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See a sample rate comparisonCPT 25246 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.
Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 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 25246 |
| Medicaid Fee Schedule | View Medicaid rates for 25246 |
National average reimbursement for CPT 25246 by major payers:
$224.35
$245.09
$270.53
$148.55
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CPT 25246
5 of 25 sample ratesHigher to lower in this preview
Atlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$1,708.00Published rateDelaware River Surgical Suites, LLC
Bucks County Surgical Suites
$574.00Published rateThe Hand And Upper Extremity Surgery Center Of Georgia, LLC
The Hand And Upper Extremity Surgery Center Of Georgia LLC
$489.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$275.00Published rateSt Marks Surgical Center LLC
$83.00Published rate
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See a sample payer proposalCPT 25246 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25246 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 25246 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 |
|---|---|---|
| 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 |
| 25246-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 25250-CPT | Moderate | Remove Wrist Prosthesis |
| 25310-CPT | Moderate | Move Tendon In Arm Or Wrist, Surgery To Remove Either The Flexor Or Extensor Tendon From Its Attachment And Transfer It Onto Another Tendon In The Lower Arm Or Wrist. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25246 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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