No office rate
This code targets reconstruction of the distal radioulnar joint. Code 25320 is for wrist-joint repair or reconstruction when the operative target is broader.
On this page
CMS RVU26D · Effective 2026-10-01
25337 Joint reconstruction Medicare reimbursement rates in Virginia
Reconstructs the distal radioulnar joint to address persistent instability, including cases where the surgeon uses a tendon graft for stabilization. Compare 25337 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 25337 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
$800.49–$923.65
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 25337: Distal radioulnar joint reconstruction
Reconstructs the distal radioulnar joint to address persistent instability, including cases where the surgeon uses a tendon graft for stabilization.
This operation stabilizes the joint between the radius and ulna near the wrist when it remains unstable, often after trauma such as a Galeazzi injury or distal radius fracture. An orthopedic or hand surgeon performs the reconstruction in an operating room; a tendon graft may be used to restore support. The operative target is the distal radioulnar joint, not a general wrist ligament or a bony shortening procedure.
Report the code when the documented procedure reconstructs this joint, whether or not a tendon graft is used. The record should identify the instability, the joint treated, the reconstructive work, and laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. 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 25337
- 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 RVU11.44 · 46%
- Practice expense (office) RVU11.17 · 45%
- Malpractice RVU2.19 · 9%
495
Medicare services in 2024 · #3571 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.
25337 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 25676 describes open treatment of a distal radioulnar joint dislocation; 25337 is for reconstructing the joint to address instability.
No office rate
Code 25360 addresses an ulnar bone problem with an osteotomy. Use 25337 when the procedure reconstructs distal radioulnar joint stability.
Compare 25337 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
$923.65
Virginia →
Office / nonfacility
Unavailable
Facility
$800.49
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25337 billing questions
When is this code used instead of a wrist reconstruction code?
Use it when the reconstructed structure is specifically the distal radioulnar joint and the goal is to address its instability. A broader wrist reconstruction code applies when the operative target is the wrist joint more generally.
Does use of a tendon graft change the code?
No. This code covers distal radioulnar joint reconstruction with or without a tendon graft. Document the graft use and the reconstructive work performed.
Does this code include related postoperative care?
Medicare assigns a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How is it paid when performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can it be reported bilaterally?
Yes. Medicare pays bilateral reporting with modifier 50 at 150%.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment is restricted for this code. 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.
2,43425320,,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
2,43525332,,Revise wrist joint,A,,11.45,9.53,NA,9.53,,2.22,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43625335,,Centralization wrist on ulna,A,,13.06,10.36,NA,10.36,,2.77,26.19,26.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43725337,,Reconstruct ulna/radioulnar,A,,11.44,11.17,NA,11.17,,2.19,24.80,24.80,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43825350,,Revision of radius,A,,8.86,8.19,NA,8.19,,1.72,18.77,18.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,43925355,,Revision of radius,A,,10.27,9.05,NA,9.05,,2.19,21.51,21.51,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44025360,,Revision of ulna,A,,8.52,8.07,NA,8.07,,1.67,18.26,18.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00