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See a sample rate comparisonCPT 25170 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 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.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25170 |
| Medicaid Fee Schedule | View Medicaid rates for 25170 |
National average reimbursement for CPT 25170 by major payers:
$1,846.95
$1,848.01
$1,937.31
$2,294.30
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CPT 25170
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$6,310.00Published rateTexas Orthopedics Surgery Center, LLC, Texas Orthopedics Surgery Center Limited Partnership, Ll
Texas Orthopedics Surgery Center LLC
$3,570.00Published rateClarkston Asc Partners LLC, Clarkston Surgery Center
Clarkston Asc Partners, LLC Dba Clarkston Surgery Center
$2,200.00Published rateMidtown Urology Surgical Center, PC
$1,680.00Published rateAccomodative Surgery Center, L.L.C., Brecksville Surgery Center
Accomodative Surgery Center LLC
$756.00Published rate
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See a sample payer proposalCPT 25170 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25170 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 25170 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 |
|---|---|---|
| 25119-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. |
| 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) |
| 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. |
| 25350-CPT | Moderate | Surgery To Align Arm Bone, Surgery To Cut One Or More Bones In The Lower Arm (Radius Or Ulna). This Procedure Is Usually Done To Correct Positioning Of A Previously Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25170 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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