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See a sample rate comparisonCPT 25111 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.
Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst.
| 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 25111 |
| Medicaid Fee Schedule | View Medicaid rates for 25111 |
National average reimbursement for CPT 25111 by major payers:
$453.91
$432.79
$470.32
$539.94
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CPT 25111
5 of 25 sample ratesHigher to lower in this preview
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
$4,141.00Published rateBanner Sun City West Surgery Center LLC
$2,007.00Published rateEndoscopy Center Of Santa Maria Inc, The Endoscopy Center Of Santa Maria, Inc.
Endoscopy Center Of Santa Maria, Inc.
$1,270.00Published ratePhysicians Outpatient Surgery Center, LLC
Physicians Outpatient Surgery Center LLC
$843.00Published rateJenna Motycka
Deaconess Hospital Inc
$256.95Published rate
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See a sample payer proposalCPT 25111 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25111 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 25111 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 |
|---|---|---|
| 25111-CPT | Moderate | Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst. |
| 25112-CPT | Moderate | Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst. |
| 25118-CPT | Moderate | Remove Wrist Tendon Covering, Surgery To Remove Sheath (Covering) Of Tendon Located Over Wrist Joint. Procedure Is Done To Relieve Pain And Increase Joint Mobility. |
| 25259-CPT | Moderate | Physical Therapy Of Wrist, Manual Stretching And Rotation Of Wrist Under General Anesthesia To Regain Range Of Motion After Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25111 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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