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See a sample rate comparisonCPT 25900 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Amputate Forearm-Thru Radius + Ulna
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 25900 |
| Medicaid Fee Schedule | View Medicaid rates for 25900 |
National average reimbursement for CPT 25900 by major payers:
$1,018.29
$989.81
$989.70
$1,196.59
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CPT 25900
5 of 25 sample ratesHigher to lower in this preview
Pearland Surgery Center, LLC
$8,087.00Published rateAria Health Bucks County Spu
Jefferson Health-Northeast
$5,654.00Published ratePremier Asc LLC, Premier Orthopaedic Surgery Center
$3,042.00Published rateLynn Eye Surgery Center, LLC, Lynn Eye Surgery Center
Lynn Eye Surgery Center LLC
$1,936.00Published rateWest Des Moines Ambulatory Surgical Center LLC, Westown Ambulatory Center
West Des Moines Ambulatory Surgical Center LLC
$901.00Published rate
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See a sample payer proposalCPT 25900 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25900 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 25900 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 |
|---|---|---|
| 25900-CPT | High | Amputate Forearm-Thru Radius + Ulna |
| 25905-CPT | High | Amputat Forearm Through Radius & Ulna; Open Circular (Guilloti, Amputation Forearm Through Radius And Ulna; Open Circular (Guilloti |
| 25907-CPT | Moderate | Amputat Forearm Through Radius & Ulna; Second Closur Or Sca, Amputation Forearm Through Radius And Ulna; Secondary Closure Or Sca |
| 25909-CPT | Moderate | Amputation,Forearm Thru Radius & Ulna;Re |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25900 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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