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See a sample rate comparisonCPT 25295 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.
Tenolysis Flexor Or Extenso Tndon Forearm Wrist Sngle Ea, Tenolysis Flexor Or Extensor Tendon Forearm And/Or Wrist Single Ea
| 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 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25295 |
| Medicaid Fee Schedule | View Medicaid rates for 25295 |
National average reimbursement for CPT 25295 by major payers:
$775.59
$750.74
$761.49
$903.54
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CPT 25295
5 of 25 sample ratesHigher to lower in this preview
Marin Health Ventures, LLC, Marin Specialty Surgery Center
Marin Health Ventures, Inc. Dba Marin Specialty Surgery Center
$5,227.00Published rateThe Maryland Center For Digestive Health LLC
$2,388.00Published rateNorthern Litho Inc
Northern Litho, Inc.
$2,200.00Published rateEndoscopy Center At St Mary
$1,248.00Published rateEha Surgery Center Sarasota
$698.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25295 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25295 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 25295 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 |
|---|---|---|
| 25295-CPT | Moderate | Tenolysis Flexor Or Extenso Tndon Forearm Wrist Sngle Ea, Tenolysis Flexor Or Extensor Tendon Forearm And/Or Wrist Single Ea |
| 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. |
| 25301-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 25295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25295 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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