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See a sample rate comparisonCPT 25360 Fee Schedule
Last Verified: October 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.
Surgery To Align Arm Bone, Surgery To Cut One Or More Bones In The Lower Arm (Radius Or Ulna). This Procedure Is Usually Done To Correct Positioning Of A Previously Broken Bone.
| 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 25360 |
| Medicaid Fee Schedule | View Medicaid rates for 25360 |
National average reimbursement for CPT 25360 by major payers:
$919.39
$930.86
$935.14
$1,115.15
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CPT 25360
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$7,635.00Published ratePhysicians' Surgery Center Of Downey, LLC
Physicians Surgery Center Of
$5,035.00Published rateEltra LLC
$3,100.00Published rateArizona Surgical Specialists Center, LLC, Arizona Surgical Specialsts Center West Phoenix
Arizona Surgical Specialists Center LLC
$1,050.00Published rateMission Surgery Center LLC
$624.00Published rate
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See a sample payer proposalCPT 25360 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25360 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 25360 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 |
|---|---|---|
| 25145-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
| 25150-CPT | Moderate | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Of Bone (Eg For Osteomyelitis) Ulna |
| 25151-CPT | Moderate | Partial Removal Of Radius, Partial Excision Craterization Saucerization Or Diaphysectomy Of Bone Eg For Osteomyelitis Radius |
| 25360-CPT | Moderate | Surgery To Align Arm Bone, Surgery To Cut One Or More Bones In The Lower Arm (Radius Or Ulna). This Procedure Is Usually Done To Correct Positioning Of A Previously Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25360 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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