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See a sample rate comparisonCPT 25425 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.
Repair Of Defect With Autograft; Radius
| 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 25425 |
| Medicaid Fee Schedule | View Medicaid rates for 25425 |
National average reimbursement for CPT 25425 by major payers:
$1,392.21
$1,387.71
$1,334.86
$1,641.18
Compare published rates across providers.
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CPT 25425
5 of 25 sample ratesHigher to lower in this preview
Texas Health Huguley Surgery Center, LLC
Texas Health Huguley Surgery Center LLC
$8,238.00Published rateEndoscopy Of Plano, Lp, Gastrointestinal Endoscopy Center Of Plano
Endoscopy Of Plano Lp
$4,540.00Published ratePrime Surgical Suites, LLC, Scsv, LLC
Prime Surgical Suites LLC
$3,268.00Published rateDesert Cliffs Surgery Center LLC
$2,000.00Published rateAsc-Tcg, LLC, Tri-County Center For Endoscopy & Surgery
Asc - Tcg LLC
$790.00Published rate
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See a sample payer proposalCPT 25425 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25425 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 25425 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 |
|---|---|---|
| 25375-CPT | High | Multiple Osteotomies With Rea, Multiple Osteotomies With Realignment On Intramedullary Rod(Sofield Type Procedure) Radius And Ulna |
| 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. |
| 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. |
| 25425-CPT | High | Repair Of Defect With Autograft; Radius |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25425 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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