No office rate
Both codes concern forearm amputation, but 25905 represents a different specified circumstance. Base selection on the operative details and the full descriptor for that code.
On this page
CMS RVU26D · Effective 2026-10-01
25900 Forearm amputation Medicare reimbursement rates in Nebraska
Reports surgical removal of the forearm through the radius and ulna, typically for a severely injured, infected, or nonviable limb. Compare 25900 office and facility rates across CMS payment localities in Nebraska.
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 25900 in Nebraska?
Nebraska 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
$608.31
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Upper-extremity surgery
About 25900: Forearm amputation through both bones
Reports surgical removal of the forearm through the radius and ulna, typically for a severely injured, infected, or nonviable limb.
The surgeon removes the forearm at a level that transects both the radius and ulna. This major operation may be performed for devastating trauma, an unsalvageable infection, or tissue loss from impaired blood flow. Orthopedic, hand, or other surgeons with appropriate expertise may perform it, usually in a hospital or other surgical facility. The operative report should establish the amputation level and describe the procedure performed.
Select this code when the amputation is at the forearm level through both bones; a wrist-level or hand-level amputation is a different service. Distinguish the initial amputation from later surgery on an existing stump. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies a bilateral procedure, paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 25900
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.37 · 47%
- Practice expense (office) RVU8.81 · 44%
- Malpractice RVU1.88 · 9%
98
Medicare services in 2024 · #4895 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.
25900 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This is another forearm-amputation code with a distinct specified circumstance. Confirm the documented procedure matches its full descriptor rather than choosing by anatomy alone.
No office rate
This code is for removal at the wrist. Use 25900 when the amputation is through the forearm bones.
No office rate
This code describes amputation at the hand level, not through the forearm.
Compare 25900 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$608.31
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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 25900 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,515
- Code
- 25900
- Physician work
- 9.37
- Practice expense
- 8.81
- Malpractice
- 1.88
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.37 | × 1.000 | 9.3700 |
| Practice expense | 8.81 | × 0.923 | 8.1316 |
| Malpractice | 1.88 | × 0.378 | 0.7106 |
| Total RVUs | 18.2123 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$608.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.37 | 1 |
| Practice expense | 8.81 | 0.923 |
| Malpractice | 1.88 | 0.378 |
(9.37 × 1 + 8.81 × 0.923 + 1.88 × 0.378) × $33.4009 = $608.31
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.
25900 billing questions
How do I distinguish this from a wrist-level amputation?
Use this code when the amputation passes through the forearm bones. A wrist-level amputation is reported with a code for that more distal level.
Is this for revision of an existing forearm stump?
No. This code describes the forearm amputation itself. Use an appropriate revision code when the service is later surgery on an existing amputation stump.
What documentation supports reporting this code?
The operative report should document the level of removal and that the procedure transects both the radius and ulna. It should also describe the work performed and the clinical reason for the amputation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgical service.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery payment for this code.
How is a bilateral procedure handled?
Report modifier 50 for a bilateral procedure; CMS pays the code at 150%. If other procedures are performed in the same session, the standard multiple-procedure reduction also applies.
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.
2,51225820,,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
2,51825909,,Amputation follow-up surgery,A,,9.08,8.33,NA,8.33,,1.93,19.34,19.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068