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See a sample rate comparisonCPT 25240 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.
Xcision Distal Ulna Partial Or Comple (Eg Darrach Typ Or Matchd, Excision Distal Ulna Partial Or Complete (Eg Darrach Type Or Matched
| 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 25240 |
| Medicaid Fee Schedule | View Medicaid rates for 25240 |
National average reimbursement for CPT 25240 by major payers:
$570.53
$591.17
$618.37
$722.95
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CPT 25240
5 of 25 sample ratesHigher to lower in this preview
St. David'S Healthcare Partnership, L.P., LLP, St. David'S Medical Center
$10,677.00Published rateEast West Surgery Center Lp
$3,623.00Published rateClear Lake Surgicare, Ltd
$2,548.00Published rateBloomington Eye Institute LLC
$1,560.00Published rateOriade Adeoye
Deaconess Hospital Inc
$749.45Published rate
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See a sample payer proposalCPT 25240 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25240 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 25240 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) |
| 25136-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Hand. The Area Is Repaired With A Bone Graft. |
| 25240-CPT | Moderate | Xcision Distal Ulna Partial Or Comple (Eg Darrach Typ Or Matchd, Excision Distal Ulna Partial Or Complete (Eg Darrach Type Or Matched |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25240 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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