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See a sample rate comparisonCPT 25924 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;Reamputati
| 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 | LT - Left side of body None 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25924 |
| Medicaid Fee Schedule | View Medicaid rates for 25924 |
National average reimbursement for CPT 25924 by major payers:
$999.49
$917.81
$941.24
$1,144.75
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CPT 25924
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Katy LLP
$9,182.00Published rateHealthone Ridge View Endoscopy Center, LLC, Ridge View Endoscopy Center
$4,641.00Published rateSierra Eye Ambulatory Surgery Center, LLC
Sierra Eye Ambulatory Surgery Center LLC
$3,064.00Published ratePremier Surgical Center, LLC
Premier Surgical Center LLC
$2,436.00Published rateCentral Florida Eye Institute Pl
$812.00Published rate
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See a sample payer proposalCPT 25924 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25924 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 25924 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 |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25924 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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