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See a sample rate comparisonCPT 25120 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.
Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumorof Radiusor Ulna (Excluding Head Or Neck Of Radiu S And Olecranon Process)
| 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 25120 |
| Medicaid Fee Schedule | View Medicaid rates for 25120 |
National average reimbursement for CPT 25120 by major payers:
$683.53
$718.54
$724.81
$862.38
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CPT 25120
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
$4,140.00Published ratePark Nicollet Methodist Hospital, Park Nicollet Same Day Surgery Center
Park Nicollet Health Services
$3,443.00Published rateThomasville Surgery Center, Inc.
Thomasville Surgery Center Inc
$1,500.00Published rateAlliance Surgery Center, LLC
Alliance Surgery Center
$1,250.00Published rateGastroenterology Endoscopy Center
$300.00Published rate
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See a sample payer proposalCPT 25120 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25120 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 25120 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 |
|---|---|---|
| 25120-CPT | Moderate | Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumorof Radiusor Ulna (Excluding Head Or Neck Of Radiu S And Olecranon Process) |
| 25125-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25126-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25170-CPT | High | Surgery For Tumor In Arm Bone, Surgery To Remove A Section Of Bone With An Abnormal Growth (Tumor) From The Arm Elbow Or Wrist. The Bone May Be Reconstructed With A Graft Or Prosthesis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25120 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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