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See a sample rate comparisonCPT 25449 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.
Revisn Of Arthroplst Inclu Remval Of Implnt Wrist Joint, Revision Of Arthroplasty Including Removal Of Implant Wrist Joint
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25449 |
| Medicaid Fee Schedule | View Medicaid rates for 25449 |
National average reimbursement for CPT 25449 by major payers:
$1,368.54
$1,396.52
$1,410.24
$1,690.84
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CPT 25449
5 of 25 sample ratesHigher to lower in this preview
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
$11,291.00Published rateMinimally Invasive Surgicenter LLC
Minimally Invasive Surgicenter L
$5,249.00Published rateColumbia Gorge Surgery Center, LLC
Columbia Gorge Surgery Center LLC
$2,941.00Published rateDigestive Diseases Diagnostic & Treatment Center LLC
Digestive Diseases Diagnostic Treatment Center LLC
$1,391.00Published rateDigestive Healthcare Of Georgia Endoscopy Center Mountainside
$500.00Published rate
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See a sample payer proposalCPT 25449 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25449 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 25449 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 |
| 25449-CPT | High | Revisn Of Arthroplst Inclu Remval Of Implnt Wrist Joint, Revision Of Arthroplasty Including Removal Of Implant Wrist Joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25449. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25449 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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