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See a sample rate comparisonCPT 25290 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.
Cut Tendon To Stretch Muscle, Surgery To Cut The Flexor Or Extensor Tendon In The Lower Arm Or Wrist. The Procedure Helps To Lengthen A Muscle That Has Become Shortened And Resistant To Stretch.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25290 |
| Medicaid Fee Schedule | View Medicaid rates for 25290 |
National average reimbursement for CPT 25290 by major payers:
$694.57
$657.70
$655.69
$774.43
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CPT 25290
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$6,623.00Published rate1800 Mcdonough Road Surgery Center LLC
$2,839.00Published rateParamount Surgery Center, LLC, The Center For Specialized Surgery
Paramount Surgery Center LLC
$1,882.00Published rateUrology Surgery Center Lp
$1,190.00Published rateAmbulatory Surgery Center Of Tucson, Inc.
Ambulatory Surgery Center Of Tucson Inc
$665.00Published rate
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See a sample payer proposalCPT 25290 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25290 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 25290 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 |
|---|---|---|
| 25280-CPT | Moderate | Revise Wrist Forearm Tendon, Lengthening Or Shortening Of Flexor Or Extensor Tendon Forearm And Or Wrist Single Each Tendon |
| 25290-CPT | Moderate | Cut Tendon To Stretch Muscle, Surgery To Cut The Flexor Or Extensor Tendon In The Lower Arm Or Wrist. The Procedure Helps To Lengthen A Muscle That Has Become Shortened And Resistant To Stretch. |
| 25300-CPT | Moderate | Finger Tendon Surgery, Surgery To Cut The Normal Attachment Of A Finger Tendon And Reattach It To A Different Bone In The Wrist. The Procedure Is Done To Improve Finger Mobility. |
| 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 25290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25290 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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