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See a sample rate comparisonCPT 25820 Fee Schedule
Medicare rates as of October 2026
CPT 25820 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 |
| Common Revenue Codes | 03600490Sign up to view all 3 |
| Medicare Fee Schedule | $615.25 national non-facility rate (2026)View Medicare rates for 25820 |
| Medicaid Fee Schedule | $494.495 median of the 8 states in the free previewView Medicaid rates for 25820 |
National average reimbursement for CPT 25820 by major payers:
$844.68
BCBS / Anthem
$843.74
UnitedHealthcare
$887.10
Aetna
$1,054.78
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25820.
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 table lists codes related to 25820. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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. |
| 25820-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. |
| 25825-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 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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Frequently Asked Questions
What APC is CPT 25820 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25820 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 25820 in an ambulatory surgery center?
CMS lists CPT 25820 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 25820?
Hospital price transparency files list CPT 25820 under these revenue codes: 0360, 0490 and 0637. A revenue code names the hospital department or charge category for the line; it does not change what the service is.