No office rate
Choose 25390 when the operative shortening involves the radius or ulna alone. This code is for shortening both bones.
On this page
CMS RVU26D · Effective 2026-10-01
25392 Forearm osteotomy Medicare reimbursement rates in New Jersey
Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna. Compare 25392 office and facility rates across CMS payment localities in New Jersey.
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 25392 in New Jersey?
New Jersey 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
$995.98–$1028.32
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.
Orthopedic surgery
About 25392: Shortening osteotomy of radius and ulna
Reports operative shortening of both forearm bones when correcting a documented length or alignment problem that requires treatment of the radius and ulna.
This operation shortens both the radius and ulna through bone cuts, with stabilization as needed to maintain the intended alignment during healing. It is typically performed by an orthopedic surgeon specializing in hand or upper-extremity surgery in an operating room. The clinical plan must call for shortening both bones; a procedure addressing only one forearm bone belongs to a different code in the shortening family.
Report the service when the operative work documents shortening of both bones, rather than lengthening or revision of an existing deformity. The 90-day global period includes 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 multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 25392
- 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 RVU14.22 · 51%
- Practice expense (office) RVU10.72 · 38%
- Malpractice RVU3.03 · 11%
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.
25392 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
25391 describes lengthening the radius or ulna. This code describes shortening both forearm bones.
No office rate
Both codes involve the radius and ulna, but 25393 is for lengthening; this code is for shortening.
Compare 25392 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1028.32
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$995.98
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25392 billing questions
When should this code be used instead of 25390?
Use this code when the surgeon shortens both the radius and ulna. Code 25390 describes shortening of the radius or ulna, rather than both bones.
How is this code different from 25393?
This code represents shortening of both forearm bones; 25393 represents lengthening both bones. The operative plan and documented bone work determine the choice.
Does the global period include postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid?
CMS identifies this as a bilateral procedure; with modifier 50, payment is at 150%.
Can an assistant surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules provided for this code.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
2,44325375,,Revise radius & ulna,A,,13.21,10.41,NA,10.41,,2.82,26.44,26.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44425390,,Shorten radius or ulna,A,,10.43,8.67,NA,8.67,,2.00,21.10,21.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44525391,,Lengthen radius or ulna,A,,13.92,10.63,NA,10.63,,2.97,27.52,27.52,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44625392,,Shorten radius & ulna,A,,14.22,10.72,NA,10.72,,3.03,27.97,27.97,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44725393,,Lengthen radius & ulna,A,,16.15,11.34,NA,11.34,,3.44,30.93,30.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44825394,,Repair carpal bone shorten,A,,10.58,9.19,NA,9.19,,2.25,22.02,22.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44925400,,Repair radius or ulna,A,,11.00,8.91,NA,8.91,,2.16,22.07,22.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00