Billing code 25110: Lesion excisionMedicare rate & RVUs in Texas
Removal or curettage of a cyst or tumor arising from a tendon sheath or capsule in the forearm or wrist, such as a ganglion.
CMS doesn’t publish an office rate for 25110 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25110 covers
This service removes or curettes a cyst or tumor arising from a tendon sheath or capsule in the forearm or wrist. A hand or orthopedic surgeon typically performs it when a defined lesion, such as a ganglion, is treated operatively. The operative target is the lesion and its sheath or capsule origin, rather than the tendon itself or the wrist joint lining.
Report the code when the operative note identifies the lesion’s location and origin and describes its removal or curettage. Distinguish a general tendon-sheath or capsule lesion from a wrist ganglion reported under the more specific ganglion codes. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
Where 25110 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $345.42 |
| Beaumont | Unavailable | $319.63 |
| Brazoria | Unavailable | $331.38 |
| Dallas | Unavailable | $334.45 |
| Fort Worth | Unavailable | $332.99 |
| Galveston | Unavailable | $332.99 |
| Houston | Unavailable | $347.27 |
| Rest Of Texas | Unavailable | $325.97 |
How the 25110 rate is calculated
Each of 25110’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25110
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.94Practice expense 5.39Malpractice 0.78
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25110
25110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25110
Lesion excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25110
Lesion excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25110 without 50 · national facility
$337.68
Lesion excision
25110-50 · Bilateral: 150%
$506.52
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25110 compared with similar codes
Compare codes
25110 vs 25111 vs 25112 vs 25109 vs 25118: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25111Wrist ganglion excision
- 25111 is the specific code for primary wrist ganglion excision. This code describes cyst or tumor removal or curettage from a tendon sheath or capsule in the forearm or wrist.
- 25112Tendon lesion excision
- 25112 is for a recurrent wrist ganglion. Use this code when the treated lesion and procedure are documented as a tendon-sheath or capsule cyst or tumor rather than a recurrent wrist ganglion.
- 25109Tendon excision
- 25109 concerns a lesion of the tendon itself. This code applies when the lesion arises from the tendon sheath or capsule.
- 25118Tendon sheath excision
- 25118 describes excision of tendon sheath tissue. This code is directed at removing or curetting a cyst or tumor arising from the sheath or capsule.
25110 billing questions
Can it be reported with a wrist joint procedure?
The operative documentation should show a separately treated tendon-sheath or capsule lesion, distinct from work on the wrist joint. When procedures are performed in the same session, Medicare applies its multiple procedure payment reduction.
What documentation supports reporting this code?
Document the forearm or wrist location, the lesion’s relationship to the tendon sheath or capsule, and the removal or curettage performed. The note should distinguish the lesion from a tendon lesion or joint-lining disorder.
How is bilateral treatment reported?
For bilateral procedures, report modifier 50; CMS payment is at 150% under the facts for this code.
Are postoperative visits separately payable?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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