No office rate
Both codes involve the radius and ulna, but this code is distinguished by segmental resection. Choose 25365 when the documented procedure does not include that resection.
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CMS RVU26D · Effective 2026-10-01
25375 Forearm osteotomy Medicare reimbursement rates in Texas
Corrective osteotomy of the radius and ulna with segmental resection is reported when both forearm bones are surgically revised to address deformity. Compare 25375 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 25375 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
No 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 25375 pays more and less in Texas
Orthopedic surgery
About 25375: Two-bone corrective forearm osteotomy
Corrective osteotomy of the radius and ulna with segmental resection is reported when both forearm bones are surgically revised to address deformity.
This operation corrects a deformity involving both forearm bones by cutting and removing a segment of bone so the surgeon can revise their alignment. An orthopedic or hand surgeon typically performs it in an operating room. The operative report should establish that the correction involved both the radius and ulna and included segmental resection, rather than a procedure on one bone or a shortening or lengthening osteotomy.
Report the code when the documented work matches that two-bone procedure; include the bones treated, operative levels, resection, and corrective work in the record. CMS 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25375
- 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 RVU13.21 · 50%
- Practice expense (office) RVU10.41 · 39%
- Malpractice RVU2.82 · 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.
25375 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
25370 is for segmental-resection osteotomy of one forearm bone; this code requires treatment of both the radius and ulna.
No office rate
25392 describes shortening both forearm bones. This code is selected for the documented segmental-resection correction rather than a shortening procedure.
No office rate
25393 describes lengthening both forearm bones. This code is for the segmental-resection corrective procedure, not a lengthening procedure.
Compare 25375 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 Unavailable | Facility $893.43 |
| Beaumont | Office Unavailable | Facility $845.14 |
| Brazoria | Office Unavailable | Facility $862.80 |
| Dallas | Office Unavailable | Facility $872.32 |
| Fort Worth | Office Unavailable | Facility $870.07 |
| Galveston | Office Unavailable | Facility $868.01 |
| Houston | Office Unavailable | Facility $919.63 |
| Rest Of Texas | Office Unavailable | Facility $856.25 |
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25375 billing questions
How does this differ from 25365?
This code is for correction involving both the radius and ulna with segmental resection. Use 25365 when the documented two-bone osteotomy does not include that resection.
Can this code be used when only one forearm bone is treated?
No. The procedure must involve both the radius and ulna. For segmental-resection osteotomy of one bone, compare 25370.
What documentation supports reporting this code?
Document the deformity addressed, both bones treated, the osteotomy and segmental resection performed, and the corrective work. The operative details should distinguish it from single-bone and shortening or lengthening procedures.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure. Modifier 50 is paid at 150% when the procedure is performed bilaterally.
Are assistant or co-surgeon services payable?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What postoperative care is included?
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.
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
2,44425390,,Shorten radius or ulna,A,,10.43,8.67,NA,8.67,,2.00,21.10,21.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44525391,,Lengthen radius or ulna,A,,13.92,10.63,NA,10.63,,2.97,27.52,27.52,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44625392,,Shorten radius & ulna,A,,14.22,10.72,NA,10.72,,3.03,27.97,27.97,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00