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See a sample rate comparisonCPT 25391 Fee Schedule
Last Verified: October 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.
Lengthen One Or Both Arm Bones, Surgery To Lengthen One Or Both Bones In The Lower Arm (Radius Ulna). A Bone Graft Is Used For The Procedure.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25391 |
| Medicaid Fee Schedule | View Medicaid rates for 25391 |
National average reimbursement for CPT 25391 by major payers:
$1,346.22
$1,392.85
$1,368.84
$1,663.70
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CPT 25391
5 of 25 sample ratesHigher to lower in this preview
Manchester Ambulatory Surgery Center Lp, Des Peres Square Surgery Center
$5,966.00Published rateWestern Washington Medical Group, Inc Ps, Western Washington Medical Group Endoscopy Center
Western Washington Medical Group, Inc., P.S.
$2,494.00Published rateNiagara Asc, LLC, Asc Of Niagara
Niagara Asc LLC
$1,850.00Published rateTenaya Surgical Center, LLC
Tenaya Surgical Center LLC
$1,200.00Published rateMid-Bronx Endoscopy Center LLC
Midbronx Endoscopy Center LLC
$400.00Published rate
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See a sample payer proposalCPT 25391 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25391 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 25391 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 |
|---|---|---|
| 25390-CPT | High | Osteoplasty Radiusor Ulna Shorten |
| 25391-CPT | High | Lengthen One Or Both Arm Bones, Surgery To Lengthen One Or Both Bones In The Lower Arm (Radius Ulna). A Bone Graft Is Used For The Procedure. |
| 25392-CPT | High | Osteoplasty Radius + Ulna Shorten |
| 25393-CPT | High | Lengthen One Or Both Arm Bones, Surgery To Lengthen One Or Both Bones In The Lower Arm (Radius Ulna). A Bone Graft Is Used For The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25391. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25391 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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