code 25320 is directed at open wrist capsular repair or reconstruction, rather than arthroplasty of the joint.
Does the code include interposition or fixation?
The code accommodates wrist arthroplasty performed with or without interposed material and with or without external or internal fixation. Document what was done in the operative report.
Can the procedure be reported for both wrists?
For bilateral surgery, report modifier 50; the CMS bilateral payment rule is 150%.
How does the multiple procedure rule affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
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.
2,43225315,,Revise palsy hand tendon(s),A,,10.41,8.96,NA,8.96,,2.21,21.58,21.58,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43325316,,Revise palsy hand tendon(s),A,,12.58,10.21,NA,10.21,,2.68,25.47,25.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43425320,,Repair/revise wrist joint,A,,12.43,12.93,NA,12.93,,2.41,27.77,27.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43525332,,Revise wrist joint,A,,11.45,9.53,NA,9.53,,2.22,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43625335,,Centralization wrist on ulna,A,,13.06,10.36,NA,10.36,,2.77,26.19,26.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43725337,,Reconstruct ulna/radioulnar,A,,11.44,11.17,NA,11.17,,2.19,24.80,24.80,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43825350,,Revision of radius,A,,8.86,8.19,NA,8.19,,1.72,18.77,18.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00