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See a sample rate comparisonCPT 25446 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.
Arthroplst W/ Prosthet Replac; Distal Radius & Partial Or, Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or
| 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 25446 |
| Medicaid Fee Schedule | View Medicaid rates for 25446 |
National average reimbursement for CPT 25446 by major payers:
$1,599.33
$1,587.57
$1,600.05
$1,922.60
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CPT 25446
5 of 25 sample ratesHigher to lower in this preview
Northwest Spine And Laser Surgery Center LLC
$19,250.00Published rateThe Maryland Center For Digestive Health LLC
$9,510.00Published rateCentral Jersey Ambulatory Surgical Center, LLC
Central Jersey Ambulatory Surgical Center LLC
$5,539.00Published ratePark Ventura Endoscopy Center, LLC, Digestive Health Center Of Plano
Park Ventura Endoscopy Center LLC
$2,180.00Published rateOutpatient Surgical Care Ltd
$833.00Published rate
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See a sample payer proposalCPT 25446 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25446 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 25446 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 25446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25446 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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