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See a sample rate comparisonCPT 25922 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.
Disarticulation Through Wrist; Second Closur Or Scar Revisn, Disarticulation Through Wrist; Secondary Closure Or Scar Revision
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25922 |
| Medicaid Fee Schedule | View Medicaid rates for 25922 |
National average reimbursement for CPT 25922 by major payers:
$873.07
$811.86
$835.21
$1,046.98
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CPT 25922
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Endoscopy Center At Decatur
Emory University
$4,041.00Published rateTower Oaks Surgery Center, LLC
Tower Oaks Surgery Center LLC
$1,600.00Published rateElmira Asc LLC
$1,379.00Published rateCenter Of Surgical Excellence, Cose Anesthesia Billing
$898.00Published rateNortheast Ambulatory Center Inc
Northeast Ambulatory Center, Inc.
$420.00Published rate
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See a sample payer proposalCPT 25922 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25922 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 25922 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 |
|---|---|---|
| 25920-CPT | Moderate | Disarticulation Through Wrist; |
| 25922-CPT | Moderate | Disarticulation Through Wrist; Second Closur Or Scar Revisn, Disarticulation Through Wrist; Secondary Closure Or Scar Revision |
| 25924-CPT | Moderate | Disarticulation Through Wrist;Reamputati |
| 25927-CPT | High | Amputate Transmetacarpal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25922 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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