$565.06
This code applies to a subcutaneous mass measuring 3 cm or larger; 25075 is for a subcutaneous mass smaller than 3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
25071 Forearm mass excision Medicare reimbursement rates in Rhode Island
Removal of a subcutaneous soft-tissue mass in the forearm or wrist area when the mass measures at least 3 cm. Compare 25071 office and facility rates across CMS payment localities in Rhode Island.
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 25071 in Rhode Island?
Rhode Island 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
$409.11
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Soft tissue surgery
About 25071: Subcutaneous forearm mass excision, 3 cm or larger
Removal of a subcutaneous soft-tissue mass in the forearm or wrist area when the mass measures at least 3 cm.
This service removes a soft-tissue mass located beneath the skin in the forearm or wrist area. A surgeon, often an orthopedic or hand surgeon, may excise a symptomatic or enlarging mass such as a lipoma. The code is for a subcutaneous mass, not a mass extending into deeper tissues, and the size threshold is 3 cm or larger. Procedures may be performed in an office-based procedure room or a facility operating room.
Select the code based on the mass’s location, tissue depth, and documented size, rather than incision length. The operative report should establish that the mass was subcutaneous and support its measured size and removal. Medicare 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%; assistant-at-surgery payment may be allowed, while co-surgeons and team surgery are not permitted.
CMS billing rules for 25071
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 48%
- Practice expense (office) RVU5.07 · 42%
- Malpractice RVU1.28 · 11%
1.9K
Medicare services in 2024 · #2523 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.
25071 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 25073 for a mass at least 3 cm that is in deeper soft tissue. This code is for a subcutaneous mass.
$268.26
25065 is for biopsy of forearm or wrist-area soft tissue. This code represents excision of a subcutaneous mass at least 3 cm, not diagnostic sampling alone.
No office rate
25066 is for biopsy of deeper forearm or wrist-area soft tissue; this code describes removal of a subcutaneous mass at least 3 cm.
Compare 25071 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$409.11
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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 25071 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,380
- Code
- 25071
- Physician work
- 5.76
- Practice expense
- 5.07
- Malpractice
- 1.28
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.76 | × 1.019 | 5.8694 |
| Practice expense | 5.07 | × 1.033 | 5.2373 |
| Malpractice | 1.28 | × 0.892 | 1.1418 |
| Total RVUs | 12.2485 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$409.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.76 | 1.019 |
| Practice expense | 5.07 | 1.033 |
| Malpractice | 1.28 | 0.892 |
(5.76 × 1.019 + 5.07 × 1.033 + 1.28 × 0.892) × $33.4009 = $409.11
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.
25071 billing questions
How is this code distinguished from 25075?
Both describe removal of a subcutaneous forearm or wrist-area mass. Use 25071 for a mass measuring 3 cm or larger and 25075 for one under 3 cm.
When is 25073 more appropriate?
25073 describes removal of a mass in deeper soft tissue when it measures 3 cm or larger. The operative documentation should support the mass’s depth, not just its size.
Can a diagnostic biopsy be reported instead?
Use a biopsy code when the surgeon samples tissue for diagnosis rather than excising the mass. Codes 25065 and 25066 distinguish forearm or wrist-area soft-tissue biopsy by depth.
What documentation supports code selection?
The operative report should identify the forearm or wrist-area site, show that the mass was subcutaneous, document its size, and describe its removal.
How does Medicare treat bilateral procedures and other procedures in the same session?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%.
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.
2,37725040,,Arthrt rdcrpl/midcarpl jt,A,,7.31,6.95,NA,6.95,,1.45,15.71,15.71,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37825065,,Biopsy forearm soft tissues,A,,1.99,5.57,,2.10,,0.28,7.84,4.37,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37925066,,Biopsy forearm soft tissues,A,,4.16,5.75,NA,5.75,,0.82,10.73,10.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38025071,,Exc forearm les sc 3 cm/>,A,,5.76,5.07,NA,5.07,,1.28,12.11,12.11,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38125073,,Exc forearm tum deep 3 cm/>,A,,6.95,6.79,NA,6.79,,1.47,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38225075,,Exc forearm les sc < 3 cm,A,,3.86,11.87,,4.51,,0.81,16.54,9.18,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38325076,,Exc forearm tum deep < 3 cm,A,,6.57,6.83,NA,6.83,,1.30,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537