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See a sample rate comparisonCPT 25820 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25820 |
| Medicaid Fee Schedule | View Medicaid rates for 25820 |
National average reimbursement for CPT 25820 by major payers:
$844.68
$843.74
$887.10
$1,054.78
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CPT 25820
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$13,172.00Published rateBoulevard Ent Surgery Center LLC
$4,184.00Published rateNashville Surgicenter, LLC
Nashville Surgicenter LLC
$3,067.00Published rateOhio Eye Surgery Center
$1,500.00Published rateThomas Hornyak
Deaconess Hospital Inc
$497.85Published rate
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See a sample payer proposalCPT 25820 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25820 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 25820 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 |
|---|---|---|
| 25805-CPT | High | 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. |
| 25820-CPT | Moderate | 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. |
| 25825-CPT | High | 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 | High | 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 25820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25820 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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