No office rate
Use 25000 for the wrist extensor sheath release; 25001 targets the flexor carpi radialis tendon sheath.
On this page
CMS RVU26D · Effective 2026-10-01
25000 Tendon release Medicare reimbursement rates in Virginia
Releases a constricted extensor tendon sheath at the wrist, most commonly to treat De Quervain tenosynovitis after operative treatment is selected. Compare 25000 office and facility rates across CMS payment localities in Virginia.
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 25000 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$330.43–$385.18
2 of 2 localities have a supported rate.
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 25000: Wrist extensor tendon sheath release
Releases a constricted extensor tendon sheath at the wrist, most commonly to treat De Quervain tenosynovitis after operative treatment is selected.
This operation opens the constricted sheath around wrist extensor tendons to relieve impaired tendon gliding, most often for De Quervain tenosynovitis at the radial wrist. An orthopedic or hand surgeon typically performs it in an operating room or ambulatory surgery setting. The operative work may include releasing a separate tendon subcompartment when present; the documented procedure should reflect what was actually treated.
Report the code when the surgeon performs the wrist extensor sheath release, not for a tendon-sheath injection or a release at a different site. The operative note should identify the wrist and side, the condition prompting surgery, and the sheath release performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25000
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.46 · 34%
- Practice expense (office) RVU6.07 · 60%
- Malpractice RVU0.66 · 6%
13.5K
Medicare services in 2024 · #1315 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.
25000 compared with similar codes
Office rates for Virginia, from the same CMS release.
$615.26–$727.87
Code 26055 is for release of a finger or thumb tendon sheath, commonly for trigger digit. Code 25000 targets the wrist extensor sheath.
No office rate
Code 25118 describes extensor tendon-sheath synovectomy at the wrist. Choose based on whether the documented operation removes synovial tissue or releases a constricted sheath.
Compare 25000 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$385.18
Virginia →
Office / nonfacility
Unavailable
Facility
$330.43
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25000 billing questions
When is this code appropriate for De Quervain tenosynovitis?
Use it when the surgeon releases the wrist extensor tendon sheath to treat the condition. A tendon-sheath injection alone is not this operation.
How does this differ from 25001?
Code 25000 describes release of a wrist extensor tendon sheath. Code 25001 concerns the flexor carpi radialis tendon sheath, a different tendon and operative target.
Does the code include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; when both sides are treated, modifier 50 is paid at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are 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.
2,36524935,,Revision of amputation,A,,16.04,14.60,NA,14.60,,3.41,34.05,34.05,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36624940,,Revision of upper arm,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36724999,,Unlisted px humerus/elbow,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36825000,,Incision of tendon sheath,A,,3.46,6.07,NA,6.07,,0.66,10.19,10.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36925001,,Incise flexor carpi radialis,A,,3.70,5.83,NA,5.83,,0.69,10.22,10.22,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37025020,,Decompress forearm 1 space,A,,5.91,14.56,NA,14.56,,1.14,21.61,21.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,37125023,,Decompress forearm 1 space,A,,13.48,21.62,NA,21.62,,2.74,37.84,37.84,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00