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See a sample rate comparisonCPT 25078 Fee Schedule
Last Verified: October 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.
Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Forearm And/Or Wrist Area; 3 Cm Or Greater (Revised 01/01/2014)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25078 |
| Medicaid Fee Schedule | View Medicaid rates for 25078 |
National average reimbursement for CPT 25078 by major payers:
$1,543.87
$1,585.95
$1,593.54
$1,912.09
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CPT 25078
5 of 25 sample ratesHigher to lower in this preview
St Marks Ambulatory Surgery Associates Lp, Mt. Olympus Surgery Center
St Marks Ambulatory Surgery Associates Lp
$2,924.00Published rateSurgcenter Northeast LLC
Surgcenter Northeast, LLC
$2,307.00Published rateOconee Surgery Center
$1,750.00Published rateAsc Of The Heart Institute
$1,421.00Published rateRiverside Surgery Center Inc
$499.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25078 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25078 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 25078 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 |
|---|---|---|
| 25071-CPT | Moderate | Xcision Tumor Sft Tissue Of Forearm Wrist Area Subcutan, Excision Tumor Soft Tissue Of Forearm And/Or Wrist Area Subcutaneou |
| 25073-CPT | Moderate | Exc Forearm Tum Deep 3 Cm, Excision Tumor Soft Tissue Of Forearm And Or Wrist Area Subfascial Eg Intramuscular 3 Cm Or Greater |
| 25075-CPT | Moderate | Xcision Tumor Sft Tissue Of Forearm Wrist Area Subcutan, Excision Tumor Soft Tissue Of Forearm And/Or Wrist Area Subcutaneou |
| 25078-CPT | High | Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Forearm And/Or Wrist Area; 3 Cm Or Greater (Revised 01/01/2014) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25078. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25078 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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