No office rate
The wrist bone lesion and grafting work are similar, but 25135 represents autogenous bone graft; 25136 represents allograft.
On this page
CMS RVU26D · Effective 2026-10-01
25136 Wrist bone lesion Medicare reimbursement rates in Ohio
Reports removal or curettage of a benign wrist bone lesion followed by filling the resulting defect with allograft bone. Compare 25136 office and facility rates across CMS payment localities in Ohio.
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 25136 in Ohio?
Ohio 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
$462.73
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Orthopedic surgery
About 25136: Wrist bone lesion curettage with allograft
Reports removal or curettage of a benign wrist bone lesion followed by filling the resulting defect with allograft bone.
An orthopedic or hand surgeon uses this service to remove or curette a bone cyst or benign tumor in the wrist and fill the resulting defect with donor bone. The target is a bone lesion, such as one in the carpal region, rather than a tendon or other soft-tissue mass. The work is typically performed in an operating-room setting when the lesion requires operative treatment and grafting.
Select this code when the wrist bone lesion is treated with an allograft; the corresponding autograft service is a different code. The operative report should identify the lesion site, removal or curettage performed, and use of allograft. 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 at 50%. Modifier 50 for bilateral surgery is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25136
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.99 · 41%
- Practice expense (office) RVU7.20 · 50%
- Malpractice RVU1.28 · 9%
22
Medicare services in 2024 · #5856 by national volume
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.
25136 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This code represents wrist bone lesion removal or curettage without grafting. Choose 25136 when allograft is used to fill the defect.
No office rate
Both include allograft, but 25126 is for a forearm bone lesion; 25136 is for a wrist bone lesion.
Compare 25136 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
Ohio →
Office / nonfacility
Unavailable
Facility
$462.73
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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 25136 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,404
- Code
- 25136
- Physician work
- 5.99
- Practice expense
- 7.20
- Malpractice
- 1.28
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.99 | × 1.000 | 5.9900 |
| Practice expense | 7.20 | × 0.913 | 6.5736 |
| Malpractice | 1.28 | × 1.008 | 1.2902 |
| Total RVUs | 13.8538 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$462.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.99 | 1 |
| Practice expense | 7.2 | 0.913 |
| Malpractice | 1.28 | 1.008 |
(5.99 × 1 + 7.2 × 0.913 + 1.28 × 1.008) × $33.4009 = $462.73
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.
25136 billing questions
How is this different from 25135?
Both cover removal or curettage of a wrist bone lesion with grafting. Use 25136 for allograft and 25135 for autogenous bone graft.
When would 25130 be more appropriate?
Use 25130 for removal or curettage of a wrist bone lesion without the grafting represented by this code.
Can the bone graft be reported separately?
The allograft is part of the service represented by 25136. The operative documentation should support that allograft was used to fill the lesion defect.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral surgery or other procedures in the same session?
Modifier 50 bilateral payment is 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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.
2,40125126,,Remove/graft forearm lesion,A,,7.55,8.04,NA,8.04,,1.61,17.20,17.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40225130,,Removal of wrist lesion,A,,5.29,6.60,NA,6.60,,1.01,12.90,12.90,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40325135,,Remove & graft wrist lesion,A,,6.90,7.83,NA,7.83,,1.47,16.20,16.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40425136,,Remove & graft wrist lesion,A,,5.99,7.20,NA,7.20,,1.28,14.47,14.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40525145,,Remove forearm bone lesion,A,,6.38,7.32,NA,7.32,,1.34,15.04,15.04,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40625150,,Partial removal of ulna,A,,7.20,7.37,NA,7.37,,1.44,16.01,16.01,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40725151,,Partial removal of radius,A,,7.49,7.40,NA,7.40,,1.45,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703