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See a sample rate comparisonCPT 25335 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.
Centralization Wrist On Ulna-Eg,Radial C
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25335 |
| Medicaid Fee Schedule | View Medicaid rates for 25335 |
National average reimbursement for CPT 25335 by major payers:
$1,298.13
$1,268.74
$1,292.39
$1,540.67
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CPT 25335
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Wasilla, LLC
Surgery Center Of Wasilla LLC
$19,404.00Published rateParamus Endoscopy LLC, Endoscopy Center Of Bergen County
Paramus Endoscopy LLC
$6,364.00Published ratePlanned Parenthood Of Greater Texas Surgical Health Services
$2,800.00Published rateVenkatesh Madadi
Deaconess Hospital Inc
$1,641.98Published rateAdvanced Dermatology And Skin Surgery, PLLC
$766.00Published rate
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See a sample payer proposalCPT 25335 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25335 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 25335 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 |
| 25230-CPT | Moderate | Styloidectomy Radial |
| 25259-CPT | Moderate | Physical Therapy Of Wrist, Manual Stretching And Rotation Of Wrist Under General Anesthesia To Regain Range Of Motion After Surgery. |
| 25335-CPT | High | Centralization Wrist On Ulna-Eg,Radial C |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25335 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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