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CMS RVU26D · Effective 2026-10-01

25365 Forearm osteotomy Medicare reimbursement rates in Rhode Island

Reports corrective osteotomy of both forearm bones to address a deformity or malalignment requiring surgical correction of the radius and ulna. Compare 25365 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 25365 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

$860.63

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.

Find 25365 in your payment locality →

Orthopedic surgery

About 25365: Corrective osteotomy of radius and ulna

Reports corrective osteotomy of both forearm bones to address a deformity or malalignment requiring surgical correction of the radius and ulna.

This procedure corrects alignment or deformity by cutting and repositioning both the radius and ulna. An orthopedic or hand surgeon may perform it for a forearm malunion or another acquired or developmental deformity affecting both bones. It is an operative bone procedure, typically performed in a hospital or ambulatory surgery setting; fixation may be used to maintain the corrected position.

Report this code when the operative documentation supports osteotomy of both bones, not just one. The record should identify the treated side, the deformity or malalignment, and the correction performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25365

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 RVU12.59 · 49%
  • Practice expense (office) RVU10.21 · 40%
  • Malpractice RVU2.68 · 11%

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.

25365 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

25350

Radius osteotomy

Distal third

No office rate

This code addresses both radius and ulna. Code 25350 is for an osteotomy involving the radius alone.

25360

Ulnar osteotomy

Ulna only

No office rate

This code addresses both forearm bones. Code 25360 is for an osteotomy involving the ulna alone.

25375

Forearm osteotomy

Both bones, segmental resection

No office rate

Use 25375 when the documented paired-bone osteotomy includes lengthening; this code describes corrective osteotomy of both bones without that specific lengthening distinction.

25392

Forearm osteotomy

Both bones shortened

No office rate

Code 25392 describes shortening both radius and ulna. Choose this code when shortening, rather than another corrective alignment procedure, is the documented objective.

Compare 25365 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

Office and facility base rates · shared scale starting at $0

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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 25365 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

2,441

Code
25365
Physician work
12.59
Practice expense
10.21
Malpractice
2.68

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 25365 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work12.59× 1.01912.8292
Practice expense10.21× 1.03310.5469
Malpractice2.68× 0.8922.3906
Total RVUs25.7667
Conversion factor× 33.4009

Facility rate, Rhode Island$860.63

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work12.591.019
Practice expense10.211.033
Malpractice2.680.892

(12.59 × 1.019 + 10.21 × 1.033 + 2.68 × 0.892) × $33.4009 = $860.63

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.

25365 billing questions

When should I report this instead of a single-bone osteotomy?

Report this code when the surgeon osteotomizes both the radius and ulna. If only one bone is treated, consider the code for that specific bone and procedure.

Is this the right code for shortening or lengthening both bones?

Use this code for corrective osteotomy of both bones when the documented procedure is not specifically a shortening or lengthening service. Compare the dedicated paired-bone shortening and lengthening codes when that is the planned correction.

What documentation supports reporting this code?

Document the treated side, the deformity or malalignment, that both the radius and ulna were osteotomized, and how the bones were repositioned.

How does the bilateral payment rule work?

For bilateral surgery, report modifier 50; CMS pays this procedure at 150%.

Can an assistant surgeon be reported?

An assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are not permitted under the listed CMS rules.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 25365PPRRVU2026_Oct_nonQPP.csv, line 2,441 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet