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See a sample rate comparisonCPT 25248 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.
Exploration With Removal Of De, Exploration With Removal Of Deep Foreign Body Forearm Orwrist Exploration With Removal Of Deep Foreign Body Forearm Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25248 |
| Medicaid Fee Schedule | View Medicaid rates for 25248 |
National average reimbursement for CPT 25248 by major payers:
$623.52
$583.12
$593.84
$706.37
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CPT 25248
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Texas Medical Center, LLP, Memorial Hermann Surgery Center Texas Medical Center
Memorial Hermann Surgery Center Texas Medical Center LLP
$5,048.00Published rateWest Georgia Surgery Center, LLC
Tanner Medical Center
$2,031.00Published rateNorthern Illinois Surgery Center Limited Patrnership, The Center For Surgery
Northern Illinois Surgery Center Lp
$1,502.00Published rateKokomo Ambulatory Surgery Center
$1,071.00Published rateNorthwest Endoscopy Center, LLC, North West Endoscopy Center
Northwest Endoscopy Center LLC
$600.00Published rate
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See a sample payer proposalCPT 25248 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25248 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 25248 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 |
|---|---|---|
| 25248-CPT | Moderate | Exploration With Removal Of De, Exploration With Removal Of Deep Foreign Body Forearm Orwrist Exploration With Removal Of Deep Foreign Body Forearm Or |
| 25250-CPT | Moderate | Remove Wrist Prosthesis |
| 25251-CPT | High | Removal Wrist Prosthesis;Complicated,Tot |
| 25312-CPT | Moderate | Transplant Forearm Tendon, Tendon Transplantation Or Transfer Flexor Or Extensor Forearm And Or Wrist Single With Tendon Graft S Includes Obtaining Graft Each Tendon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25248 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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