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CMS RVU26D · Effective 2026-10-01

25355 Radius osteotomy Medicare reimbursement rates in Vermont

Corrective osteotomy of the radius in its middle or proximal third is reported when the surgeon realigns a deformity in that segment. Compare 25355 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 25355 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

$679.30

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.

Find 25355 in your payment locality →

Orthopedic surgery

About 25355: Middle or proximal radius osteotomy

Corrective osteotomy of the radius in its middle or proximal third is reported when the surgeon realigns a deformity in that segment.

This service involves cutting and realigning the radius in its middle or proximal third to correct a bony deformity. An orthopedic or hand surgeon may perform it for a symptomatic radial malunion, such as angulation or rotation after a forearm fracture. The procedure is generally performed in an operating room, with the surgeon stabilizing the corrected bone as needed.

Choose this code for an osteotomy of the radius in the middle or proximal third; the distal-third radius osteotomy is a different code. The operative report should identify the treated bone and segment, the deformity and correction performed, and any stabilization. CMS assigns a 90-day major-surgery 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 is paid in full and others at 50%. 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 25355

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 RVU10.27 · 48%
  • Practice expense (office) RVU9.05 · 42%
  • Malpractice RVU2.19 · 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.

25355 compared with similar codes

Office rates for Vermont, from the same CMS release.

25350

Radius osteotomy

Distal third

No office rate

Both describe radius osteotomy, but 25350 is for the distal third; 25355 is for the middle or proximal third.

25360

Ulnar osteotomy

Ulna only

No office rate

25360 is an osteotomy of the ulna. Use 25355 when the corrected bone is the radius in its middle or proximal third.

25365

Forearm osteotomy

Both radius and ulna

No office rate

25365 covers osteotomy of both the radius and ulna. 25355 is for the radius alone in the specified segment.

25390

Bone shortening

Radius or ulna

No office rate

25390 describes shortening of the radius or ulna. Choose 25355 for a middle- or proximal-third radial osteotomy when the service is not specifically a shortening procedure.

Compare 25355 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

Office and facility base rates · shared scale starting at $0

  • Vermont →

    Office / nonfacility

    Unavailable

    Facility

    $679.30

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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 25355 in Vermont.

PPRRVU2026_Oct_nonQPP.csv

2,439

Code
25355
Physician work
10.27
Practice expense
9.05
Malpractice
2.19

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 25355 in Vermont
ComponentRVULocality factorAdjusted
Physician work10.27× 1.00010.2700
Practice expense9.05× 0.9908.9595
Malpractice2.19× 0.5061.1081
Total RVUs20.3376
Conversion factor× 33.4009

Facility rate, Vermont$679.30

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.271
Practice expense9.050.99
Malpractice2.190.506

(10.27 × 1 + 9.05 × 0.99 + 2.19 × 0.506) × $33.4009 = $679.30

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.

25355 billing questions

How is this different from 25350?

25355 is for an osteotomy in the middle or proximal third of the radius. Use 25350 for the distal third.

Can the radius and ulna osteotomies be reported together?

If the operative service corrects both bones, compare the documentation with 25365, which covers osteotomy of the radius and ulna. Do not use 25355 alone to represent an osteotomy of both bones.

What documentation supports selection of this code?

Document the radius as the treated bone, the middle or proximal segment, the deformity being corrected, and the osteotomy and realignment performed.

How should bilateral procedures be reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

Does the procedure have a global period?

Yes. It has a 90-day major-surgery global period that includes the day-before preoperative visit and 90 days of related postoperative care.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. An assistant at surgery may be paid.

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.

RVUs for 25355PPRRVU2026_Oct_nonQPP.csv, line 2,439 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet