Billing code 25145: Bone lesion removalMedicare rate & RVUs in Oregon
Removal or curettage of a radius or ulna bone lesion with internal fixation, reported when the operative work includes stabilizing the treated bone.
CMS doesn’t publish an office rate for 25145 in Oregon.
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 25145 covers
The surgeon removes or curettes a lesion in the radius or ulna and stabilizes the treated bone with internal fixation. This is an operative service typically performed by an orthopedic or hand surgeon in a hospital operating room or ambulatory surgery center. The fixation is part of the distinction from lesion removal without fixation; a procedure limited to soft tissue or a wrist joint is not this service.
The operative report should identify the affected forearm bone, the lesion and its treatment, and the fixation performed. Distinguish this service from bone-lesion procedures that include grafting or more extensive tumor resection based on the work documented. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
Where 25145 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $521.44 |
| Rest Of Oregon | Unavailable | $488.08 |
How the 25145 rate is calculated
Each of 25145’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 · 25145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.38Practice expense 7.32Malpractice 1.34
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25145
25145 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25145
Bone lesion removal
| 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) | 2 | Paid. |
| 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 · 25145
Bone lesion removal
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
25145 without 50 · national facility
$502.35
Bone lesion removal
25145-50 · Bilateral: 150%
$753.53
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).
25145 compared with similar codes
Compare codes
25145 vs 25120 vs 25125 vs 25126 vs 25170: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25120Bone lesion removal
- Use 25120 for forearm bone-lesion excision or curettage without internal fixation. This code describes the procedure when fixation is part of the operative work.
- 25125Bone lesion excision
- This code is associated with autogenous grafting after forearm lesion removal. Select based on whether grafting or fixation is documented as the defining additional work.
- 25126Bone lesion surgery
- This code is associated with allograft reconstruction after forearm lesion removal. It differs from fixation without that grafting work.
- 25170Bone tumor resection
- 25170 describes resection of a radius or ulna tumor. It is distinct from lesion removal with fixation when the documented operation is a more extensive tumor resection.
25145 billing questions
How does this differ from 25120?
This code is for forearm bone-lesion removal with internal fixation. Code 25120 describes lesion excision or curettage without that fixation work.
Can bone grafting be reported with this service?
Choose the applicable grafting code when the lesion procedure includes grafting, rather than assuming grafting is included here. The operative report should make the reconstruction performed clear.
What documentation supports reporting this code?
Document whether the lesion involved the radius or ulna, the removal or curettage performed, and the internal fixation used to stabilize the bone.
How is the code handled when both forearms are treated?
CMS lists this as a bilateral procedure. When performed bilaterally, modifier 50 is paid at 150%.
Is postoperative care separately reported during the global period?
Related postoperative care for 90 days is included in the global period, along with the day-before preoperative visit.
May an assistant surgeon or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
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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