CPT code 25931: Hand re-amputation2026 Medicare rate & RVUs in Nevada
Reports repeat amputation through the hand metacarpals when a prior amputation stump requires further surgical removal at that level.
CMS doesn’t publish an office rate for 25931 in Nevada.
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 25931 covers
This code applies when a surgeon performs a re-amputation through the hand metacarpals after an earlier amputation at that level. The operation removes additional tissue and bone to establish a viable residual hand stump. Hand or orthopedic surgeons commonly perform the procedure in an operating room; plastic surgeons may be involved when stump coverage or reconstruction is part of the operative plan.
Select the code based on the documented re-amputation and its metacarpal level, rather than an initial amputation or a revision limited to secondary closure or scar revision. The operative report should identify the prior amputation, the reason further amputation was needed, the level treated, and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; 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.
25931 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $773.40 |
How the 25931 rate is calculated
Each of 25931’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 · 25931
RVUs × geographic indexes × conversion factor
Work7.84
7.84 RVUs× 1.000 GPCI
Practice expense13.91
13.91 RVUs× 1.000 GPCI
Malpractice1.67
1.67 RVUs× 1.000 GPCI
Adjusted RVUs
23.4200
Conversion factor
$33.4009
Medicare rate
$782.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25931
25931 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25931
Hand re-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) | 1 | Not paid (statutory restriction). |
| 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 · 25931
Hand re-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
25931 without 50 · national facility
$782.25
Hand re-amputation
25931-50 · Bilateral: 150%
$1,173.38
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).
25931 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25927Hand amputation
- Use 25927 for an initial amputation through the metacarpals. Use 25931 when the service is a re-amputation at that level.
- 25929Amputation revision
- 25929 covers metacarpal-level follow-up surgery involving secondary closure or scar revision; 25931 is for re-amputation.
- 25924Amputation revision
- Both describe amputation follow-up surgery, but 25924 is at the wrist and 25931 is through the hand metacarpals.
25931 billing questions
How does 25931 differ from 25927?
25931 is for re-amputation through the metacarpals after a prior amputation. 25927 describes an initial amputation at that level.
When would 25929 be considered instead?
25929 describes amputation follow-up surgery through the metacarpals involving secondary closure or scar revision. Use 25931 when the documented work is a re-amputation.
What documentation supports 25931?
Document the prior amputation, why further amputation was required, the metacarpal level treated, and the operative work performed.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction and are paid at 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. 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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