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See a sample rate comparisonCPT 25800 Fee Schedule
Medicare rates as of October 2026
CPT 25800 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Fuse Bones In Wrist, Surgery To Join Together Two Or More Bones Of The Wrist. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 20705 |
| Common Revenue Codes | 03600258Sign up to view all 3 |
| Medicare Fee Schedule | $673.36 national non-facility rate (2026)View Medicare rates for 25800 |
| Medicaid Fee Schedule | $538.935 median of the 8 states in the free previewView Medicaid rates for 25800 |
National average reimbursement for CPT 25800 by major payers:
$954.30
BCBS / Anthem
$996.88
UnitedHealthcare
$1,004.34
Aetna
$1,211.56
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25800.
CPT 25800
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial Hospital
$20,777.00Published rateGastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
$6,087.00Published rateNorth Fullerton Surgery Center, LLC
$4,000.00Published rateHot Springs Ambulatory Surgery Center, LLC
Hot Springs Ambulatory Surgery Center LLC
$1,943.00Published rateColonoscopy And Endoscopy Center LLC
$1,044.00Published rate
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See a sample payer proposalCPT 25800 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25800. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 25800-CPT | Fuse Bones In Wrist, Surgery To Join Together Two Or More Bones Of The Wrist. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 25805-CPT | Fuse Bones In Wrist, Surgery To Join Together Two Or More Bones Of The Wrist. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 25810-CPT | Fuse Bones In Wrist, Surgery To Join Together Two Or More Bones Of The Wrist. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 25830-CPT | Join Wrist Bones Together, Surgery To Join Together Bones Of Wrist Joint (Radius And Ulna). The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25800 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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Frequently Asked Questions
What APC is CPT 25800 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25800 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25800 in an ambulatory surgery center?
CMS lists CPT 25800 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 25800?
CMS add-on code edits list CPT 25800 as a primary code for these add-on codes: 20705.
Which revenue codes are billed with CPT 25800?
Hospital price transparency files list CPT 25800 under these revenue codes: 0360, 0258 and 0250. A revenue code names the hospital department or charge category for the line; it does not change what the service is.