No office rate
25119 is for partial removal of the ulna; 25151 is for partial removal of the radius. The operative report identifies which bone was treated.
On this page
CMS RVU26D · Effective 2026-10-01
25119 Ulna excision Medicare reimbursement rates in Vermont
Reports surgical removal of part of the ulna, such as for a wrist or forearm problem requiring bone excision rather than lesion curettage. Compare 25119 office and facility rates across CMS payment localities in Vermont.
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 25119 in Vermont?
Vermont 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
$462.79
1 of 1 localities have a supported rate.
Payment area: Vermont
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 25119: Partial excision of the ulna
Reports surgical removal of part of the ulna, such as for a wrist or forearm problem requiring bone excision rather than lesion curettage.
This code describes an operation that removes a portion of the ulna. An orthopedic or hand surgeon may perform it in a hospital or outpatient surgical facility when the treatment plan calls for partial bone removal at the forearm or wrist. The operative report should identify the ulna, the side, the portion removed, and the clinical reason for the resection.
Report the code for the documented partial ulna excision, distinguishing it from procedures directed at curettage of a bone cyst or benign tumor and from a more extensive tumor resection. It has a 90-day global period, which includes 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25119
- 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 RVU6.05 · 42%
- Practice expense (office) RVU7.22 · 50%
- Malpractice RVU1.30 · 9%
102
Medicare services in 2024 · #4863 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.
25119 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
25120 is directed to curettage or excision of a bone cyst or benign tumor in the radius or ulna without grafting. Choose based on the documented lesion treatment rather than treating the codes as interchangeable.
No office rate
25170 describes radical resection of a radius or ulna tumor. Use it when the documented tumor operation is a radical resection, not a partial ulna excision.
Compare 25119 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
Vermont →
Office / nonfacility
Unavailable
Facility
$462.79
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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 25119 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,398
- Code
- 25119
- Physician work
- 6.05
- Practice expense
- 7.22
- Malpractice
- 1.30
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.05 | × 1.000 | 6.0500 |
| Practice expense | 7.22 | × 0.990 | 7.1478 |
| Malpractice | 1.30 | × 0.506 | 0.6578 |
| Total RVUs | 13.8556 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$462.79
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1 |
| Practice expense | 7.22 | 0.99 |
| Malpractice | 1.3 | 0.506 |
(6.05 × 1 + 7.22 × 0.99 + 1.3 × 0.506) × $33.4009 = $462.79
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.
25119 billing questions
What operative documentation supports this code?
The operative report should identify the ulna and side, describe the portion removed, and explain the indication for the resection. The documented work should support partial bone removal rather than curettage alone or a more extensive tumor resection.
How does this code differ from 25151?
25119 describes partial removal of the ulna; 25151 describes the corresponding partial removal of the radius. Select the code for the bone actually treated.
Does the procedure have a global period?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
How are bilateral procedures and other same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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; team surgery is 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 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.
2,39525115,,Remove wrist/forearm lesion,A,,9.84,9.34,NA,9.34,,1.88,21.06,21.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39625116,,Remove wrist/forearm lesion,A,,7.37,8.32,NA,8.32,,1.41,17.10,17.10,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39725118,,Excise wrist tendon sheath,A,,4.40,5.83,NA,5.83,,0.84,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39825119,,Partial removal of ulna,A,,6.05,7.22,NA,7.22,,1.30,14.57,14.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,39925120,,Removal of forearm lesion,A,,6.11,6.92,NA,6.92,,1.20,14.23,14.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40025125,,Remove/graft forearm lesion,A,,7.48,8.02,NA,8.02,,1.59,17.09,17.09,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40125126,,Remove/graft forearm lesion,A,,7.55,8.04,NA,8.04,,1.61,17.20,17.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817