No office rate
Both cover subcutaneous forearm or wrist soft-tissue tumor excision; the size threshold separates them. Use 25075 below 3 cm and 25071 at 3 cm or larger.
On this page
CMS RVU26D · Effective 2026-10-01
25075 Forearm tumor excision Medicare reimbursement rates in Texas
Report this code for excision of a subcutaneous soft-tissue tumor in the forearm or wrist area when the tumor is under 3 cm. Compare 25075 office and facility rates across CMS payment localities in Texas.
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 25075 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$514.85–$572.62
8 of 8 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.
Where 25075 pays more and less in Texas
8 payment localities
$514.85 to $572.62
Soft tissue surgery
About 25075: Subcutaneous forearm tumor excision under 3 cm
Report this code for excision of a subcutaneous soft-tissue tumor in the forearm or wrist area when the tumor is under 3 cm.
This code describes surgical removal of a soft-tissue tumor located beneath the skin in the forearm or wrist area, with a tumor size under 3 cm. An orthopedic or hand surgeon, or another surgeon treating soft-tissue masses, may perform the procedure in an office-based operating room or a hospital or ambulatory surgery facility. The key distinctions are the anatomic area, the tumor’s subcutaneous depth, and its size; removal of a skin lesion or a deeper mass belongs to a different code category or level.
Select the code using operative documentation that identifies the forearm or wrist area, describes the mass as subcutaneous, and records its size and excision. 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 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25075
- 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
- 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 RVU3.86 · 23%
- Practice expense (office) RVU11.87 · 72%
- Malpractice RVU0.81 · 5%
3.5K
Medicare services in 2024 · #2070 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.
25075 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
This code is for a subcutaneous tumor under 3 cm. Use 25076 when the forearm or wrist tumor is deep and under 3 cm.
$244.46–$271.72
Code 25065 describes biopsy of subcutaneous forearm soft tissue. Use 25075 when the documented service is excision of the tumor rather than biopsy.
No office rate
Code 25066 describes biopsy of deep forearm soft tissue. It is not the code for excision of a subcutaneous tumor.
Compare 25075 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $572.62 | Facility $312.53 |
| Beaumont | Office $514.85 | Facility $291.14 |
| Brazoria | Office $543.96 | Facility $300.34 |
| Dallas | Office $548.18 | Facility $303.34 |
| Fort Worth | Office $544.57 | Facility $302.18 |
| Galveston | Office $546.05 | Facility $301.94 |
| Houston | Office $560.88 | Facility $316.77 |
| Rest Of Texas | Office $529.61 | Facility $296.31 |
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25075 billing questions
How does this differ from code 25071?
Both describe excision of a subcutaneous forearm or wrist soft-tissue tumor. Use 25075 for a tumor under 3 cm and 25071 for one 3 cm or larger.
Can this code be used for a deep forearm mass under 3 cm?
No. This code is for a subcutaneous tumor; code 25076 is the corresponding code for a deep tumor under 3 cm.
Is this the right code when the surgeon takes only a biopsy?
No. For biopsy rather than excision, consider the forearm soft-tissue biopsy code that matches the documented depth: 25065 for subcutaneous or 25066 for deep.
What operative details support reporting this code?
Document the forearm or wrist location, the tumor’s subcutaneous depth, its size, and that it was excised. The documentation should distinguish the mass from a lesion confined to the skin.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral excision handled?
When the procedure is performed bilaterally and modifier 50 is reported, CMS pays at 150%.
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.
2,37925066,,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
2,38425077,,Resect forearm/wrist tum<3cm,A,,12.61,8.90,NA,8.90,,3.36,24.87,24.87,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,38525078,,Resect forarm/wrist tum 3cm>,A,,17.25,11.26,NA,11.26,,3.89,32.40,32.40,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00