$132.32–$145.77
25246 is the wrist-joint contrast injection; 73115 reports the wrist arthrography imaging examination and its radiological supervision and interpretation.
On this page
CMS RVU26D · Effective 2026-10-01
25246 Wrist injection Medicare reimbursement rates in Oregon
Reports injection of contrast into a wrist joint to prepare for arthrographic imaging, such as evaluation of suspected ligament or triangular fibrocartilage injury. Compare 25246 office and facility rates across CMS payment localities in Oregon.
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 25246 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$185.78–$202.36
2 of 2 localities have a supported rate.
Facility setting
$60.03–$62.09
2 of 2 localities have a supported rate.
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.
Diagnostic radiology
About 25246: Wrist arthrography injection
Reports injection of contrast into a wrist joint to prepare for arthrographic imaging, such as evaluation of suspected ligament or triangular fibrocartilage injury.
A clinician injects contrast into the wrist joint to prepare for arthrographic imaging. This is commonly performed by a radiologist or an orthopedic specialist when evaluation of internal wrist structures, such as the triangular fibrocartilage complex or intrinsic ligaments, is needed. The study may be followed by radiographic, CT, or MR imaging, depending on the diagnostic question and the ordered examination.
Select this code for the wrist-joint injection, not for imaging alone or an injection into another joint. Documentation should identify the wrist treated, the injection and contrast used, and the clinical reason for the arthrogram; report the imaging service separately when performed and supported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25246
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- 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 RVU1.41 · 25%
- Practice expense (office) RVU4.07 · 72%
- Malpractice RVU0.14 · 2%
1.2K
Medicare services in 2024 · #2815 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.
25246 compared with similar codes
Office rates for Oregon, from the same CMS release.
$184.53–$201.41
Both codes describe arthrography injections, but 24220 is for the elbow and 25246 is for the wrist.
$155.61–$170.20
23350 is the shoulder arthrography injection code. Use 25246 when the joint injected is the wrist.
Compare 25246 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$202.36
Facility
$62.09
Rest Of Oregon →
Office / nonfacility
$185.78
Facility
$60.03
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25246 billing questions
How is this different from the wrist arthrography imaging code?
25246 represents the contrast injection into the wrist joint. The imaging examination and its interpretation are reported with the applicable imaging code when performed and documented.
Can 25246 be reported for an MR arthrogram?
Yes, when contrast is injected directly into the wrist joint to prepare for the MR examination. An MRI using only intravenous contrast is not a wrist arthrography injection.
What documentation supports reporting the injection?
Record the wrist and joint injected, the contrast administration, and the clinical reason for arthrographic evaluation. The imaging report should identify the examination performed.
How should bilateral wrist injections be reported?
CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. The record should support injection of both wrists during the service.
Is same-day care included in this service?
Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
CMS 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.
2,41025215,,Removal of wrist bones,A,,7.94,7.85,NA,7.85,,1.51,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41125230,,Partial removal of radius,A,,5.24,6.12,NA,6.12,,1.02,12.38,12.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41225240,,Partial removal of ulna,A,,5.18,6.10,NA,6.10,,1.01,12.29,12.29,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41325246,,Injection for wrist x-ray,A,,1.41,4.07,,0.29,,0.14,5.62,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41425248,,Remove forearm foreign body,A,,5.18,5.92,NA,5.92,,1.12,12.22,12.22,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41525250,,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