No office rate
Both represent complete wrist fusion; choose 25810 when autograft is used and 25800 when the fusion is performed without bone graft.
On this page
CMS RVU26D · Effective 2026-10-01
25810 Wrist fusion Medicare reimbursement rates in Wyoming
Complete wrist fusion using iliac-crest or another autologous bone graft is reported when graft-supported fusion is performed. Compare 25810 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 25810 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
$774.83
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 25810: Complete wrist fusion with autograft
Complete wrist fusion using iliac-crest or another autologous bone graft is reported when graft-supported fusion is performed.
An orthopedic hand or upper-extremity surgeon uses this code for complete wrist fusion supported by the patient’s own bone graft, commonly obtained from the iliac crest or another donor site. The operation joins the wrist across the intended fusion surfaces, often for severe painful arthritis, post-traumatic joint damage, or an unstable wrist when preserving wrist motion is not the goal. It is generally performed in an operating room with fixation selected by the surgeon.
Report this code when the operative report supports complete wrist arthrodesis with autograft; obtaining the graft is included. The 90-day global period includes 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25810
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.65 · 49%
- Practice expense (office) RVU9.92 · 42%
- Malpractice RVU2.20 · 9%
632
Medicare services in 2024 · #3348 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.
25810 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code represents complete fusion with a sliding graft technique. 25810 is for complete fusion with iliac or other autograft.
No office rate
25820 describes a limited wrist fusion without bone graft, not the complete fusion with autograft represented by 25810.
No office rate
25825 is for limited wrist fusion with autograft; 25810 represents complete wrist fusion with autograft.
Compare 25810 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
$774.83
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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 25810 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,511
- Code
- 25810
- Physician work
- 11.65
- Practice expense
- 9.92
- Malpractice
- 2.20
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.65 | × 1.000 | 11.6500 |
| Practice expense | 9.92 | × 1.000 | 9.9200 |
| Malpractice | 2.20 | × 0.740 | 1.6280 |
| Total RVUs | 23.1980 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$774.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.65 | 1 |
| Practice expense | 9.92 | 1 |
| Malpractice | 2.2 | 0.74 |
(11.65 × 1 + 9.92 × 1 + 2.2 × 0.74) × $33.4009 = $774.83
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.
25810 billing questions
How does this differ from 25800?
Both describe complete wrist fusion, but 25810 includes autograft use, while 25800 is the complete fusion code without bone graft.
Can the graft harvest be billed separately?
No. Obtaining the autograft is included in 25810.
When is 25805 a better choice?
Use 25805 when the complete wrist fusion is performed with a sliding graft technique rather than the iliac or other autograft service represented by 25810.
What documentation supports 25810?
The operative report should establish complete wrist arthrodesis and use of the patient’s own bone graft. It should also identify the graft source and the procedure performed.
How is bilateral wrist fusion paid?
CMS pays bilateral reporting with modifier 50 at 150%. The code also has a 90-day global period for 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.
2,50825695,,Optx lunate dislocation,A,,8.30,7.93,NA,7.93,,1.76,17.99,17.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50925800,,Arthrd wrist complete wo grf,A,,9.82,8.46,NA,8.46,,1.88,20.16,20.16,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51025805,,Arthrd wrist w/sliding graft,A,,11.44,9.84,NA,9.84,,2.44,23.72,23.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51125810,,Arthrd wrst iliac/oth agrft,A,,11.65,9.92,NA,9.92,,2.20,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51225820,,Arthrd wrist lmtd w/o b1 grf,A,,7.45,9.52,NA,9.52,,1.45,18.42,18.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51325825,,Arthrd wrist with autograft,A,,9.45,11.03,NA,11.03,,1.79,22.27,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51425830,,Arthrd dst rad/ul jt sgm rsc,A,,10.61,16.37,NA,16.37,,2.08,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,