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See a sample rate comparisonCPT 25444 Fee Schedule
Last Verified: September 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.
Wrist Joint Replacement, Surgery To Replace Worn Out Ends Of Wrist Joint With An Artificial Part (Prosthesis).
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25444 |
| Medicaid Fee Schedule | View Medicaid rates for 25444 |
National average reimbursement for CPT 25444 by major payers:
$1,127.86
$1,108.85
$1,126.10
$1,352.22
Compare published rates across providers.
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CPT 25444
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$11,403.00Published rateSierra Endoscopy Center, LLC
Sierra Endoscopy Center LLC
$6,300.00Published rateRex Surgery Center Of Wakefield, LLC
Rex Surgery Center Of Wakefield LLC
$3,515.00Published rateBloomington Normal Healthcare, LLC
Bloomington-Normal Healthcare, L.L.C.
$2,723.00Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rate
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See a sample payer proposalCPT 25444 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25444 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 25444 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 |
|---|---|---|
| 25443-CPT | High | Arthroplst W/ Prosthet Replac; Scaphoid Carpal (Navicular), Arthroplasty With Prosthetic Replacement; Scaphoid Carpal (Navicular) |
| 25444-CPT | High | Wrist Joint Replacement, Surgery To Replace Worn Out Ends Of Wrist Joint With An Artificial Part (Prosthesis). |
| 25445-CPT | High | Arthropl.W/Prosth Replac;Trapezium |
| 25446-CPT | High | Arthroplst W/ Prosthet Replac; Distal Radius & Partial Or, Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25444. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25444 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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