No office rate
25263 describes secondary repair of a forearm or wrist flexor tendon or muscle without a free graft. Choose 25260 for primary repair.
On this page
CMS RVU26D · Effective 2026-10-01
25260 Flexor tendon repair Medicare reimbursement rates in Oklahoma
Reports primary repair of a flexor tendon or muscle in the forearm or wrist, using direct repair without a free tendon graft. Compare 25260 office and facility rates across CMS payment localities in Oklahoma.
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 25260 in Oklahoma?
Oklahoma 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
$557.27
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 25260: Primary flexor tendon repair, forearm or wrist
Reports primary repair of a flexor tendon or muscle in the forearm or wrist, using direct repair without a free tendon graft.
25260 describes primary repair of a flexor tendon or muscle in the forearm or wrist, with the tendon ends repaired directly rather than using a free graft. A typical case is surgical repair of a flexor tendon lacerated in the forearm or wrist. Hand, orthopedic, and plastic surgeons commonly perform the procedure in an operating room or hospital outpatient surgery setting. The code is reported for each tendon or muscle repaired, so the operative report should identify the structures treated.
Select this code when the service is a primary flexor repair without a free graft; document the injury, site, tendon or muscle, and repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 25260
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.84 · 44%
- Practice expense (office) RVU8.59 · 48%
- Malpractice RVU1.51 · 8%
823
Medicare services in 2024 · #3119 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.
25260 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
25265 is for secondary flexor repair using a free graft. 25260 is primary repair without a free graft.
No office rate
25270 is the primary, no-free-graft repair code for extensor tendons or muscles; 25260 is for flexors.
No office rate
25274 describes secondary extensor repair using a free graft. 25260 describes primary flexor repair without a free graft.
Compare 25260 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$557.27
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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 25260 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
2,418
- Code
- 25260
- Physician work
- 7.84
- Practice expense
- 8.59
- Malpractice
- 1.51
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.84 | × 1.000 | 7.8400 |
| Practice expense | 8.59 | × 0.893 | 7.6709 |
| Malpractice | 1.51 | × 0.777 | 1.1733 |
| Total RVUs | 16.6841 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$557.27
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.84 | 1 |
| Practice expense | 8.59 | 0.893 |
| Malpractice | 1.51 | 0.777 |
(7.84 × 1 + 8.59 × 0.893 + 1.51 × 0.777) × $33.4009 = $557.27
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.
25260 billing questions
When is 25260 appropriate instead of 25263?
Use 25260 for primary repair of a forearm or wrist flexor tendon or muscle without a free graft. Code 25263 describes a secondary repair without a free graft.
How does 25260 differ from 25265?
25260 is for primary repair without a free graft. 25265 is for secondary repair using a free graft.
What should the operative report identify?
Document the forearm or wrist site, the flexor tendon or muscle repaired, and that the service was a primary repair without a free graft. Identify each structure repaired because the code is reported per tendon or muscle.
How does Medicare treat multiple procedures performed in the same session?
Medicare pays the highest-valued procedure in full and reduces the other procedures to 50% when multiple procedures are performed in the same session.
Can an assistant or co-surgeon be reported for 25260?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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.
2,41525250,,Removal of wrist prosthesis,A,,6.60,7.38,NA,7.38,,1.40,15.38,15.38,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41625251,,Removal of wrist prosthesis,A,,9.57,8.67,NA,8.67,,2.05,20.29,20.29,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41725259,,Manipulate wrist w/anesthes,A,,3.94,8.36,NA,8.36,,0.79,13.09,13.09,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41825260,,Repair forearm tendon/muscle,A,,7.84,8.59,NA,8.59,,1.51,17.94,17.94,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41925263,,Repair forearm tendon/muscle,A,,7.84,8.69,NA,8.69,,1.67,18.20,18.20,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42025265,,Repair forearm tendon/muscle,A,,9.85,8.91,NA,8.91,,1.84,20.60,20.60,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42125270,,Repair forearm tendon/muscle,A,,6.02,6.89,NA,6.89,,1.19,14.10,14.10,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193