Billing code 25170: Bone tumor resectionMedicare rate & RVUs in Utah
Reports radical resection of a tumor involving the radius or ulna, typically when an oncologic operation removes the tumor-bearing portion of forearm bone.
CMS doesn’t publish an office rate for 25170 in Utah.
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 25170 covers
An orthopedic surgeon, often an orthopedic oncologist, performs this operation to remove a tumor involving the radius or ulna as a radical bone resection. It is generally performed in an operating room, with the resected bone or tumor tissue sent for examination. The operative extent distinguishes it from limited lesion removal or curettage.
Report the code when the documented procedure supports radical resection of a radius or ulna tumor; the operative report should identify the bone and describe the resection 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is 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.
25170 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,286.83 |
How the 25170 rate is calculated
Each of 25170’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 · 25170
RVUs × geographic indexes × conversion factor
Work21.65
21.65 RVUs× 1.000 GPCI
Practice expense13.55
13.55 RVUs× 1.000 GPCI
Malpractice4.61
4.61 RVUs× 1.000 GPCI
Adjusted RVUs
39.8100
Conversion factor
$33.4009
Medicare rate
$1,329.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25170
25170 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25170
Bone tumor resection
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 25170
Bone tumor resection
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
25170 without 50 · national facility
$1,329.69
Bone tumor resection
25170-50 · Bilateral: 150%
$1,994.54
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).
25170 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25120Bone lesion removal
- 25120 describes forearm lesion removal. Use 25170 when the operation is a radical resection of a radius or ulna tumor, rather than a more limited lesion procedure.
- 25125Bone lesion excision
- 25125 describes forearm lesion removal with grafting. It is not a substitute for 25170 when the documented operation is radical tumor resection.
- 25150Ulna resection
- 25150 describes partial removal of the ulna. Code 25170 applies when the procedure is a radical resection of a tumor involving the radius or ulna.
- 25151Radius excision
- 25151 describes partial removal of the radius. Choose 25170 instead when the documented procedure is radical tumor resection.
25170 billing questions
How is this different from code 25120?
Code 25170 is for radical resection of a radius or ulna tumor. Code 25120 describes removal of a forearm lesion; select based on the operation actually performed and documented, not the diagnosis alone.
When would a lesion-removal code with grafting be considered instead?
Codes 25125 and 25126 describe forearm lesion removal with grafting. They are alternatives when that is the documented procedure rather than radical tumor resection.
Does the 90-day global include routine postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment for this code.
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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