CPT code 25400: Forearm bone repair, one bone, without graft2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $728.14 for 25400 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25400 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25400 covers

This operation treats a radius or ulna fracture that has failed to unite or has healed in a position requiring correction. An orthopedic surgeon works on the affected forearm bone to address the nonunion or malalignment and restore stability. The service is typically performed in an operating room, including a hospital outpatient department or inpatient setting, rather than as routine fracture follow-up.

Report this code when the repair involves one bone and is performed without a graft; use the applicable family code when both bones or grafting are involved. The operative report should identify the bone, the nonunion or malunion being treated, and the repair performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 25400

Across 109 of 109 payment localities, the facility rate for 25400 runs from $660.21 in Arkansas to $907.81 in Alaska. Delaware pays $728.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25400 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 25400 in every payment locality

How the 25400 rate is calculated

Each of 25400’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 25400

25400 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 25400

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 25400 has changed in Delaware

Price 25400 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates