No office rate
Use 25310 for transfer or transplant of a single tendon in the forearm or wrist; 25312 represents multiple tendons.
On this page
CMS RVU26D · Effective 2026-10-01
25312 Tendon transfer Medicare reimbursement rates in Vermont
Reports a multiple-tendon transfer or transplant in the forearm or wrist, commonly performed to restore movement affected by nerve palsy or tendon dysfunction. Compare 25312 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 25312 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
$630.17
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.
Hand surgery
About 25312: Multiple forearm tendon transfer
Reports a multiple-tendon transfer or transplant in the forearm or wrist, commonly performed to restore movement affected by nerve palsy or tendon dysfunction.
This service covers surgically redirecting or transplanting multiple tendons in the forearm or wrist to improve movement or restore a lost function. An orthopedic hand surgeon typically performs the reconstruction in a hospital or ambulatory surgery center. A familiar clinical situation is tendon reconstruction for paralysis or palsy, such as loss of wrist or finger movement after nerve injury.
Choose this code when the operative work involves multiple tendons in the forearm or wrist, rather than a single tendon. The operative report should identify the tendons treated, their original and new functions or attachments, and the condition prompting reconstruction. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25312
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU9.57 · 48%
- Practice expense (office) RVU8.43 · 42%
- Malpractice RVU1.88 · 9%
441
Medicare services in 2024 · #3657 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.
25312 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code concerns multiple-tendon work in the forearm or wrist. Code 25315 is for tendon work addressing palsy in the hand.
No office rate
Choose based on the operative site: 25312 covers multiple tendons in the forearm or wrist, while 25316 addresses hand tendon work for palsy.
Compare 25312 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
$630.17
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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 25312 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,431
- Code
- 25312
- Physician work
- 9.57
- Practice expense
- 8.43
- Malpractice
- 1.88
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.57 | × 1.000 | 9.5700 |
| Practice expense | 8.43 | × 0.990 | 8.3457 |
| Malpractice | 1.88 | × 0.506 | 0.9513 |
| Total RVUs | 18.8670 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$630.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.57 | 1 |
| Practice expense | 8.43 | 0.99 |
| Malpractice | 1.88 | 0.506 |
(9.57 × 1 + 8.43 × 0.99 + 1.88 × 0.506) × $33.4009 = $630.17
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.
25312 billing questions
How does this differ from 25310?
25312 is for transfer or transplant work involving multiple forearm or wrist tendons. Use 25310 for the corresponding single-tendon procedure.
When would 25315 or 25316 be a better fit?
Those codes address tendon work for palsy in the hand. This code describes multiple-tendon work in the forearm or wrist.
What should the operative report document?
Identify each tendon involved, its transfer or transplant, the forearm or wrist anatomy treated, and the functional problem being addressed.
Is this reported once for each tendon?
The code represents a multiple-tendon procedure. Document the tendons treated and the operative work rather than treating the code as a simple per-tendon unit.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,42825300,,Fusion of tendons at wrist,A,,8.79,8.99,NA,8.99,,1.87,19.65,19.65,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42925301,,Fusion of tendons at wrist,A,,8.38,7.93,NA,7.93,,1.63,17.94,17.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43025310,,Transplant forearm tendon,A,,8.78,9.56,NA,9.56,,1.67,20.01,20.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43125312,,Transplant forearm tendon,A,,9.57,8.43,NA,8.43,,1.88,19.88,19.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43225315,,Revise palsy hand tendon(s),A,,10.41,8.96,NA,8.96,,2.21,21.58,21.58,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43325316,,Revise palsy hand tendon(s),A,,12.58,10.21,NA,10.21,,2.68,25.47,25.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43425320,,Repair/revise wrist joint,A,,12.43,12.93,NA,12.93,,2.41,27.77,27.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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