No office rate
This code is for partial resection of the radius; 25240 is for partial resection of the ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25230 Radius resection Medicare reimbursement rates in Vermont
Reports surgical removal of part of the radius when the operative target is radial bone, rather than the ulna or carpal bones. Compare 25230 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 25230 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
$394.63
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 25230: Partial radius resection
Reports surgical removal of part of the radius when the operative target is radial bone, rather than the ulna or carpal bones.
An orthopedic or hand surgeon reports this service when an operation removes part of the radius while leaving the remaining radial bone in place. The operative report should identify the radius as the bone treated and describe the portion removed. The code distinguishes radial bone resection from removal of the ulna or one or more carpal bones; it does not identify a particular diagnosis or resection technique.
Select the code from the documented bone and extent of resection, not simply because surgery occurred at the wrist. The operative report should support the radial site and partial extent. Medicare classifies this as major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 25230
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.24 · 42%
- Practice expense (office) RVU6.12 · 49%
- Malpractice RVU1.02 · 8%
632
Medicare services in 2024 · #3347 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.
25230 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
25210 removes one carpal bone. Use this code when the operative report instead documents partial removal of the radius.
No office rate
25215 removes multiple carpal bones; it is not the code for partial resection of the radius.
Compare 25230 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
$394.63
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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 25230 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,411
- Code
- 25230
- Physician work
- 5.24
- Practice expense
- 6.12
- Malpractice
- 1.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.24 | × 1.000 | 5.2400 |
| Practice expense | 6.12 | × 0.990 | 6.0588 |
| Malpractice | 1.02 | × 0.506 | 0.5161 |
| Total RVUs | 11.8149 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$394.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.24 | 1 |
| Practice expense | 6.12 | 0.99 |
| Malpractice | 1.02 | 0.506 |
(5.24 × 1 + 6.12 × 0.99 + 1.02 × 0.506) × $33.4009 = $394.63
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.
25230 billing questions
How is this distinguished from partial ulna resection?
Use this code when the operative report identifies the radius as the bone partially removed. The neighboring ulna resection code applies when the ulna is the operative target.
Does removal of carpal bones belong here?
No. This code is for partial resection of the radius; removal of one or more wrist carpal bones is represented by separate carpectomy codes.
What documentation supports reporting this code?
The operative report should identify the radius, state that only part of it was removed, and describe the extent of the resection.
How is bilateral surgery reported?
For bilateral partial radius resection, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%. An assistant at surgery is not paid; co-surgeon payment requires supporting documentation.
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.
2,40825170,,Resect radius/ulnar tumor,A,,21.65,13.55,NA,13.55,,4.61,39.81,39.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,40925210,,Removal of wrist bone,A,,5.97,6.87,NA,6.87,,1.15,13.99,13.99,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41025215,,Removal of wrist bones,A,,7.94,7.85,NA,7.85,,1.51,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41125230,,Partial removal of radius,A,,5.24,6.12,NA,6.12,,1.02,12.38,12.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41225240,,Partial removal of ulna,A,,5.18,6.10,NA,6.10,,1.01,12.29,12.29,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41325246,,Injection for wrist x-ray,A,,1.41,4.07,,0.29,,0.14,5.62,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41425248,,Remove forearm foreign body,A,,5.18,5.92,NA,5.92,,1.12,12.22,12.22,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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