# CPT 25447: Arthrp Interpos Intercarpal/metacarpal Joints

Medicare CPT 25447 pays $743.84 in a non-facility setting and $743.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $664.66 in Arkansas to $907.32 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/25447-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $743.84 |
| National facility | $743.84 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $907.32 | $907.32 |
| District of Columbia | $829.57 | $829.57 |
| New York | $822.47 | $822.47 |
| New Jersey | $809.23 | $809.23 |
| Florida | $806.94 | $806.94 |
| Illinois | $793.32 | $793.32 |
| Connecticut | $790.33 | $790.33 |
| Washington | $787.89 | $787.89 |
| California | $787.78 | $787.78 |
| Massachusetts | $784.88 | $784.88 |
| Maryland | $767.66 | $767.66 |
| Hawaii | $762.36 | $762.36 |
| Colorado | $755.13 | $755.13 |
| Rhode Island | $754.37 | $754.37 |
| Michigan | $750.00 | $750.00 |
| New Hampshire | $749.45 | $749.45 |
| Puerto Rico | $746.56 | $746.56 |
| Virgin Islands | $746.56 | $746.56 |
| Oregon | $746.47 | $746.47 |
| Pennsylvania | $744.54 | $744.54 |
| Montana | $743.71 | $743.71 |
| Georgia | $741.74 | $741.74 |
| Texas | $735.85 | $735.85 |
| Delaware | $734.90 | $734.90 |
| Nevada | $733.24 | $733.24 |
| New Mexico | $729.08 | $729.08 |
| West Virginia | $727.99 | $727.99 |
| Wyoming | $726.82 | $726.82 |
| Arizona | $723.98 | $723.98 |
| Virginia | $718.87 | $718.87 |
| Louisiana | $717.66 | $717.66 |
| Utah | $716.98 | $716.98 |
| Missouri | $715.12 | $715.12 |
| Ohio | $715.10 | $715.10 |
| South Carolina | $708.46 | $708.46 |
| Vermont | $708.13 | $708.13 |
| Minnesota | $707.50 | $707.50 |
| North Dakota | $704.95 | $704.95 |
| Maine | $704.42 | $704.42 |
| Kentucky | $700.94 | $700.94 |
| South Dakota | $700.37 | $700.37 |
| North Carolina | $697.67 | $697.67 |
| Oklahoma | $693.25 | $693.25 |
| Indiana | $685.64 | $685.64 |
| Wisconsin | $684.41 | $684.41 |
| Tennessee | $682.92 | $682.92 |
| Idaho | $682.43 | $682.43 |
| Mississippi | $680.00 | $680.00 |
| Kansas | $679.08 | $679.08 |
| Nebraska | $677.22 | $677.22 |
| Iowa | $675.77 | $675.77 |
| Alabama | $673.38 | $673.38 |
| Arkansas | $664.66 | $664.66 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 25447 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules