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CPT 25825 Fee Schedule

Medicare rates as of October 2026

CPT 25825 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 FactDetail
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 Codes20705
Common Revenue Codes03600960Sign up to view all 4
Medicare Fee Schedule$743.84 national non-facility rate (2026)View Medicare rates for 25825
Medicaid Fee Schedule$597.61 median of the 8 states in the free previewView Medicaid rates for 25825

National average reimbursement for CPT 25825 by major payers:

BCBS / Anthem logo

$1,049.31

BCBS / Anthem

UnitedHealthcare logo

$1,034.11

UnitedHealthcare

Aetna logo

$1,074.56

Aetna

Cigna logo

$1,288.56

Cigna

Compare published rates across providers.

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CPT 25825
5 of 25 sample ratesHigher to lower in this preview
  1. Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center

    Aurora Surgery Centers LLC

    WIAmbulatory Surgical Clinic/CenterNPI 1497393516Tax ID 81-1401714

    $12,899.00Published rate
  2. Webster Ambulatory Sugery Center Lp, Sunset Hills Surgery Center

    MOAmbulatory Surgical Clinic/CenterNPI 1427422799Tax ID 20-5953387

    $5,981.00Published rate
  3. Legent Outpatient Surgery Singing Hills, LLC, Legent Outpatient Surgery Singing Hills

    Legent Outpatient Surgery Singing Hills LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1356080642Tax ID 86-1677359

    $4,000.00Published rate
  4. Clearway Surgery Center Of National Harbor LLC

    Harborside Surgery Center

    MDAmbulatory Surgical Clinic/CenterNPI 1275376121Tax ID 45-4110190

    $3,273.00Published rate
  5. Saratoga Schenectady Endoscopy Center, LLC

    Saratoga Schenectady Endoscopy Center LLC

    NYAmbulatory Surgical Clinic/CenterNPI 1629175062Tax ID 55-0867698

    $1,200.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 25825 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 25825. Select one to see its fee schedule.

CodeDescription
25810-CPTFuse 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-CPTFuse 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-CPTFuse 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-CPTJoin 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 25825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 25825 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 25825 assigned to?


Medicare's hospital outpatient payment system (OPPS) assigns CPT 25825 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 25825 in an ambulatory surgery center?


CMS lists CPT 25825 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.

Which add-on codes are billed with CPT 25825?


CMS add-on code edits list CPT 25825 as a primary code for these add-on codes: 20705.

Which revenue codes are billed with CPT 25825?


Hospital price transparency files list CPT 25825 under these revenue codes: 0360, 0960, 0490 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

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