No office rate
Choose 25295 to free a tendon from adhesions; choose 25290 when the surgeon divides the tendon.
On this page
CMS RVU26D · Effective 2026-10-01
25295 Tendon release Medicare reimbursement rates in Wyoming
Surgical tenolysis frees a single flexor or extensor tendon in the forearm or wrist when adhesions restrict its movement after injury or surgery. Compare 25295 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 25295 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
$486.06
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.
Hand surgery
About 25295: Forearm or wrist tendon tenolysis
Surgical tenolysis frees a single flexor or extensor tendon in the forearm or wrist when adhesions restrict its movement after injury or surgery.
A hand or orthopedic surgeon performs tenolysis to separate a tendon from adhesions that limit its glide. The service is used for a flexor or extensor tendon in the forearm or wrist, often when scarring after tendon repair, trauma, or another operation restricts motion despite recovery or therapy. It is typically performed in an operating room or ambulatory surgery setting.
Report this code for release of one tendon in the forearm or wrist, not for cutting a tendon or repairing a tendon injury. The operative report should identify the tendon, describe the adhesions and restricted excursion, and document the release performed. The service has 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 procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 25295
- 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 RVU6.55 · 44%
- Practice expense (office) RVU7.07 · 48%
- Malpractice RVU1.26 · 8%
2.8K
Medicare services in 2024 · #2213 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.
25295 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
25295 releases adhesions restricting tendon glide. 25280 is for tendon revision or lengthening, not adhesiolysis.
No office rate
Both describe tendon tenolysis, but 26440 applies to a flexor tendon in the palm or finger; 25295 is for the forearm or wrist.
No office rate
25260 is used to repair a forearm tendon injury. 25295 releases adhesions around a tendon rather than repairing it.
Compare 25295 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
$486.06
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 25295 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,427
- Code
- 25295
- Physician work
- 6.55
- Practice expense
- 7.07
- Malpractice
- 1.26
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.55 | × 1.000 | 6.5500 |
| Practice expense | 7.07 | × 1.000 | 7.0700 |
| Malpractice | 1.26 | × 0.740 | 0.9324 |
| Total RVUs | 14.5524 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$486.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.55 | 1 |
| Practice expense | 7.07 | 1 |
| Malpractice | 1.26 | 0.74 |
(6.55 × 1 + 7.07 × 1 + 1.26 × 0.74) × $33.4009 = $486.06
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.
25295 billing questions
How does this differ from tendon incision code 25290?
25295 frees a tendon from adhesions that restrict its glide. Use 25290 when the procedure intentionally divides a tendon rather than releasing scar attachments.
What documentation supports reporting 25295?
Document the involved forearm or wrist tendon, the adhesions restricting its movement, and the operative release. The record should distinguish tenolysis from tendon division or repair.
Can modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.
Is related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, 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.
2,42425275,,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
2,43025310,,Transplant forearm tendon,A,,8.78,9.56,NA,9.56,,1.67,20.01,20.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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.,,,,,,