$271.92
Choose 10121 for complicated removal from subcutaneous tissue. Choose 25248 when the foreign body is embedded deep in the forearm or wrist.
On this page
CMS RVU26D · Effective 2026-10-01
25248 Foreign body removal Medicare reimbursement rates in Wyoming
Reports surgical removal of a retained foreign object embedded deep in forearm or wrist tissues, such as after a penetrating injury. Compare 25248 office and facility rates across CMS payment localities in Wyoming.
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 25248 in Wyoming?
Wyoming 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
$398.43
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 25248: Deep forearm or wrist foreign body removal
Reports surgical removal of a retained foreign object embedded deep in forearm or wrist tissues, such as after a penetrating injury.
An orthopedic or hand surgeon uses surgical exposure to locate and remove a retained object embedded in the deeper tissues of the forearm or wrist. Typical cases involve an object left after a penetrating injury, such as a fragment of glass or metal that cannot be retrieved as a superficial splinter. The service may be performed in an operating room or another appropriate surgical setting.
Select this code when the documented site is the forearm or wrist and the foreign body is deep; distinguish it from removal limited to subcutaneous tissue or from removal specifically within muscle or a tendon sheath. The operative report should identify the location and depth, the exploration and removal performed, and the object retrieved. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25248
- 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 RVU5.18 · 42%
- Practice expense (office) RVU5.92 · 48%
- Malpractice RVU1.12 · 9%
146
Medicare services in 2024 · #4579 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.
25248 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$491.27
20525 describes deep or complicated removal from muscle or a tendon sheath. 25248 is selected for a deep forearm or wrist foreign body when that specific tissue location does not define the service.
$156.10
10120 is for simple removal from subcutaneous tissue; 25248 is for a foreign body embedded deep in the forearm or wrist.
Compare 25248 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$398.43
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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 25248 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,414
- Code
- 25248
- Physician work
- 5.18
- Practice expense
- 5.92
- Malpractice
- 1.12
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.18 | × 1.000 | 5.1800 |
| Practice expense | 5.92 | × 1.000 | 5.9200 |
| Malpractice | 1.12 | × 0.740 | 0.8288 |
| Total RVUs | 11.9288 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$398.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.18 | 1 |
| Practice expense | 5.92 | 1 |
| Malpractice | 1.12 | 0.74 |
(5.18 × 1 + 5.92 × 1 + 1.12 × 0.74) × $33.4009 = $398.43
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.
25248 billing questions
How does 25248 differ from 10121?
25248 is for a foreign body embedded deep in the forearm or wrist. 10121 is for complicated removal from subcutaneous tissue.
When should 20525 be considered instead?
Use 20525 when the foreign body is removed from muscle or a tendon sheath and the removal is deep or complicated. For 25248, the defining site is the deep forearm or wrist rather than a specified muscle or tendon sheath.
What should the operative note document?
Document the forearm or wrist location, the object's depth, the surgical exploration and removal, and the foreign body retrieved. The findings should support that the object was deep rather than confined to subcutaneous tissue.
How is bilateral removal reported under the CMS facts?
For bilateral procedures, modifier 50 is paid at 150%.
Does the surgeon receive separate payment for related postoperative care?
The major-surgery 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.
2,41125230,,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
2,41625251,,Removal of wrist prosthesis,A,,9.57,8.67,NA,8.67,,2.05,20.29,20.29,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,41725259,,Manipulate wrist w/anesthes,A,,3.94,8.36,NA,8.36,,0.79,13.09,13.09,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,