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25265 Repair forearm tendon/muscle

Surgery Global 90d

Also known as: complex tendon repair

Repair of a forearm tendon and/or muscle with more extensive reconstruction or graft incorporation.

In Plain Language

extensive tendon repair with grafting

Clinical Context

Indicated for complex tendon injuries with significant tissue loss, requiring graft augmentation or staged repair.

RVU Breakdown

Work RVU9.85
Total RVU9.85

Est. Medicare Payment

$328.99

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 9.85, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Hand SurgeryOrthopedic Surgery

Frequently Asked Questions

What is CPT code 25265?

CPT 25265 (Repair forearm tendon/muscle) is a Surgery code. Repair of a forearm tendon and/or muscle with more extensive reconstruction or graft incorporation.

What is the wRVU value for CPT 25265?

The work RVU for CPT 25265 is 9.85. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.

When is CPT 25265 used?

Indicated for complex tendon injuries with significant tissue loss, requiring graft augmentation or staged repair.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.