No office rate
Both codes describe forearm amputation. Use the full code descriptions and operative details to determine which code matches the procedure performed.
On this page
CMS RVU26D · Effective 2026-10-01
25905 Forearm amputation Medicare reimbursement rates in Wyoming
Reports surgical amputation at the forearm level, typically when trauma, infection, ischemia, or disease leaves the limb segment unsalvageable. Compare 25905 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 25905 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
$642.72
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.
Upper-extremity surgery
About 25905: Forearm amputation procedure
Reports surgical amputation at the forearm level, typically when trauma, infection, ischemia, or disease leaves the limb segment unsalvageable.
This service is the surgical removal of part of the forearm, with the operative report establishing the level and technique. It may be performed by an orthopedic, hand, or vascular surgeon for a severely injured or nonviable limb, including cases involving traumatic damage, advanced infection, or compromised blood supply. These amputations are generally performed in a hospital operating room.
Report the code that matches the procedure documented; the diagnosis alone does not establish the correct forearm-amputation code. The operative report should identify the level and describe the amputation performed, including closure or other operative details relevant to code selection. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 25905
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.35 · 47%
- Practice expense (office) RVU8.42 · 43%
- Malpractice RVU1.99 · 10%
16
Medicare services in 2024 · #6027 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.
25905 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This is another forearm-amputation code. Distinguish it from 25905 by the complete descriptor and the documented operative technique.
No office rate
25920 is for amputation at the wrist; 25905 applies when the documented amputation is at the forearm level.
Compare 25905 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
$642.72
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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 25905 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,516
- Code
- 25905
- Physician work
- 9.35
- Practice expense
- 8.42
- Malpractice
- 1.99
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.35 | × 1.000 | 9.3500 |
| Practice expense | 8.42 | × 1.000 | 8.4200 |
| Malpractice | 1.99 | × 0.740 | 1.4726 |
| Total RVUs | 19.2426 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$642.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.35 | 1 |
| Practice expense | 8.42 | 1 |
| Malpractice | 1.99 | 0.74 |
(9.35 × 1 + 8.42 × 1 + 1.99 × 0.74) × $33.4009 = $642.72
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.
25905 billing questions
How do I distinguish 25905 from 25900 or 25915?
All three are forearm-amputation codes. Match the operative report to the full code descriptions and documented operative details; the short descriptors alone do not show the distinctions.
Should I use this code for an amputation at the wrist?
No. A wrist-level amputation is represented by a different code family, including 25920. Code the documented anatomic level rather than the general fact that the procedure removes part of the upper limb.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
Can the surgeon report an assistant or co-surgeon?
CMS allows payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
How is this code paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. For a bilateral procedure, modifier 50 is paid at 150%.
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.
2,51325825,,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
2,51525900,,Amputation of forearm,A,,9.37,8.81,NA,8.81,,1.88,20.06,20.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51625905,,Amputation of forearm,A,,9.35,8.42,NA,8.42,,1.99,19.76,19.76,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51725907,,Amputation follow-up surgery,A,,7.89,7.96,NA,7.96,,1.68,17.53,17.53,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51825909,,Amputation follow-up surgery,A,,9.08,8.33,NA,8.33,,1.93,19.34,19.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51925915,,Amputation of forearm,A,,17.08,11.01,NA,11.01,,3.63,31.72,31.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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.,,,,,,