No office rate
This code applies to corrective osteotomy of the ulna; 25350 applies to the radius. Identify the bone treated in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
25360 Ulnar osteotomy Medicare reimbursement rates in Tennessee
Reports corrective osteotomy of the ulna when a surgeon cuts and repositions that bone to address a deformity or alignment problem. Compare 25360 office and facility rates across CMS payment localities in Tennessee.
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 25360 in Tennessee?
Tennessee 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
$559.55
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 25360: Corrective ulnar osteotomy
Reports corrective osteotomy of the ulna when a surgeon cuts and repositions that bone to address a deformity or alignment problem.
An orthopedic or hand surgeon performs this operation by cutting the ulna and repositioning it to correct an alignment problem, such as a deformity or malunion. The procedure is generally performed in an operating room, with the surgical plan guided by the affected segment and the correction needed. The code is for work on the ulna alone; it does not describe a procedure that also revises the radius.
Select the code when the operative report supports corrective osteotomy of the ulna, rather than a specifically described shortening, lengthening, or reconstruction procedure. Document the indication, bone treated, planned correction, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 25360
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.52 · 47%
- Practice expense (office) RVU8.07 · 44%
- Malpractice RVU1.67 · 9%
209
Medicare services in 2024 · #4284 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.
25360 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Use 25365 when the procedure revises both the radius and ulna. This code is for the ulna alone.
No office rate
25390 is the specific code for shortening the radius or ulna. Choose this code for a broader corrective ulnar osteotomy when shortening is not the procedure described.
No office rate
25391 is for lengthening the radius or ulna. This code describes corrective osteotomy of the ulna when the documented procedure is not specifically lengthening.
Compare 25360 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$559.55
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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 25360 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
2,440
- Code
- 25360
- Physician work
- 8.52
- Practice expense
- 8.07
- Malpractice
- 1.67
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.52 | × 1.000 | 8.5200 |
| Practice expense | 8.07 | × 0.909 | 7.3356 |
| Malpractice | 1.67 | × 0.537 | 0.8968 |
| Total RVUs | 16.7524 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$559.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.52 | 1 |
| Practice expense | 8.07 | 0.909 |
| Malpractice | 1.67 | 0.537 |
(8.52 × 1 + 8.07 × 0.909 + 1.67 × 0.537) × $33.4009 = $559.55
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.
25360 billing questions
When should this code be chosen instead of a radius-and-ulna osteotomy code?
Use this code when the corrective osteotomy is performed on the ulna alone. When both the radius and ulna are revised, consider the applicable code for the two-bone procedure.
How does this differ from an ulnar shortening procedure?
This code describes corrective osteotomy of the ulna generally. A specifically documented procedure to shorten the ulna is represented by the dedicated shortening code, 25390.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is modifier 50 handled for bilateral surgery?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when this is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid 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.
2,43725337,,Reconstruct ulna/radioulnar,A,,11.44,11.17,NA,11.17,,2.19,24.80,24.80,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43825350,,Revision of radius,A,,8.86,8.19,NA,8.19,,1.72,18.77,18.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43925355,,Revision of radius,A,,10.27,9.05,NA,9.05,,2.19,21.51,21.51,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44025360,,Revision of ulna,A,,8.52,8.07,NA,8.07,,1.67,18.26,18.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44125365,,Revise radius & ulna,A,,12.59,10.21,NA,10.21,,2.68,25.48,25.48,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44225370,,Revise radius or ulna,A,,13.75,11.48,NA,11.48,,2.93,28.16,28.16,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44325375,,Revise radius & ulna,A,,13.21,10.41,NA,10.41,,2.82,26.44,26.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780