How much does Medicare pay for CPT 25310?

Medicare allowed an average of $466.60 per service and paid $371.12 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4211.84, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 25310?

Relocation of tendon of forearm and/or wrist. It was billed 3,903 times to 3,624 Medicare beneficiaries by 210 providers in 2024.

Does 25310 pay differently in an office than a hospital?

Yes. The allowed amount averaged $361.84 in an office setting and $466.93 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 25310 most?

Ambulatory Surgical Center, with 1,392 services from 69 clinicians. Next are Hand Surgery, Orthopedic Surgery, Physician Assistant.

CPT 25310

Relocation of tendon of forearm and/or wrist

$466.60Medicare-allowed amount per service, averaged across 3,903 services

Providers submitted

$4211.84

Asking price, not received

Medicare allowed

$466.60

The fee schedule figure

Medicare paid

$371.12

Balance is patient coinsurance

Providers submitted an average of $4211.84 for this code and Medicare allowed $466.60 — 9.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $371.12 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $361.84
Hospital / facility: $466.93

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 12 services were billed in an office setting and 3,891 in a facility.

Services: 3,903
Beneficiaries: 3,624
Providers billing it: 210
Total allowed: $1,821,140

What Medicare pays for CPT 25310

Across 3,903 services billed by 210 providers to 3,624 beneficiaries, Medicare allowed an average of $466.60 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 25310

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	1,392	1,291	$810.52	69
Hand Surgery	1,134	1,054	$323.30	63
Orthopedic Surgery	827	755	$321.44	46
Physician Assistant	359	338	$43.82	22
Plastic and Reconstructive Surgery	140	136	$303.05	7
Nurse Practitioner	51	50	$45.04	3

25310 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	385	$466.40	$386.65	19
California	257	$537.43	$370.11	14
North Carolina	231	$485.61	$416.75	13
Arizona	219	$640.43	$520.79	10
Virginia	213	$399.32	$321.18	9
Oregon	185	$425.06	$326.90	7
Illinois	173	$582.86	$451.43	11
Washington	155	$388.92	$290.79	7
New York	154	$581.39	$443.62	9
Maryland	134	$397.83	$322.92	8
Indiana	121	$661.52	$544.62	5
Colorado	120	$409.00	$332.55	6
South Carolina	117	$547.88	$472.10	5
Ohio	110	$331.86	$273.27	7
Montana	109	$265.42	$214.36	7
Connecticut	101	$574.64	$429.85	6
Tennessee	99	$326.62	$282.58	6
Idaho	89	$398.24	$338.78	4
Mississippi	85	$524.73	$468.61	5
Texas	78	$540.33	$438.47	6
New Jersey	76	$274.38	$196.93	4
Utah	74	$522.05	$441.12	4
Pennsylvania	64	$322.02	$246.85	4
Nevada	64	$555.38	$445.04	3
Kentucky	61	$304.25	$261.13	4
Louisiana	60	$399.96	$346.07	4
Georgia	57	$335.27	$294.64	3
Iowa	57	$507.05	$449.74	3
Minnesota	51	$537.25	$446.00	4
Massachusetts	51	$429.14	$332.82	3
New Hampshire	50	$323.52	$285.36	4
Arkansas	43	$277.28	$259.72	2
Alaska	19	$891.56	$658.03	1
Missouri	16	$278.10	$250.41	1
Kansas	13	$286.97	$247.17	1
Wisconsin	12	$287.92	$247.46	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.