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CPT code 25405: Forearm bone repair, one bone, autograft2026 Medicare rate & RVUs

Corrects a radius or ulna nonunion or malunion using the patient's own bone graft to support healing of the repaired forearm bone.

CMS RVU26DEffective Oct 1, 2026109 payment localities546 Medicare services in 2024

Medicare pays $939.23 for 25405 nationally in a facility.

Medicare rate · 25405

Forearm bone repair, one bone, autograft

Office or facility?

Work RVUs
14.63
Total RVUs
28.12
Global days
090

National rate · 2026

$939.23

Facility setting, before claim adjustments.

See every locality for 25405 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 25405 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25405 covers

This operation treats a radius or ulna that has failed to heal or has healed in a problematic position. The orthopedic or hand surgeon exposes the affected bone, corrects its alignment or prepares the nonunion, adds bone graft taken from the patient, and stabilizes the repair. It is generally performed in an operating room, often in a hospital or ambulatory surgery setting.

Report this code when one forearm bone is repaired with autograft; the graft harvest is included. Document which bone and side were treated, the nonunion or malunion, and the use of the patient's own graft. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 identifies bilateral work and is paid at 150%. An assistant at surgery may be paid; 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.

Where 25405 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25405 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$853.29
AlaskaUnavailable$1,163.58
ArizonaUnavailable$914.43
ArkansasUnavailable$842.73
Atlanta, GAUnavailable$965.64
Austin, TXUnavailable$949.86
Bakersfield, CAUnavailable$945.09
Baltimore area, MDUnavailable$995.67
Beaumont, TXUnavailable$900.50
Brazoria, TXUnavailable$918.86

25405 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25405 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 25405 rate is calculated

Each of 25405’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.

How the rate is built · 25405

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.63

14.63 RVUs× 1.000 GPCI

Practice expense10.62

10.62 RVUs× 1.000 GPCI

Malpractice2.87

2.87 RVUs× 1.000 GPCI

Adjusted RVUs

28.1200

Conversion factor

$33.4009

Medicare rate

$939.23

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 25405

25405 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25405

Forearm bone repair, one bone, autograft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25405

Forearm bone repair, one bone, autograft

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25405 without 50 · national facility

$939.23

Forearm bone repair, one bone, autograft

25405-50 · Bilateral: 150%

$1,408.85

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

25405 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 25405

    Forearm bone repair, one bone, autograft14.63 wRVU

    Not priced

  • 25400

    Forearm bone repair, one bone, without graft11 wRVU

    Not priced

  • 25420

    Forearm repair, both bones, with autograft16.61 wRVU

    Not priced

  • 25425

    Forearm bone repair, radius or ulna with graft13.38 wRVU

    Not priced

How to choose

25400Forearm bone repairOne bone, without graft
Choose 25400 for a one-bone repair without graft; 25405 includes the patient's own bone graft.
25420Forearm repairBoth bones, with autograft
25420 is for repair of both the radius and ulna with autograft. 25405 is for one of those bones.
25425Forearm bone repairRadius or ulna with graft
Both codes address a single-bone forearm repair with graft, but 25425 uses allograft rather than the patient's own bone.

Codes related to 25405

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

Codes related to 25405
CodeHow it relatesNational office range
Same family
25400Forearm bone repair, one bone, without graftSingle-bone forearm nonunion or malunion repair without graft.No office rate
25415Forearm bone repair, both radius and ulnaBoth radius and ulna repaired without graft.No office rate
25420Forearm repair, both bones, with autograftBoth radius and ulna repaired with autograft.No office rate
25425Forearm bone repair, radius or ulna with graftSingle-bone forearm repair using allograft rather than autograft.No office rate
25426Forearm bone repair, radius and ulna with graftBoth radius and ulna repaired using allograft.No office rate

25405 billing questions

How does 25405 differ from 25400?

25405 applies when the repair uses the patient's own bone graft. Use 25400 for the corresponding single-bone repair without graft.

Can the graft harvest be billed separately?

No. Obtaining the autograft is included in this repair.

Does 25405 cover repair of both forearm bones?

No. It covers the radius or the ulna. For repair of both bones with autograft, compare 25420.

When is modifier 50 appropriate?

Use modifier 50 when the repair is performed bilaterally. CMS pays the bilateral procedure at 150%.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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

Show the CMS file lines behind this rate
RVUs for 25405PPRRVU2026_Oct_nonQPP.csv, line 2,450 (RVU26D)

Open CMS sourceHow we calculate rates

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