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See a sample rate comparisonCPT 25830 Fee Schedule
CPT 25830 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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.
| 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) | A2 - Paid separately, from the OPPS relative weight |
| Add-on Codes | 20705 |
| Common Revenue Codes | 03600490 |
| Medicare Fee Schedule | View Medicare rates for 25830 |
| Medicaid Fee Schedule | $782.925 median of the 8 states in the free previewView Medicaid rates for 25830 |
National average reimbursement for CPT 25830 by major payers:
$1,305.64
BCBS / Anthem
$1,305.34
UnitedHealthcare
$1,372.68
Aetna
$1,646.11
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25830.
CPT 25830
5 of 25 sample ratesHigher to lower in this preview
Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
$8,886.00Published rateSurgcenter Of Plano LLC
Surgcenter Of Plano, LLC
$4,234.00Published rateDallas Asc, LLC, North Park Heart & Vascular Surgery Center
$3,300.00Published rateCreekside Surgery Suite
Shahriar Mabourakh, M.D.
$2,776.00Published rateSt Clair Shores Mi Ophthalmology Asc LLC
$900.00Published rate
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See a sample payer proposalCPT 25830 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25830. 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 25830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25830 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 25830 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25830 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 25830 in an ambulatory surgery center?
CMS lists CPT 25830 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which add-on codes are billed with CPT 25830?
CMS add-on code edits list CPT 25830 as a primary code for these add-on codes: 20705.
Which revenue codes are billed with CPT 25830?
Hospital price transparency files list CPT 25830 under these revenue codes: 0360 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.