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See a sample rate comparisonCPT 25215 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.
Carpectomy; All Bonesor Proximal Row
| 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 25215 |
| Medicaid Fee Schedule | View Medicaid rates for 25215 |
National average reimbursement for CPT 25215 by major payers:
$854.67
$846.41
$890.91
$1,032.98
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CPT 25215
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$11,871.00Published rateAdvanced Endoscopy Center LLC
Advanced Endoscopy Center, LLC
$3,570.00Published rateParkway Surgical Center, LLC
Parkway Surgical Center LLC
$2,159.00Published rateMays & Schnapp Pain Clinic & Rehabilitation Center
Mays Schnapp Pain Clinic Rehabilitation Center
$1,747.00Published rateMacomb Endoscopy Center Plc
$640.00Published rate
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See a sample payer proposalCPT 25215 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25215 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 25215 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. |
| 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. |
| 25210-CPT | Moderate | Carpectomy Single |
| 25215-CPT | Moderate | Carpectomy; All Bonesor Proximal Row |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25215 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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