No office rate
25230 concerns partial removal of the radius; 25240 concerns partial removal of the ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25240 Ulna ostectomy Medicare reimbursement rates in Vermont
Reports removal of a limited portion of the ulna, commonly for ulnocarpal abutment or positive ulnar variance treated with a wafer procedure. Compare 25240 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 25240 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
$391.79
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 25240: Partial ulna ostectomy
Reports removal of a limited portion of the ulna, commonly for ulnocarpal abutment or positive ulnar variance treated with a wafer procedure.
This service removes a limited amount of ulnar bone, often near the wrist, to address painful contact between the ulna and carpal bones or to correct positive ulnar variance. A hand or orthopedic surgeon may perform the procedure as an open operation or, for a wafer resection, arthroscopically. The operative report should identify the treated side, the portion and amount of bone removed, the technique, and the clinical reason for resection.
Select this code when the documented procedure is a partial ulna ostectomy; distinguish it from removal of the radius, carpal bones, or a shortening osteotomy. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment require supporting documentation, with medical necessity documented for an assistant. Team surgery is not permitted.
CMS billing rules for 25240
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.18 · 42%
- Practice expense (office) RVU6.10 · 50%
- Malpractice RVU1.01 · 8%
1.8K
Medicare services in 2024 · #2534 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.
25240 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
25390 represents shortening by osteotomy. Use 25240 when the documented work is partial ulna ostectomy instead.
No office rate
25150 describes distal ulna excision, while 25240 is used for a partial ulna ostectomy; match the code to the documented extent and procedure.
Compare 25240 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
$391.79
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 25240 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,412
- Code
- 25240
- Physician work
- 5.18
- Practice expense
- 6.10
- Malpractice
- 1.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.18 | × 1.000 | 5.1800 |
| Practice expense | 6.10 | × 0.990 | 6.0390 |
| Malpractice | 1.01 | × 0.506 | 0.5111 |
| Total RVUs | 11.7301 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$391.79
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.18 | 1 |
| Practice expense | 6.1 | 0.99 |
| Malpractice | 1.01 | 0.506 |
(5.18 × 1 + 6.1 × 0.99 + 1.01 × 0.506) × $33.4009 = $391.79
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.
25240 billing questions
How does this differ from a ulnar shortening osteotomy?
This code describes partial removal of ulna. A shortening osteotomy uses an osteotomy approach; use the code that matches the documented technique, such as 25390 when its requirements are met.
When would 25230 be reported instead?
25230 describes partial removal of the radius. Choose based on the bone actually treated, as documented in the operative report.
What documentation supports reporting 25240?
Document the indication, side, ulnar location, amount or segment removed, and operative technique. The note should make clear that the work was a partial ulna ostectomy.
How is bilateral surgery reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative record should support treatment of both sides.
How does payment work when other procedures are performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
What surgical-assistance documentation is needed?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment also 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.
2,40925210,,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
2,41525250,,Removal of wrist prosthesis,A,,6.60,7.38,NA,7.38,,1.40,15.38,15.38,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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