CPT code 25922: Hand amputation2026 Medicare rate & RVUs in Nebraska
Reports surgical amputation of the hand at the wrist, when the operative service is performed at this level rather than through the forearm or hand.
CMS doesn’t publish an office rate for 25922 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25922 covers
Code 25922 represents surgical removal of the hand at the wrist level, separating the hand from the forearm. Orthopedic or hand surgeons typically perform this operation in a hospital or other surgical setting for a limb that cannot be preserved, such as after severe trauma or with nonviable tissue. The operative report should establish the amputation level and describe the procedure performed.
Select this code for a wrist-level hand amputation, not an amputation through the forearm or at a more distal level of the hand. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
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.
25922 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $566.13 |
How the 25922 rate is calculated
Each of 25922’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25922
RVUs × geographic indexes × conversion factor
Work7.46
7.46 RVUs× 1.000 GPCI
Practice expense9.63
9.63 RVUs× 1.000 GPCI
Malpractice1.59
1.59 RVUs× 1.000 GPCI
Adjusted RVUs
18.6800
Conversion factor
$33.4009
Medicare rate
$623.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25922
25922 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25922
Hand amputation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25922
Hand amputation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25922 without 50 · national facility
$623.93
Hand amputation
25922-50 · Bilateral: 150%
$935.89
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25922 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25920Hand amputation
- Both short descriptors refer to wrist-level hand amputation. Check the full CPT descriptor and operative report to identify the service-specific distinction.
- 25927Hand amputation
- 25927 describes an amputation at a more distal hand level; 25922 is for the wrist level.
- 25900Forearm amputation
- 25900 is for amputation through the forearm, while 25922 is for amputation at the wrist.
25922 billing questions
How does 25922 differ from 25920?
Both CMS short descriptors identify a hand amputation at the wrist. Use the complete CPT descriptor and operative report to determine which code's specific service was performed; the short descriptor alone does not establish that the codes are interchangeable.
When should the forearm amputation codes be considered instead?
Use a forearm-level code when the operative amputation passes through the forearm rather than ending at the wrist. The documented level of bone division distinguishes these services.
Does the global period include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral wrist-level amputations?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when the procedure is bilateral.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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