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See a sample rate comparisonCPT 25020 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25020 |
| Medicaid Fee Schedule | View Medicaid rates for 25020 |
National average reimbursement for CPT 25020 by major payers:
$883.46
$830.97
$940.13
$1,127.44
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CPT 25020
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of Manhattan, LLC
Surgicare Of Manhattan LLC
$5,000.00Published rateBiltmore Surgical Partners, LLC, Deer Valley Surgical And Endoscopy Center
Biltmore Surgical Partners LLC
$2,484.00Published rateBay Area Laser Surgery Center, A Medical Corporation
Bay Area Laser Surgery Center A Medical Corporation
$2,056.00Published rateGalea Center, LLC., Galea Center For Advanced Surgery
Galea Center LLC
$1,600.00Published rateNorthern New Jersey Eye Institute PA
Northern New Jersey Eye Institute, P.A.
$796.00Published rate
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See a sample payer proposalCPT 25020 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25020 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 25020 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 25000-CPT | Moderate | Wrist Tendon Surgery, Surgery To Cut The Tendon Sheath (Covers The Tendon) Of Either The Flexor Or Extensor Tendon In The Wrist. |
| 25001-CPT | Moderate | Wrist Tendon Surgery, Surgery To Cut The Tendon Sheath (Covers The Tendon) Of Either The Flexor Or Extensor Tendon In The Wrist. |
| 25020-CPT | Moderate | Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 25023-CPT | High | Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25020 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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