No office rate
24900 is used for an initial amputation through the humerus. 24925 describes repeat amputation at that level.
On this page
CMS RVU26D · Effective 2026-10-01
24925 Arm amputation Medicare reimbursement rates in New Mexico
Reports repeat amputation surgery through the humerus when a prior upper-arm amputation requires further operative removal at that level. Compare 24925 office and facility rates across CMS payment localities in New Mexico.
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 24925 in New Mexico?
New Mexico 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
$534.13
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Amputation surgery
About 24925: Humeral-level arm re-amputation
Reports repeat amputation surgery through the humerus when a prior upper-arm amputation requires further operative removal at that level.
This code describes repeat amputation surgery through the humerus, the upper-arm bone. An orthopedic or other qualified surgeon may perform it when the existing amputation level requires further removal of the limb. The operative report should establish the humeral level and explain the work performed; this is distinct from an initial amputation and from a stump revision that does not involve re-amputation.
Report the code for the documented re-amputation, not simply because the patient has a history of upper-arm amputation. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. 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. Modifier 50 identifies a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24925
- 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 RVU7.12 · 44%
- Practice expense (office) RVU7.71 · 47%
- Malpractice RVU1.50 · 9%
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.
24925 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both are upper-arm amputation-family codes. Choose 24925 when the documented procedure is repeat amputation through the humerus.
No office rate
24935 is a revision-of-amputation code. Use 24925 when the surgeon performs re-amputation through the humerus.
24940
No office rateRevision of upper arm
24940 describes upper-arm revision surgery; 24925 describes repeat amputation through the humerus.
Compare 24925 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$534.13
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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 24925 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
2,362
- Code
- 24925
- Physician work
- 7.12
- Practice expense
- 7.71
- Malpractice
- 1.50
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.12 | × 1.000 | 7.1200 |
| Practice expense | 7.71 | × 0.917 | 7.0701 |
| Malpractice | 1.50 | × 1.201 | 1.8015 |
| Total RVUs | 15.9916 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$534.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.12 | 1 |
| Practice expense | 7.71 | 0.917 |
| Malpractice | 1.5 | 1.201 |
(7.12 × 1 + 7.71 × 0.917 + 1.5 × 1.201) × $33.4009 = $534.13
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.
24925 billing questions
How is this different from an initial upper-arm amputation?
Use 24925 for repeat amputation through the humerus, rather than the code for an initial amputation. The operative report should support that additional amputation work was performed.
How does this differ from an amputation revision code?
This code describes re-amputation through the humerus. A revision code is considered when the surgeon revises the existing amputation rather than performing re-amputation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 identifies a bilateral procedure, which is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
What documentation supports reporting 24925?
Document the prior amputation, the humeral level, and the repeat amputation work performed. The operative note should distinguish re-amputation from an initial amputation or a stump revision.
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.
2,35924802,,Arthrd elbow jt autog graft,A,,13.96,10.80,NA,10.80,,2.98,27.74,27.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36024900,,Amputation of upper arm,A,,9.93,9.52,NA,9.52,,2.11,21.56,21.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36124920,,Amputation of upper arm,A,,9.88,8.59,NA,8.59,,2.10,20.57,20.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36224925,,Amputation follow-up surgery,A,,7.12,7.71,NA,7.71,,1.50,16.33,16.33,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36324930,,Amputation follow-up surgery,A,,10.56,8.81,NA,8.81,,2.25,21.62,21.62,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36424931,,Amputate upper arm & implant,A,,13.10,9.81,NA,9.81,,2.78,25.69,25.69,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36524935,,Revision of amputation,A,,16.04,14.60,NA,14.60,,3.41,34.05,34.05,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210