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See a sample rate comparisonCPT 25825 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| 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 | 03600960Sign 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:

$1,049.31
BCBS / Anthem

$1,034.11
UnitedHealthcare

$1,074.56
Aetna

$1,288.56
Cigna
Choose a payer to see a sample of rates for CPT 25825.
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
Webster Ambulatory Sugery Center Lp, Sunset Hills Surgery Center
Legent Outpatient Surgery Singing Hills, LLC, Legent Outpatient Surgery Singing Hills
Legent Outpatient Surgery Singing Hills LLC
Clearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
Saratoga Schenectady Endoscopy Center, LLC
Saratoga Schenectady Endoscopy Center LLC
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See a sample payer proposalCPT 25825 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25825. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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. |
| 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 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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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.
CMS lists CPT 25825 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
CMS add-on code edits list CPT 25825 as a primary code for these add-on codes: 20705.
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.