This code addresses one forearm bone; 25365 is the option for corrective work involving both the radius and ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25370 Forearm osteotomy Medicare reimbursement rates in Utah
Corrective surgery on the radius or ulna realigns one forearm bone to address a deformity, with code selection guided by the bone treated. Compare 25370 office and facility rates across CMS payment localities in Utah.
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 25370 in Utah?
Utah 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
$907.58
1 of 1 localities have a supported rate.
Payment area: Utah
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 25370: Radius or ulna corrective osteotomy
Corrective surgery on the radius or ulna realigns one forearm bone to address a deformity, with code selection guided by the bone treated.
This operation changes the alignment of the radius or ulna to correct a bony deformity. An orthopedic or hand surgeon typically performs it in an operating room, using the operative approach and stabilization appropriate to the patient’s anatomy and surgical plan. The code is for correction involving one of the two forearm bones, rather than both bones together.
The operative report should identify the bone and side treated, the deformity or other indication, and the corrective work performed. Choose a different code when the procedure addresses both the radius and ulna or has a specifically described goal such as shortening. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25370
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.75 · 49%
- Practice expense (office) RVU11.48 · 41%
- Malpractice RVU2.93 · 10%
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.
25370 compared with similar codes
Office rates for Utah, from the same CMS release.
25350 is a radius-only revision option. Select according to the specific procedure performed and the applicable code descriptor.
25360 is an ulna-only revision option. Use the code that matches the specific procedure documented for the ulna.
25390 describes shortening the radius or ulna. This code is for corrective revision rather than a specifically described shortening procedure.
Compare 25370 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
Utah →
Office / nonfacility
Unavailable
Facility
$907.58
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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 25370 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,442
- Code
- 25370
- Physician work
- 13.75
- Practice expense
- 11.48
- Malpractice
- 2.93
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.75 | × 1.000 | 13.7500 |
| Practice expense | 11.48 | × 0.940 | 10.7912 |
| Malpractice | 2.93 | × 0.898 | 2.6311 |
| Total RVUs | 27.1723 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$907.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.75 | 1 |
| Practice expense | 11.48 | 0.94 |
| Malpractice | 2.93 | 0.898 |
(13.75 × 1 + 11.48 × 0.94 + 2.93 × 0.898) × $33.4009 = $907.58
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.
25370 billing questions
How do I distinguish this code from a code for both forearm bones?
This code covers corrective work on the radius or the ulna. When the operative work corrects both bones, consider the code for the radius and ulna together.
What documentation supports reporting this code?
The operative report should identify the bone and side, describe the deformity or indication, and document the corrective procedure performed.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS facts for this code.
How does the multiple procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
Can an assistant surgeon be reported?
CMS indicates that an assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are 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.
