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See a sample rate comparisonCPT 25259 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.
Physical Therapy Of Wrist, Manual Stretching And Rotation Of Wrist Under General Anesthesia To Regain Range Of Motion After Surgery.
| 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 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25259 |
| Medicaid Fee Schedule | View Medicaid rates for 25259 |
National average reimbursement for CPT 25259 by major payers:
$590.45
$554.21
$569.56
$702.35
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CPT 25259
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$5,000.00Published rateEhi Surgery Center Austin, LLC, Legent Outpatient Surgery - Austin
Ehi Surgery Center Austin LLC
$1,000.00Published rateSimi Valley Surgery Center Inc
$750.00Published rateValley Outpatient Surgical Center Inc
$489.00Published rateAlabama Eye Surgery Center LLC
$399.00Published rate
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See a sample payer proposalCPT 25259 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25259 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 25259 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 |
|---|---|---|
| 25215-CPT | Moderate | Carpectomy; All Bonesor Proximal Row |
| 25251-CPT | High | Removal Wrist Prosthesis;Complicated,Tot |
| 25259-CPT | Moderate | Physical Therapy Of Wrist, Manual Stretching And Rotation Of Wrist Under General Anesthesia To Regain Range Of Motion After Surgery. |
| 25265-CPT | High | Tendon Or Muscle Repair Of Arm, Surgery To Repair A Torn Tendon Or Muscle In The Lower Arm Or Wrist. When The Repair Is More Than 10 Days After An Injury (Or The First Procedure Failed To Restore Mobility) A Graft May Be Necessary To Bring The Ends Together. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25259. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25259 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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