Billing code 25024: Forearm decompressionMedicare rate & RVUs in Ohio
Two-compartment forearm fasciotomy is reported when a surgeon releases two forearm spaces to relieve pressure, commonly for acute compartment syndrome.
CMS doesn’t publish an office rate for 25024 in Ohio.
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 25024 covers
This procedure releases pressure in two forearm compartments through fasciotomy. It is typically performed by an orthopedic, hand, or trauma surgeon in a hospital operating room for acute compartment syndrome, such as after a crush injury, fracture, or reperfusion-related swelling. The operative report should identify the two spaces decompressed and the clinical reason for urgent pressure relief.
Select this code when the surgeon decompresses two spaces; a one-space procedure belongs to the corresponding one-space code. Document the compartments treated and whether nonviable muscle or nerve was debrided, since that distinction separates related codes in this family. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 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.
25024 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $701.09 |
How the 25024 rate is calculated
Each of 25024’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 · 25024
RVUs × geographic indexes × conversion factor
Work10.52
10.52 RVUs× 1.000 GPCI
Practice expense9.05
9.05 RVUs× 1.000 GPCI
Malpractice2.19
2.19 RVUs× 1.000 GPCI
Adjusted RVUs
21.7600
Conversion factor
$33.4009
Medicare rate
$726.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25024
25024 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25024
Forearm decompression
| 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 · 25024
Forearm decompression
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
25024 without 50 · national facility
$726.80
Forearm decompression
25024-50 · Bilateral: 150%
$1,090.20
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).
25024 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25020Forearm fasciotomy
- 25020 is for decompression of one forearm space. Use 25024 when two spaces are released.
- 25023Forearm decompression
- 25023 describes one-space decompression with debridement of nonviable muscle or nerve; 25024 represents two-space decompression without that debridement distinction.
- 25025Forearm fasciotomy
- Both codes concern two-space decompression; 25025 is the related choice when nonviable muscle or nerve is debrided.
25024 billing questions
How is this code distinguished from the one-space decompression codes?
Use 25024 when the surgeon decompresses two forearm spaces. The one-space codes apply when only one space is released; documentation should identify the spaces treated.
How does debridement affect code selection?
Document whether nonviable muscle or nerve was debrided. The related codes 25023 and 25025 distinguish decompression with debridement for one-space and two-space procedures, respectively.
Is related postoperative care separately reported during the global period?
The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral decompression reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What happens when other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures.
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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