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See a sample rate comparisonCPT 25023 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25023 |
| Medicaid Fee Schedule | View Medicaid rates for 25023 |
National average reimbursement for CPT 25023 by major payers:
$1,695.93
$1,562.22
$1,659.18
$2,068.54
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CPT 25023
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$10,099.00Published rateSpine Solutions Of Sheboygan LLC
$2,224.00Published rateEnt Of South Georgia Surgery Center LLC
$1,775.00Published rateEndoscopy Center Of The South Bay Lp, Endoscopy Center Of The South Bay
$1,484.00Published rateMesquite Surgery Center LLC
Mesquite Surgery Center, LLC
$657.00Published rate
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See a sample payer proposalCPT 25023 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25023 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 25023 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 |
|---|---|---|
| 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). |
| 25024-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 25023. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25023 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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