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See a sample rate comparisonHealthcare 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.
| 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 25337 |
| Medicaid Fee Schedule | View Medicaid rates for 25337 |
National average reimbursement for CPT 25337 by major payers:

$1,188.71

$1,193.98

$1,243.91

$1,460.11
Choose a payer to see a sample of rates for CPT 25337.
Denton Regional Ambulatory Surgery Center Lp
Westside Gi Center, LLC
Northeast Alabama Eye Surgery Center
Central Ohio Gastroenterology Associatesllc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 25337 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25337 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 25337 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 |
| 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 |
| 25332-CPT | High | Arthroplasty Wrist With Or W, Arthroplasty Wrist With Or Without Interposition With Or Without External Or Internal Fixation |
| 25337-CPT | High | Reconstruct Ulna Radioulnar, Reconstruction For Stabilization Of Unstable Distal Ulna Or Distal Radioulnar Joint Secondary By Soft Tissue Stabilization Eg Tendon Transfer Tendon Graft Or Weave Or Tenodesis With Or Without Open Reduction Of Distal Radioulnar Joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25337. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25337 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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