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See a sample rate comparisonCPT 25392 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.
Osteoplasty Radius + Ulna Shorten
| 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 25392 |
| Medicaid Fee Schedule | View Medicaid rates for 25392 |
National average reimbursement for CPT 25392 by major payers:
$1,438.07
$1,404.53
$1,403.18
$1,679.54
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CPT 25392
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgical Pavilion At Robert Wood Johnson LLC
$4,574.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$3,347.00Published rateHospital Drive Surgery Center, LLC
Hospital Drive Surgery Center
$1,850.00Published rateCarolinas Ambulatory Surgery Inc., Atrium Health Surgery Center Rock Hill
Carolinas Ambulatory Surgery Inc
$1,331.00Published rateEvans Procedure Center, LLC
Evans Procedure Center LLC
$847.00Published rate
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See a sample payer proposalCPT 25392 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25392 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 25392 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 25392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25392 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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