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See a sample rate comparisonCPT 25909 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Amputation,Forearm Thru Radius & Ulna;Re
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25909 |
| Medicaid Fee Schedule | View Medicaid rates for 25909 |
National average reimbursement for CPT 25909 by major payers:
$995.28
$958.89
$951.48
$1,150.76
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CPT 25909
5 of 25 sample ratesHigher to lower in this preview
Ankeny Medical Park Surgery Center Lc
$3,538.85Published rateTimpview Asc, LLC
Timpview Asc LLC
$2,010.00Published rateUnited Vascular Of Omaha LLC
$1,530.00Published rateBay Surgery Centers LLC
$920.00Published rateDoctors Gi Partnership Ltd, Hf Surgery Center At Babcock
Doctors Gi Partnership Ltd
$333.00Published rate
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See a sample payer proposalCPT 25909 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25909 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 25909 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 25909. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25909 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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