No office rate
Choose 25290 for division of the tendon. Choose 25280 when the surgeon performs tendon lengthening or shortening.
On this page
CMS RVU26D · Effective 2026-10-01
25290 Tendon division Medicare reimbursement rates in Wyoming
Surgical division of one wrist or forearm flexor or extensor tendon to address contracture or tethering, reported for each tendon treated. Compare 25290 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 25290 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
$405.73
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 25290: Wrist or forearm tendon division
Surgical division of one wrist or forearm flexor or extensor tendon to address contracture or tethering, reported for each tendon treated.
This service involves surgically dividing a flexor or extensor tendon in the wrist or forearm, typically to reduce tendon tightness contributing to a contracture or deformity. It is generally performed by an orthopedic or hand surgeon in an operating room. The operative report should identify the tendon and site and describe the reason for division; distinguish this procedure from tendon repair, lengthening, or freeing adhesions around an intact tendon.
Report the service for each tendon divided, supported by the operative documentation. CMS 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 other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 25290
- 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
- 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 RVU5.29 · 43%
- Practice expense (office) RVU6.11 · 49%
- Malpractice RVU1.01 · 8%
3.2K
Medicare services in 2024 · #2119 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.
25290 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
25295 describes freeing a tendon from adhesions to improve glide; 25290 describes dividing the tendon.
No office rate
25260 is for primary repair of a flexor tendon. Use 25290 when the documented procedure is tendon division, not restoration of a lacerated tendon.
No office rate
25270 is for primary repair of an extensor tendon. Use 25290 when the documented procedure is tendon division rather than repair.
Compare 25290 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
$405.73
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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 25290 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,426
- Code
- 25290
- Physician work
- 5.29
- Practice expense
- 6.11
- Malpractice
- 1.01
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.29 | × 1.000 | 5.2900 |
| Practice expense | 6.11 | × 1.000 | 6.1100 |
| Malpractice | 1.01 | × 0.740 | 0.7474 |
| Total RVUs | 12.1474 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$405.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.29 | 1 |
| Practice expense | 6.11 | 1 |
| Malpractice | 1.01 | 0.74 |
(5.29 × 1 + 6.11 × 1 + 1.01 × 0.74) × $33.4009 = $405.73
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.
25290 billing questions
How is this different from tendon lengthening or shortening?
This service reports tendon division. Use 25280 when the surgeon lengthens or shortens the tendon rather than dividing it.
How is this different from tenolysis?
Tenolysis, reported with 25295, frees a tendon from adhesions that restrict its glide. This code is for dividing the tendon itself.
How many units should be reported?
Report each tendon treated as supported by the operative note. Document the tendon, wrist or forearm site, and the procedure performed.
Is modifier 50 appropriate?
No. Modifier 50 is inappropriate for this service; document the treated tendon or tendons and report according to the code’s each-tendon basis.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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.
2,42325274,,Repair forearm tendon/muscle,A,,8.72,8.08,NA,8.08,,1.64,18.44,18.44,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42425275,,Repair forearm tendon sheath,A,,8.74,8.28,NA,8.28,,1.66,18.68,18.68,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42525280,,Revise wrist/forearm tendon,A,,7.21,7.32,NA,7.32,,1.41,15.94,15.94,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42625290,,Incise wrist/forearm tendon,A,,5.29,6.11,NA,6.11,,1.01,12.41,12.41,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,42725295,,Release wrist/forearm tendon,A,,6.55,7.07,NA,7.07,,1.26,14.88,14.88,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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.,,,,,,