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See a sample rate comparisonCPT 25442 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.
Arthrp W/Prostc Dstl Ulna, Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger Side At The Wrist Level
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25442 |
| Medicaid Fee Schedule | View Medicaid rates for 25442 |
National average reimbursement for CPT 25442 by major payers:
$1,094.78
$1,082.84
$1,091.82
$1,323.07
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CPT 25442
5 of 25 sample ratesHigher to lower in this preview
United Medical Endoscopy Center
Advanced Endoscopy And Pain Center LLC
$11,558.00Published rateFlorida Orthopaedic Institute Surgery Center LLC
$9,510.00Published rateEvergreen Eye Center, PLLC, Evergreen Eye Surgery Center
Evergreen Eye Center, Inc. P.S.
$6,221.00Published rateSpecialty Surgery Center, LLC
Specialty Surgery Center LLC
$3,800.00Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$1,012.00Published rate
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See a sample payer proposalCPT 25442 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25442 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 25442 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 |
|---|---|---|
| 25394-CPT | High | Osteoplasty, Carpal Bone, Shortening |
| 25430-CPT | Moderate | Insrt Of Vasculr Pedicle Into Carpal Bone (Eg Hori Proc), Insertion Of Vascular Pedicle Into Carpal Bone (Eg Hori Procedure) |
| 25431-CPT | High | Repair Nonunion Carpal Bone, Repair Of Nonunion Of Carpal Bone Excluding Carpal Scaphoid Navicular Includes Obtaining Graft And Necessary Fixation Each Bone |
| 25442-CPT | High | Arthrp W/Prostc Dstl Ulna, Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger Side At The Wrist Level |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25442. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25442 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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