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See a sample rate comparisonCPT 25320 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Revise Wrist Joint, Capsulorrhaphy Or Reconstruction Wrist Open Eg Capsulodesis Ligament Repair Tendon Transfer Or Graft Includes Synovectomy Capsulotomy And Open Reduction For Carpal Instability
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25320 |
| Medicaid Fee Schedule | View Medicaid rates for 25320 |
National average reimbursement for CPT 25320 by major payers:
$1,352.82
$1,311.22
$1,413.16
$1,612.52
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CPT 25320
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Woodlands Parkway, LLC, Memorial Hermann Surgery Center Woodlands Parkway
$8,825.00Published rateBriarcliff Ambulatory Surgery Center Lp, Briarcliff Surgery Center
Briarcliff Ambulatory Surgery Center Lp
$5,354.00Published rateBcc West Valley LLC
$3,935.00Published rateEvergreen Eye Center, PLLC, Eye Associates Northwest Surgery Center
Eye Associates Northwest, PLLC
$2,090.00Published rateEndoscopy Asc Of Middle Georgia LLC
$741.00Published rate
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See a sample payer proposalCPT 25320 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25320 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 25320 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 |
|---|---|---|
| 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 |
| 25315-CPT | High | Release Tendon Contraction, Surgery To Release A Contracted Tendon That Is Causing The Lower Arm And/Or Wrist To Bend Unnaturally Or Deform. |
| 25316-CPT | High | Revise Palsy Hand Tendon S, Flexor Origin Slide Eg For Cerebral Palsy Volkmann Contracture Forearm And Or Wrist With Tendon S Transfer |
| 25320-CPT | High | Repair Revise Wrist Joint, Capsulorrhaphy Or Reconstruction Wrist Open Eg Capsulodesis Ligament Repair Tendon Transfer Or Graft Includes Synovectomy Capsulotomy And Open Reduction For Carpal Instability |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25320 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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